Senior Engineer

Kivo Health provides telehealth lung therapy to people with chronic lung disease.

Lung therapy is similar to physical therapy. It includes guided exercise and live education. Our 9-week, insurance-billed program connects patients to our therapists in real-time. We help patients feel better, get back to everyday activities and stay out of the hospital. Because we reduce hospitalizations, we save payers an average of $8k per patient.

We're working directly with UCLA, Stanford and other major health systems across 9 states. We're making money, growing quickly and are looking for engineers to scale our service to all 50 states.

Some more about us:

• We're working directly with UCLA, Stanford and other health systems in 9 states.
• We're well capitalized and have advisors from YCombinator, Cricket, Virta, and the COPD Foundation.
• Vaughn (CTO) is a serial YC tech founder with an exit to Trulia, and Victor (CEO) is a Stanford-trained physician.
• Our patients love us: "Kivo is a miracle to me... I could never have attended any other way."

If you want to work at a high-growth startup, and have a direct impact on patients' lives, come work with us! We're growing quickly, so this is a great opportunity to join early. Some similar companies that became unicorns are Virta, Somatus, Cricket, and Hinge Health (IPO May 2025).

For more information, see https://kivohealth.com, or check out our public YC launch: https://www.ycombinator.com/launches/Hxq-kivo-health-telehealth-lung-rehab

Help real people breathe better. Build cutting edge AI apps. Make a lasting impact.

That's what we do at Kivo Health.

We just raised our Series A! We're looking for a Senior Engineer to help us build our tech-enabled healthcare clinic. This is an in-office, Seattle role only. Come work with our talented team, including a former NASA engineer, a Stanford MD, and a multi-time YC founder with 1 exit. We founded Kivo after learning that only 3% of patients were able to access lung therapy.

Our ideal candidate has fully embraced AI coding tools, and has 6-12 years of experience with technology like:

• Python/Django
• TypeScript, React, React Native

You’ll heavily use AI engineering tools to design, build, test and ship software. You’ll work on LLM-powered workflows, UI/UX for patients and internal users for our webapp platform and our mobile apps. You’ll constantly be looking for ways to upgrade your use of AI tooling and AI applications in our product.

• You don't write code anymore. You've fully embraced AI to co-create software.
• You're a software generalist.
• You thrive in a fast-paced, results-driven startup culture.
• You're excited to work directly with the company founders.
• You have a strong desire to make a positive impact on people’s lives.
• You are located in Seattle (or plan to move here).

• You don't use AI for all parts of your engineering approach.
• You prefer working at large companies.
• You don't want to live and work in Seattle.

• 0-30: Ship a bugfix on your first day. Learn our systems, backend business logic, and AI tools stack.
• 30-60: Build an in-house MCP server to enable AI to process backend ops tasks.
• 60-90: Build an AI-powered workflow to cut down charting time from 40 minutes to 5 minutes.

• Series A startup equity
• Healthcare
• 401k
• Unlimited PTO

Individual candidates only please - no recruiters or dev shops, thanks!

• Typescript
• React / React Native

• Python/Django
• Postgres

• Google Cloud
• Azure
• LLM services

• 30-45 minute chat with our founder/CTO Vaughn (on Zoom)
• 1-2 technical interviews (on Zoom)
• In-person loop at our Seattle office (3-5 interviews)
• Interview with our founder/CEO Victor (in person)
• Offer