About Wardly
Wardly is building Clinical Context Engine for outpatient care. We aggregate EHR data, external records, and referrals, then call patients via voice AI ~24 hours before their appointment. The result: a structured visit brief (CC, HPI, ROS, differentials, focus areas) delivered directly into the EHR before the physician walks in the room. We have live customers across primary care, GI and psychiatry, and we're growing fast.
The Role
You'll be the first engineer on the core team working directly with the founders to own Wardly's technical architecture end-to-end. This is not a "build someone else's spec" role. You'll make real product and infrastructure decisions that shape how Wardly scales across hundreds of EHR integrations, voice AI pipelines, and health system deployments.
What You'll Own
Voice AI pipeline (patient outreach calls, structured data extraction)
EHR integrations across FHIR R4, e Clinical Works, Athena Health, and new EMR targets
Data aggregation layer: EHR + HIE + referral data
Visit brief generation and delivery back into clinical workflows
Infrastructure reliability, security (HIPAA), and scalability
What We're Looking For
Full-stack or backend engineering experience
Hands-on experience with healthcare interoperability (FHIR R4, HL7, EHR APIs, HIE) is a strong plus
Comfort working with LLMs/AI pipelines in production
Experience with voice or real-time communication systems (Twilio, Vapi, etc.) is a bonus
Strong bias toward ownership. You don't wait to be told what to build next
Ability to operate at startup speed without sacrificing reliability in a clinical context
Why Wardly
Early-stage with real revenue and real clinical customers
Founding engineer title and meaningful equity
Direct line to founders. No bureaucracy, fast decisions
Work that materially reduces physician burnout and improves patient care
