What are the responsibilities and job description for the Software Engineer position at Tuscany Strategies?
Founding Software Engineer (5 Years Experience)
New York City | In-Office (5 days/week)
About the Role:
We’re looking for a Founding Engineer to help build the core operating system for private neurology practices. This is a rare opportunity to join at the ground floor and shape both the product and the engineering culture from day one.
You’ll work closely with the founders and early customers to design, build, and scale software that meaningfully improves neurological care in the U.S. The right person is highly entrepreneurial, thrives in fast-paced startup environments, and is motivated by real-world impact.
What You’ll Do
- Design, build, and maintain scalable B2B workflows for private neurology practices
- Architect the technical foundation, deciding when to build in-house vs. integrate best-in-class tools
- Develop and maintain data infrastructure to surface actionable clinical and operational insights
- Work directly with customers — including onsite — to iterate quickly based on real-world feedback
- Define engineering standards, establish team culture, and help hire and mentor future engineers
- Own problems end-to-end, from discovery through deployment and iteration
About the Team
- Founder-led, high-ownership environment: The two co-founders work closely with customers and expect engineers to take full ownership with minimal hand-holding
- Intense but transparent startup culture: In-office five days a week in NYC; fast-paced, demanding, and execution-focused
- Low ego, high agency: Direct communication, no politics, no hero culture — mistakes are owned as a team
- Mission-driven: Deep collaboration and shared accountability toward improving patient outcomes
Tech Stack
- Node.js
- TypeScript
- React
- SQL
- AWS
Who You Are
- 5 years of professional software engineering experience
- Comfortable operating with ambiguity and making architectural decisions
- Strong full-stack fundamentals with a bias toward execution
- Excited to work in person and build alongside founders and customers
- Motivated by ownership, responsibility, and building something that matters
Salary : $175,000 - $225,000