Green Card Founding Engineer Jobs
Founding Engineer roles qualify for employment-based green card sponsorship under EB-2 or EB-3, with employers filing PERM labor certification to permanently sponsor you. Early-stage companies increasingly pursue PERM for engineering leaders whose specialized skills justify the process. Sponsorship is available across software, hardware, and infrastructure specializations.
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This is a fully remote role within the United States.
About The Role
We are seeking a voraciously curious, systems-minded Senior/Staff Product Manager to build our Life Sciences product vertical from the ground up. This is a founding product role: you will define the strategy, ship the first products, and lay the foundation for a durable new line of business serving pharmaceutical and medical device manufacturers. You will partner closely with a dedicated GM/subject-matter expert—but as a true peer, not a student.
This role requires subject matter expertise in life sciences commercialization and manufacturer contracting in your own right—chargebacks, rebates, gross-to-net, formulary, and coverage. Qualified candidates bring a rare mix of 0→1 product ownership in a complex industry, deep fluency in the manufacturer data and contracting landscape, an intense focus on customers and eagerness to engage with them, and the inventiveness to build something where nothing existed before. If you are a systems-thinker who thrives in ambiguity and is passionate about solving complex problems that drive economic change, we invite you to join our dynamic team.
Why this Role Matters
Turquoise has built the most comprehensive picture of negotiated rates and contract data in US healthcare. Life sciences is the next frontier: pharmaceutical and medical device manufacturers sit at the center of how drugs and devices are priced, contracted, and paid for, and bringing transparency to that economy is core to our mission to eliminate financial complexity and rebuild trust in US healthcare. This role owns that expansion end to end—what you build becomes the backbone of an entirely new business at Turquoise.
- Own the 0→1: define the product vision, strategy, and roadmap for the Life Sciences vertical, from first customer conversations through first shipped products and early revenue.
- Partner with the GM/SME as a peer—co-owning the commercial motion while holding the product line and translating market access and contracting knowledge into a concrete, sequenced product plan.
- Develop and defend your own domain point of view across manufacturer economics—chargebacks, rebates, gross-to-net, formulary, and coverage—and use it to make sharp prioritization calls.
- Relentlessly drive early-stage concepts through iteration, execution, and enhancement, validating with real customers and making the calls that move the vertical forward under uncertainty.
- Turn Turquoise's pricing and contract data assets into products that solve concrete manufacturer problems, in close partnership with Engineering and Data.
- Facilitate airtight coordination across disciplines within Turquoise—Engineering, Design, GTM, and Legal—and across key external stakeholders and customers.
- Be the customer's voice: build direct relationships with pharma and medical device customers and bring their reality back into the roadmap.
- Continuously hone industry and subject matter expertise, staying ahead of market trends and legislative developments so Turquoise anticipates the tailwinds and headwinds in life sciences.
What You'll Bring
- 7+ years of product management experience, with a track record of owning products end to end.
- 5+ years in health technology, with a strong grasp of how healthcare data, pricing, and payments fit together.
- 3+ years working with pharmaceutical or medical device manufacturers—you understand their commercial and contracting world from the inside.
- Demonstrated ability to ship high-complexity, 0→1 solutions in a fast-paced startup environment with rapidly changing priorities.
- Subject-matter credibility in your own right—you can go as deep as a GM/SME as a peer.
- A clear track record of growth and increasing scope—impact and staying power, not just tenure.
- Excellent written and verbal communication skills, with the ability to influence and align senior stakeholders both internally and externally.
- Comfort operating in ambiguity and iterating in response to internal and market feedback.
- Bachelor's degree OR equivalent experience/knowledge. We are happy to work with strong candidates with non-traditional educational backgrounds.
Bonus Points
- Experience building EHR / data integration products.
- Pharmaceutical or medical device contract management and modeling experience.
- Strong hands-on background with healthcare claims, chargeback, EHR data, formulary, or coverage data.
Benefits
- Competitive pay with equity options
- Stellar health care plan options (Medical, Dental & Vision), with FSA, DCFSA, & HSA options
- Company-sponsored disability & life insurance
- Flexible PTO
- 401(k) + 4% Matching
- Fully remote work + flexible working hours
- $750 work-from-home setup budget
- Paid bi-annual all-company in-person Summits
- Quarterly $150 co-hanging stipend to meet up with coworkers
- Monthly $100 health and wellness benefit
- Generous paid family leave
- Annual $1,200 learning & development stipend
About Turquoise Health
Turquoise Health is a Series C price transparency platform for finance leaders across healthcare. Backed by a16z, Oak HC/FT, Adams Street, Yosemite, Bessemer Venture Partners, and others, we power price transparency for 300+ enterprise organizations and are building the infrastructure for a more open, efficient healthcare marketplace. We're a remote-first, US-based team that values transparency, empathy, inclusivity, creativity, and ownership. We operate on US business hours and work with clients entirely based in the US. For this role, we are seeking US-based candidates.
We strongly encourage BIPOC, people with disabilities, and LGBTQIA+ folks to apply for any open roles of interest. Healthcare affects all people differently, but it significantly affects those in underserved communities. With a robust, diverse team, we are stronger and better equipped to change the future of healthcare for all.
Disability Accommodation Email
Turquoise is committed to providing reasonable accommodations to applicants and employees with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. If you require assistance or an accommodation with the hiring process, please contact recruiting@turquoise.health
Compensation Range: $185K - $245K
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Founding Engineer
Document your specialized technical contributions early
PERM requires proving your role requires a minimum degree in a specific field. Build a paper trail now: patents filed, architecture decisions owned, and peer-reviewed work that ties your credentials directly to the Founding Engineer job duties.
Target startups that have cleared Series A funding
Pre-seed companies rarely have the legal infrastructure or cash reserves to sustain a multi-year PERM process. Series A or later funding signals the employer can absorb filing costs and won't abandon sponsorship mid-process if priorities shift.
Clarify the job description before PERM gets filed
PERM locks in the job duties and minimum requirements permanently. If the role description filed with DOL doesn't match your actual responsibilities, it creates compliance risk. Review the draft before your employer submits to OFLC.
Use Migrate Mate to find verified sponsoring employers
Identifying startups with active green card sponsorship history isn't straightforward. Migrate Mate surfaces Founding Engineer roles from employers with documented PERM filing records, so you can focus outreach on companies already set up to sponsor.
Confirm your EB category before accepting the offer
Founding Engineer roles typically require a bachelor's degree in computer science or engineering, which qualifies under EB-3. If you hold a master's or can demonstrate advanced credentials, ask your employer to evaluate EB-2 eligibility before PERM is initiated.
Understand the concurrent filing option if your priority date is current
If your country of birth has a current priority date in the Visa Bulletin, your employer may be able to file the I-140 and your I-485 adjustment of status at the same time, cutting months off your wait for permanent residency.
Green Card Founding Engineer: Frequently Asked Questions
Does a Founding Engineer role qualify for EB-2 or EB-3 green card sponsorship?
Most Founding Engineer positions qualify under EB-3 as a skilled worker role requiring at least a bachelor's degree in computer science, software engineering, or a related field. If the role requires an advanced degree or you can demonstrate specialized credentials above the standard requirement, your employer may pursue EB-2 instead. The distinction affects processing priority and, in some cases, priority date movement, so confirm the category before PERM is filed.
How does green card sponsorship differ from H-1B sponsorship for a Founding Engineer?
H-1B visa is a temporary status tied to employer sponsorship and subject to annual lottery selection. Green card sponsorship through PERM is permanent, has no lottery, and results in lawful permanent residency rather than a time-limited work visa. The trade-off is time: PERM labor certification, I-140 approval, and adjustment of status can take two to four years or longer depending on your country of birth and the employment-based visa backlog.
Will an early-stage startup actually sponsor a green card for a Founding Engineer?
Some do, but it depends on funding stage and legal maturity. Companies with Series A funding or later are more likely to have immigration counsel in place and the budget to cover PERM filing and attorney fees. Ask directly during offer negotiation whether the company has sponsored green cards before and whether they'll commit to initiating PERM within a defined timeframe after your start date.
Where can I find Founding Engineer jobs that include green card sponsorship?
Migrate Mate is built specifically for this search. It filters Founding Engineer roles by employers with documented PERM filing history, so you're not guessing which companies will actually sponsor. Standard job boards don't filter by green card sponsorship intent, which means most listings you find there won't lead to permanent residency even if the employer hires internationally.
What happens to my green card process if the startup shuts down before my I-140 is approved?
If your employer closes before the I-140 is approved, the PERM labor certification and any pending petition generally cannot be transferred to a new employer. You'd need to restart the process. If the I-140 was already approved, portability rules under AC21 may allow you to transfer the priority date to a new employer's petition in the same or a similar occupational classification, preserving your place in the queue.