Job Description

_We’re building the AI operating system for dentistry_.

**The Platform**

DECA is the AI-native operating system for dentistry. We sit above legacy
Practice Management Systems as an intelligent control plane — unifying data,
orchestrating AI agents, and automating workflows across every layer of a
dental organization. Think Commure, built ground-up for dentistry.

We are not a feature. We are not a bolt-on. We are the platform.

**The Unfair Advantage**

Most pre-seed startups build in a speculative vacuum. We don’t. Our built-in
live pilot is a 7-location dental group in Texas. You ship to production on
day one.

**The Role**

You are Hire #1. Full technical ownership. No legacy codebase. No product
manager handing you specs. You architect the system every future engineer
inherits — working directly with the founder.

**What You’ll Build**

• Local Edge Synchronizer — real-time bridge between cloud AI and on-premise
OpenDental

• LangGraph AI agent orchestration across scheduling, billing, and clinical
workflows

• Temporal Cloud workflow engine for long-running dental operations

• Multi-tenant AWS platform with Aurora PostgreSQL and pgvector

• HIPAA-compliant data pipelines and audit infrastructure

• Next.js provider and admin dashboards

**Who You Are**

• 5–8+ years of backend/distributed systems engineering

• 2+ years building production LLM/agentic systems

• TypeScript/NestJS and PostgreSQL as second nature

• Python fluency for AI tooling

• Experience with LangGraph, Temporal, or equivalent

• Builder mentality — you read the roadmap and ship

**What You Get**

• $200K–$280K base

• 2.0%–4.0% equity (up to 4.0% for co-founder-adjacent profile)

• 4-year vest, 1-year cliff

• Remote-first, deep work culture

• Direct founder access — no committees, no bureaucracy

• The chance to define AI-native healthcare infrastructure

_If you want to own the stack that modernizes dentistry, let’s talk._