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About the Role
We are seeking a Founding Principal Engineer with 6–15 years of full-stack engineering experience to work directly with the CEO and establish the technical foundation for a pediatric mental health platform that's rebuilding care from the ground up. This is a high-impact opportunity for a hands-on, product-minded engineer who thrives in early-stage environments, takes ownership of complex consumer products, and makes independent technical and product decisions in a regulated industry. Following a recent Series B funding round, the company is transitioning from an offshore engineering team to a small, exceptional in-house engineering organization. You'll play a critical role in shaping the platform's architecture, engineering standards, and future team.
Responsibilities
- Own technical architecture and implementation, writing production code and designing/maintaining systems across telehealth, EHR, patient dashboards, and AI capabilities.
- Partner directly with the CEO to translate needs into technical solutions and make independent product decisions.
- Lead engineering execution by guiding the transition from the offshore team and establishing engineering standards, code review processes, and quality practices.
- Drive AI adoption by identifying and implementing opportunities to leverage AI for development acceleration and product enhancement.
- Build the engineering organization by helping to establish a high-caliber in-house team within 6–12 months.
- Make pragmatic technical decisions, balancing speed, scalability, reliability, security, and maintainability.
- Shape the product by taking end-to-end ownership of features and systems, from user needs to deployment and iteration.
Requirements
- 6–15 years of professional full-stack engineering experience.
- Recent experience as a founding engineer or one of the first five engineers at a venture-backed startup.
- Strong, hands-on experience building and shipping production applications using TypeScript, Node.js, React, and AWS.
- Experience operating at the Staff or Principal individual-contributor level, with ownership of systems from architecture through production.
- Experience building software in regulated environments (e.g., healthcare, fintech), understanding security, privacy, and compliance.
- Strong product instincts and ability to make thoughtful UX, feature, and technical decisions without detailed specifications.
- Ability to work independently, navigate ambiguity, and deliver high-quality solutions in an early-stage environment.
- Genuine interest in improving pediatric mental health care.
- An active GitHub profile or personal project portfolio demonstrating engineering skills and technical depth.
- Ability to work in a hybrid arrangement with three days per week in the Union Square, New York City office.
Skills
- TypeScript
- Node.js
- React
- AWS
- AI
- Large Language Models (LLM)
Location
- Union Square, New York City
Work Type
- Hybrid
Experience Level
- 6-15 years
- Staff or Principal
Salary/Compensations
- $200,000–$250,000 per year
Benefits
- 0.2%–0.4% equity
- Direct Executive Collaboration
- Technical Ownership
- Early-Stage Impact
- Mission-Driven Work
- AI Innovation
About the Company
- Venture-backed healthcare technology company helping shape the future of pediatric mental health care.
- Recently completed Series B funding round.
- Building its in-house engineering team.
- Mission-driven organization.