Terrarium

Founding Engineer

New York City

Sponsorship not specifiedDetected 9 days ago

Agentic AILogistics

About the role

As the Founding Engineer, you are our first engineer and the technical leader.
Ingest & Store: Pull and structure data from across the healthcare system and combine it with real context on family, caretakers, medications, appointments, and daily life.
The goal is one clean, reliable record instead of scattered fragments.

Build agents that execute real coordination work (scheduling, logistics, reconciliation, documentation) while keeping the human navigator in the loop with full visibility.
Action: Build agents that execute real coordination work (scheduling, logistics, reconciliation, documentation) while keeping the human navigator in the loop with full visibility.
Expect to make high-leverage technical decisions, ship fast, and own outcomes end-to-end with minimal process.
Leland is building the first unified system of record for aging to help seniors live longer, healthier, and happier lives.
This turns fragmented information into proactive, coordinated support that extends healthy, independent years.

You have built real systems from scratch and take extreme ownership of problems end-to-end.
You are genuinely excited to work on hard problems that matter.

We have a multi-year funding runway and are launching pilots in 2026 with providers and already in active conversations with major US health systems.
The company is led by a Stanford GSB founder with experience scaling new businesses at Sword Health and Homebase.

Low ego, high output. You want the intensity and ownership that only exists at the earliest stage of a company.

This listing is sourced directly from Terrarium's careers page and normalized into a canonical job model.