About You
Axle Health is building the operating system for home-based care, helping healthcare organizations schedule, route, and manage their clinical workforce more effectively. As our Senior User Experience Designer, you'll be the design function's engine on the product team, reporting to our Head of Product, and owning the full arc of user experience from research and discovery through execution and post-launch iteration. This role sits at the intersection of user insight, product strategy, and engineering, making design a visible driver of both product quality and business outcomes.
The work here is fast paced, hands-on, and high ownership. You won't be handed a playbook or a mature design system, and you'll design for users in a domain where the stakes are real and the workflows are genuinely complex. Embedded in the product team alongside product managers, you'll work directly with engineers and clinical operations stakeholders, leading research, shaping product direction, and building the systems and processes that make great design repeatable across web and mobile. If that kind of cross-functional, building from first principles challenge is what energizes you, this role is built for it.
You've done this before. You have a portfolio that demonstrates end-to-end design ownership, not just polished screens, and you can walk through the decisions that shaped your work, including the ones that didn't survive contact with users or engineering constraints. You've shipped to real users, measured what happened, and iterated quickly.
We do not monitor YC applications, please apply directly on our website to be considered for this position: https://www.axlehealth.com/careers
Requirements
- 5+ years of professional UX design experience - portfolio must demonstrate end-to-end ownership from problem framing through shipped product, including how work evolved based on user and engineering feedback, not just polished final screens
- Advanced Figma proficiency – wireframing, prototyping, and engineering handoff at speed, with the ability to move quickly without sacrificing clarity or accuracy in specs
- Previous startup experience – has designed in an early-stage or high-growth environment where timelines are compressed, process is lightweight, and the ability to move fast and adapt is more important than following a rigid design methodology
- Workflow product experience: has designed workflow-heavy B2B tools that people use all day to get their jobs done (scheduling, operations, logistics, or similar)
- Proven cross-functional collaboration - direct track record of working alongside PMs and engineers as a daily partner, not a downstream deliverable maker
- User research fluency – hands-on experience with interviews, usability tests, and feedback synthesis, with the ability to extract actionable design direction quickly rather than through lengthy standalone research cycles
- Cross-platform experience across web and mobile - fluency in platform-specific patterns, constraints, and user expectations for both