Founding Principal Engineer

• Own technical architecture and implementation: Write production code on the most challenging technical problems while designing and maintaining systems across telehealth, electronic health records (EHR), patient dashboards, and AI-powered capabilities.
• Partner directly with the CEO: Translate clinical, growth, and operational needs into technical solutions and make independent product decisions without relying on detailed product requirements documents.
• Lead engineering execution: Guide the transition from the offshore engineering team while establishing engineering standards, code review processes, and quality practices.
• Drive AI adoption: Identify and implement opportunities to leverage AI to accelerate development and enhance product capabilities.
• Build the engineering organization: Help establish a high-caliber in-house engineering team over the next 6–12 months.
• Make pragmatic technical decisions: Balance speed, scalability, reliability, security, and maintainability in a fast-moving environment.
• Shape the product: Take end-to-end ownership of features and systems, from understanding user needs to deployment and iteration.

• 6–15 years of professional full-stack engineering experience.

• 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. Big Tech experience is welcome when combined with early-stage startup experience.
• 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, such as healthcare or fintech, with an understanding of security, privacy, and compliance requirements.
• Strong product instincts and the 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 and the ability to articulate why this mission is meaningful to you.
• An active GitHub profile or personal project portfolio that demonstrates engineering skills and technical depth.
• Ability to work in a hybrid arrangement with three days per week in the company's Union Square, New York City office.

• Experience leading or managing offshore and distributed engineering teams.
• Hands-on experience implementing AI or large language model (LLM) capabilities in production systems.
• Experience integrating telehealth platforms, electronic health records, patient-facing applications, or other healthcare technology systems.
• Familiarity with HIPAA and healthcare data privacy requirements.
• Experience establishing engineering processes, coding standards, testing practices, and deployment workflows from the ground up.
• Experience scaling engineering teams and transitioning from outsourced development to an in-house organization.
• Experience working closely with executive leadership to influence product strategy and technical direction.

• Competitive Base Salary: $200,000–$250,000 per year.
• Equity Opportunity: 0.2%–0.4% equity.
• Direct Executive Collaboration: Work closely with the CEO and help shape company-wide technical strategy.
• Technical Ownership: Define the architecture, engineering standards, and development practices for a growing technology platform.
• Early-Stage Impact: Play a foundational role in building the company's in-house engineering organization.
• Mission-Driven Work: Contribute to technology designed to improve access to pediatric mental health care.
• AI Innovation: Help drive the practical adoption of AI across product development and engineering.