Founding Engineer

The Problem The senior population will double in the next 15 years, and our nursing home infrastructure is already collapsing under pressure. This is a $200B industry facing a nurse shortage three times worse than hospitals, with burnout and turnover at crisis levels. It is also the most regulated sector in healthcare, burying staff in documentation and compliance work that now consumes more than 30% of every nurse's day. The result is a system where care suffers, facilities lose billions to missed conditions and incomplete notes, and the people responsible for caring for our aging population are overwhelmed and underwater. About Marlow Marlow is building the agentic operating system for nursing homes - a system that can handle all of the administrative and back-office work so staff can fully focus on care. Today, Marlow acts as a nurse co-pilot: an ambient AI that listens during routine care, completes charting automatically, and uses vocal biomarkers to detect early changes in a resident's health from their speech patterns. This same intelligence layer will expand into autonomous workflows that manage the rest of a facility's operational load - from intake and documentation to billing, auditing, and real-time clinical insight. By turning everyday conversations at the bedside into structured, actionable data, Marlow aims to give caregivers hours back, improve outcomes for seniors, and lift the entire infrastructure of nursing home care.

Our goal is simple:

raise the standard of senior care by removing the administrative burden that holds it back. About the Team Marlow was started by repeat founders who have worked closely together for almost a decade and whose last company, Suede One (computer vision for authenticating luxury goods) was acquired by Poshmark. The team also has experience working at top-tier companies such as Apple, Ramp, American Express, and Evercore. We've raised $7M in seed funding from top VCs including top 10 Midas List investors and have top industry experts on our advisory board - including a board member of Kaiser Permanente, a unicorn founder, and a former CEO of a $1.5T company. Although we are pre-launch, we have over $2M ARR in LOIs, demonstrating strong customer pull for our product. The Role We're hiring a Founding Engineer to work in-person in New York, directly alongside the founders and founding growth lead (ex-Ramp). You'll shape both the product and the engineering culture from day one. What You'll Work On Core backend systems powering our ambient scribe - from audio capture to clinical notes Automated workflows that help nursing homes proactively surface issues and prevent re-hospitalizations Integrating vocal biomarker models to detect undiagnosed conditions Designing solutions that meaningfully improve nurses' day-to-day Setting the engineering standards and practices that the team will build on

Stack:

Python, FastAPI, Postgres, GCP, state-of-the-art LLMs and transcription APIs, React Native on the front end. Who You Are Backend or full-stack engineer who has owned real workflows end-to-end Runs autonomously. You don't wait for specs, you figure out what needs to happen and run with it Takes ownership of projects from start to finish and drives them to completion Combines deep technical skills with relentless experimentation on new AI tools Hungry for ownership and responsibility Motivated by real-world impact - you care deeply about making a difference in the lives of seniors and those who care for them Healthcare experience not required