Lead Engineer

Description

• Take primary ownership of engineering as Outro's senior hands-on engineering leader • Write a large share of production software • Design, build, and operate clinician tools and patient-facing products • Develop systems for medication, symptom, and clinical data • Build insurance and healthcare integrations • Build internal operations and research systems • Own infrastructure, reliability, security, privacy, and compliance • Make patient medication and response information coherent, useful, and safe to act on • Own technical direction, architecture, engineering standards, delivery, and technical compliance • Shape approaches to HIPAA, SOC 2, access controls, auditability, and sensitive patient data • Hire and mentor subsequent engineers • Introduce useful process without unnecessary bureaucracy • Collaborate with the Product Lead, founders, clinicians, operators, and designer on product and technical strategy

Requirements

• Strong Senior or Staff Engineer experience at an early-stage healthcare or technology company • Shipped and operated substantial production systems • Strong judgment across architecture, data modeling, product engineering, and integrations • Real product instinct and comfort working through ambiguity • High standards for reliability, especially where software affects patient care • Serious experience building with AI tools, and knowledge of where they help and where they fail • Healthcare or regulated-industry experience is useful, but not required • TypeScript, Node.js, Next.js, React, Vite, React Native, Postgres, BigQuery, GCP, and Terraform experience • Ability to work Eastern hours • Must join in New York City or work remotely within the US or Canada

Benefits

• Equity: 0.5–0.75% • $1,000 per month through Thatch ($250 more per dependent) to choose your own medical, dental, and vision plan • 20 days of paid vacation, plus holidays • Claude, Codex, Cursor, and whatever else you need

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