The posting
Founding Engineer – Akomi
Akomi is looking for a Founding Engineer to join our early-stage team. You’ll work closely with the founders to shape and implement features end-to-end. This role is ideal for engineers who value craft, quality, and want to deliver modern AI products in healthcare.
What You’ll Do
- Collaborate directly with co-founders to take features from idea to production.
- Design, develop, and deploy full-stack solutions that scale to hundreds of providers.
- Orchestrate long-running AI agent tasks with reliable execution and retries.
- Build systems to submit clinical information via numerous website portals, using hybrid LLM + computer-use techniques.
- Create tools to audit patient clinical documentation against payer-specific guidelines with inventive LLM engineering.
- Implement user-facing features with modern web development patterns and best practices.
Who You Are
- A skilled software engineer with 2–10 years of experience.
- Proficient in system design and full-stack development.
- Comfortable working across the stack, taking on new challenges outside your comfort zone, and thriving in ambiguity.
- Experienced with Next.js, React, and TypeScript.
- Hands-on experience with LLMs in agent workflows (structured outputs, function calling, etc.).
- Passionate about the craft of software engineering and building high-quality products.



