Senior Software Engineer (Founding Team)
Axo VenturesAxo Ventures | Senior Software Engineer (Founding Team) | ONSITE: Houston, TX (Sugar Land) | Full-time | $100k–$140k + Founding Equity, adjustable
Clinical software is where a provider's time goes to die. We are building Axo to make the software layer as invisible and ambient as possible, letting clinicians direct 100% of their attention to patients rather than screens.
Our first market is orthotics and prosthetics (O&P), the field designing braces and artificial limbs that restore human mobility and underserved by the tech sector. We're building a foundation designed to eventually scale across thousands of providers and multiple medical specialties.
You’ll join as a founding engineer working directly with myself (Xoogler SWE) and my co-founder (one of the US's best known O&P clinicians), and a new engineer. You will own massive surfaces end-to-end, making the foundational architectural decisions for our entire platform. We have clinics using our suite and already saving hours a day, but we've got a massive pipeline ahead and need your help to build it. And we participate in humanitarian missions to expand prosthetic access in critical parts of the world like Ukraine.
- The Stack: C#/.NET, contract-first gRPC, SolidJS/TypeScript, and PostgreSQL, built with strict domain-driven design and rigorous testing.
- How we work: We have total flexibility on your workflow. Love AI-assisted speed coding? Go for it. Prefer to write by hand because your mental model is faster than prompting? Perfect. We only care about delivering safely and quickly.
- Requirements: Senior-level depth with production systems, a strong habit of domain modeling, and a philosophy that defaults to simplicity. Strong UI/UX experience with an obsession for user simplicity is a must.
To apply, email me directly at jlyman@axoventures.co with a short story about a favorite technical challenge you solved end-to-end. Please put "HN" in the subject line!
Opens the company's application page
Listed via
hackernews_hiring
Similar roles
Design & Tech
Related reads from TCHNX
The Quiet Revolution in Local-First Software
As major platforms face outages and data breaches, a new generation of developers is building applications that prioritise local data storage and peer-to-peer sync, challenging the cloud-first orthodoxy that's dominated tech for two decades.
The Quiet Revolution in Edge AI: Why Your Next Computer Might Not Need the Cloud
As neural processing units become standard in consumer devices, we're witnessing a fundamental shift in how AI applications work. Local processing is no longer a fallback; it's becoming the preferred architecture.
The Rise of AI-Assisted Code Generation 2: Are Developers Becoming Prompt Engineers?
As AI coding assistants reshape software development, the industry grapples with a fundamental question: is writing code giving way to writing prompts? We examine how London's tech scene is adapting to this seismic shift.