Design Engineer at Metriport in San Francisco, CA

DESIGN ENGINEER San Francisco, CA Metriport https://www.metriport.com/ is an open-source data intelligence platform that helps healthcare organizations access and exchange patient data in real-time. We integrate with all major US healthcare IT systems and tap into comprehensive medical data for 300+ million individuals. We've found product-market fit with multi-million ARR, 100+ customers (including Amazon One Medical, Strive Health, Circle Medical, and Brightside Health), backing from top VCs, and years of runway. We're ready to scale. We're a tight-knit, high-performing team of mostly former founders (including two YC alumni). We're engineering-heavy, operate with minimal bureaucracy and high autonomy, and hire based on competence, not prestige. We push hard—founders work six days a week from our SF office—but give everyone freedom to craft their schedule. We measure output and we're committed to sustainable intensity. THE ROLE As a Design Engineer at Metriport, you'll spend your time understanding customer workflows, designing the best solution to those problems, and implementing your own designs. If you're someone who is excited by broad ownership and making consequential decisions — while taking on work that others might consider way too much — you might be a good fit. At Metriport we think of design like a rough-hewn yet elegant table: does its job, looks right in the room, built to last, and finished. You'll bring that sensibility to everything — knowing when a design decision needs more thought and when it needs to ship. We strongly believe in the 80/20 rule here, and rely on everyone joining our team to use it so that we can ship fast, and continue to delight our users! What You'll Do Build and maintain the design system and establish a coherent design language — components, spacing, typography, color — that is simple. Lead frontend implementation and set direction on the frontend, review implementation against design intent, and write production code where it matters most. You're strong enough in React to be the authority in the room. Talk to, and advocate for, users understand their workflows, form an opinionated view on the right solution, and drive toward it. Solve data-dense UI problems and build interfaces that surface complex, high-volume medical data. Make hard layout and performance tradeoffs and know when good enough is correct and when it isn't. Requirements - Design instincts: You produce Figma work that is considered and defensible — with clear opinions on typography, hierarchy, and interaction patterns. - Frontend fluency: You understand React well enough to lead implementation and run reviews — component architecture, rendering behavior, state management. - Pragmatism: You know what to polish and what to ship. You walk the tightrope between craft and speed without falling off either side. - The "Metriport" Mindset: Low ego, high ownership. You ask "Why can't this be done in 3 days?" instead of 3 weeks. BENEFITS - Competitive equity + compensation package 🚀 - Full family Platinum health insurance, dental, and vision coverage 🦷 - 401(k) retirement plan + matching 💰 - Flexible work from home or in-office 🏢 - Healthy lunches complimentary when in-office (and breakfast + dinners as needed) 🍏 - Quarterly company off-sites with the team ⛷️ - MacBook provided by us 💻 - Unlimited PTO (we work hard, but trust you to take time you need to be at your best) 🧘‍♂️ Metriport provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression. We are committed to a diverse and inclusive workforce and welcome people from all backgrounds, experiences, perspectives, and abilities.