Lead Engineer

This is a fully remote position, open to applicants in United States, +2 more locations.

📋 Description

• Assume primary responsibility for engineering as Outro's senior hands-on engineering leader.

• Contribute significantly to the development of production software.

• Design, develop, and maintain tools for clinicians and products for patients.

• Create systems for managing medication, symptoms, and clinical data.

• Establish integrations with insurance and healthcare systems.

• Develop internal operations and research platforms.

• Oversee infrastructure, ensuring reliability, security, privacy, and compliance.

• Ensure patient medication and response information is clear, actionable, and secure.

• Direct technical vision, architectural decisions, engineering standards, delivery, and compliance.

• Influence policies regarding HIPAA, SOC 2, access controls, auditability, and sensitive patient information.

• Recruit and mentor future engineering team members.

• Implement beneficial processes while minimizing unnecessary bureaucracy.

• Collaborate with the Product Lead, founders, clinicians, operators, and designers on product and technical strategies.

⛳️ Requirements

• Extensive experience as a Senior or Staff Engineer in an early-stage healthcare or technology company.

• Proven track record of shipping and managing substantial production systems.

• Strong decision-making skills in architecture, data modeling, product engineering, and integrations.

• Natural product intuition and the ability to navigate through uncertainty.

• High standards for reliability, particularly in software impacting patient care.

• Significant experience using AI tools, with an understanding of their strengths and limitations.

• Experience in healthcare or regulated industries is advantageous but not mandatory.

• Proficiency in TypeScript, Node.js, Next.js, React, Vite, React Native, Postgres, BigQuery, GCP, and Terraform.

• Availability to work Eastern hours.

• Must be located in New York City or eligible to work remotely within the US or Canada.

🏝️ Benefits

• Equity: 0.5–0.75%.

• $1,000 per month through Thatch ($250 additional per dependent) to select your preferred medical, dental, and vision plan.

• 20 days of paid vacation, in addition to holidays.

• Access to Claude, Codex, Cursor, and any other tools you require.