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Senior Software Engineer (Founding Team)

Axo VenturesONSITE: Houston, TX (Sugar Land)
Full-timeSenior
👁️ 0 views📝 0 applicationsPosted 7/1/2026Expires 8/20/2026

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Job Description

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.

Required Skills

uxgrpcpostgresqltypescriptnetaiprompting