Lead from the front — Stay ~50% hands-on across architecture, coding, and technical decision-making (TypeScript, Python, AWS, PostgreSQL/Supabase)
Scale the team — Manage the existing engineering team (6 engineers in São Paulo) and build out a NYC-based founding team
Define the architecture — Build systems and infrastructure for enterprise-grade healthcare deployments
Shape the roadmap — Partner closely with founders on product direction and R&D, including a virtual hospital simulation lab using synthetic patients
Set the bar — Own engineering quality, reliability, and speed in a trust-critical environment where technology reaches clinicians in weeks
Hire and build — Play a key role in recruiting as the team scales from ~11 to 15–20 this year

Requirements

6–10 years of engineering experience with a demonstrated track record of success as an engineering lead
Experience leading small, high-performing engineering teams — and comfort being a builder first, manager second
~50% hands-on engineering in your most recent role; you're not looking to leave the code behind
Startup experience (any stage) — you move fast, operate with autonomy, and don't need process to get things done
First-principles thinking and the ability to operate in high-variability, trust-critical environments
Forward Deployed Engineer (FDE) experience is a strong plus — the ability to sit at the intersection of customer problems and technical solutions is exactly what this role calls for
No healthcare background required; curiosity about clinical AI and patient impact is what matters

Benefits

ICHRA health benefits (best-in-class, flexible)
Flex time off — not tracked, with a culture that trusts you to manage your time
Annual company offsites in unique, off-the-grid locations
Milestone events tied to company wins (go-karts, team outings, and more)
In-person, collaborative culture in a spacious NYC office near Madison Square Garden
Monthly lunch cards (~$500/person)
Customer travel opportunities

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

TypeScriptPythonAWSPostgreSQLSupabasearchitectureengineering qualityreliabilityspeedvirtual hospital simulation

Soft Skills

leadershipteam managementfirst-principles thinkingautonomyproblem-solvingcuriositycommunicationcollaborationadaptabilitydecision-making