Founding Software Engineer at Sage Care | Y Combinator

Home care agencies run on relationships — but they're drowning in paperwork. Intake coordinators spend hours manually transcribing calls, building care plans, and chasing follow-ups. That overhead slows agencies down and pulls their attention away from the people they're trying to serve.

Sage is building the operating system for home care agencies — an AI-native CRM and virtual assistant that turns every client call and home visit into structured care plans, follow-up tasks, and system records, automatically.

We integrate directly with the tools agencies already use (WellSky, AxisCare), work on iOS and desktop, and save agencies over 100 minutes per client intake.

We're early, well-funded, and signing agencies fast. Now we're looking for the engineers who'll help us build what comes next.

Role & Responsibilities

As one of Sage’s earliest engineering hires, you’ll play a crucial role in shaping our technical foundation and driving the development of our platform. Reporting directly to the CTO, you’ll have a significant impact on the company's trajectory and growth.

You will be responsible for:

1. **Full-stack Development**

- Implementing agents tailored to the home care industry

- Designing, developing, and maintaining our Django application and native iOS app

- Implementing responsive and interactive front-end features using Datastar

- Creating beautiful and accessible user interfaces with Tailwind CSS and SwiftUI

2. **Product Development**

- Collaborating with the founders to define product roadmap and features

- Translating business requirements into technical specifications

- Conducting code reviews and maintaining high code quality standards

3. **Technical Strategy**

- Evaluating and implementing new technologies to improve our stack, such as what technologies we should choose for our mobile apps

- Establishing best practices for software development and documentation

- Planning for future technical needs as the company grows

What we’re looking for

- Comfortable defining your own scope and operating with autonomy

- Experience developing agentic applications

- 4+ years of professional experience in full-stack web development

- Proficiency with Python and/or iOS development

**Nice to haves**

- Experience with Datastar

- iOS development experience

- Knowledge of Tailwind CSS and component libraries like DaisyUI, Basecoat

- Experience working in a HIPAA environment

- Experience in early-stage startups or as a founding engineer

Compensation/Benefits

- A chance to take end to end ownership over what you build

- Choice of location in New York or Miami

- Competitive salary and equity

- Opportunity to shape the technical direction of a growing startup

About Sage Care

We integrate directly with the tools agencies already use (WellSky, AxisCare), work on iOS and desktop, and save agencies over 100 minutes per client intake.

We're early, well-funded, and signing agencies fast. Now we're looking for the engineers who'll help us build what comes next.

![Image 7: Sage Care](https://www.ycombinator.com/companies/sagecare)

Sage Care

Founded:2024

Batch:S24

Team Size:3

Status:Active

Location:San Francisco

[](https://sagecare.ai/)[](https://www.linkedin.com/company/sagecare-ai)[](https://www.facebook.com/HomeCareNearMe/)

Founders

!Image 8: Ian Gillis

Ian Gillis