Founding Engineer

Luma Health, rebranding to Afterward, is a telehealth platform for longevity and hormone optimization, with members across 40+ states on a membership model. Our main focus is on Peptides. We're small and moving fast, and we're looking for a builder to own real product from day one.

This is a 3 month sprint to try and find a CTO with a real future attached: full-time for 3 months with cash stipend, and for the right person it converts into a CTO / cofounder equity role in the fall. If you want to be early at something and grow into running its technology, this is that shot.

What you'd own:

Our patient/admin portal — the member-facing app for protocols, labs, visit history, messaging, and billing, etc. We have this roughly built but needs an overhaul.

Patient automations — intake, follow-ups, reminders, and clinical ops workflows that let us scale

AI / "digital twin" buildout — early work on patient digital-twin modeling and AI-assisted clinical and ops tooling

You'll report directly to the founder, ship things members and staff use immediately, and have a real say in the stack and architecture.

You might be a fit if you:

Are studying or have studied CS/software engineering (or can build like you are)
Have actually shipped and deployed something with real users — we care about this way more than your GPA
Are comfortable across a modern web stack (React/TypeScript or similar)
Are genuinely curious about applied AI — LLMs, automations, agentic workflows — and know the difference between a demo and production
Are careful around sensitive data (we'll train you on handling protected health information)

Bonus points:

Healthcare, HIPAA, or regulated-data exposure
Automation / workflow orchestration / LLM API experience
Stripe or similar payments

How we work: the security and data-architecture guardrails are set by leadership — you build great things within them, and we teach you why they exist. Real ownership, direct founder access, and a summer that's effectively the audition for a much bigger role.
Tell us about something you've built and shipped (link it if you can) and what you'd most want to work on.