Senior Software Engineer (Founding Team)

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Axo 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 [email] with a short story about a favorite technical challenge you solved end-to-end. Please put HN in the subject line! Contact: jlyman[handle]

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