JOB-1673
A Series B digital health company is rethinking mental health care for children and families. It is moving away from an offshore development team toward a small in-house group, and it wants a senior engineer to be the first hire and to work side by side with the CEO.
What you’ll own
- Coding the hardest parts of the product yourself while owning system design for video visits, the health record system, patient-facing views and the rollout of AI tooling
- Translating what clinicians, the growth team and operations require into engineering plans, deciding product questions independently without detailed specifications
- Directing the existing offshore engineers through the transition, and setting standards for code review and quality
- Pushing AI tools into the way the whole organization works, so the roadmap moves faster
- Preparing the ground for a small, strong onshore team over the next year or so
Who thrives here
- Six to fifteen years of full stack engineering at staff or principal level, owning systems end to end
- Recent time as a founding or very early engineer at a venture-backed startup
- Production TypeScript with Node, React and AWS
- Software built in regulated settings such as healthcare (HIPAA) or fintech
- Product instincts and a real interest in the problem space
- A public GitHub profile or personal projects
- Experience leading distributed or offshore teams, and hands-on LLM work, are pluses
Hybrid in New York, NY. Visa transfers considered.

