VP of Engineering

The VP of Engineering will play a pivotal role in building and scaling technology solutions that improve access to affordable medications across the United States. This hands-on engineering leadership opportunity involves developing innovative healthcare platforms that streamline medication donations and distribution. Working closely with executive leadership, you will help transform an early-stage product into a scalable solution supporting major health systems and pharmacy partners. You will oversee full-stack product development, technical architecture, cloud infrastructure, and engineering quality. The role combines strategic technical decision-making with hands-on execution in a fast-moving startup environment. You will also establish the engineering foundations, processes, and standards needed to support future team growth. This is an opportunity to use technology to address meaningful healthcare challenges and improve patient access to essential medications.

The ideal candidate is an experienced full-stack software engineer with an entrepreneurial mindset, a strong track record of delivering products from the ground up, and the ability to combine hands-on development with strategic technical leadership.

• At least 5 years of professional software engineering experience, including 2 or more years working in seed-stage to Series A startups or small, autonomous engineering teams.

• Proven experience taking at least one product or major feature from initial concept to production as an early engineering team member.

• Strong full-stack development experience across frontend, backend, and database technologies.

• Hands-on production experience with Python/Django, React, and PostgreSQL, or equivalent modern technology stacks.

• Recent hands-on coding experience, with active individual contributor responsibilities within the last two years.

• Demonstrated ability to own complex engineering projects independently and deliver reliable production-ready solutions.

• Experience improving existing codebases, reducing technical debt, and establishing scalable engineering practices.

• Familiarity with AWS infrastructure and infrastructure-as-code tools such as CDK and Terraform.

• Understanding of software security, data privacy, and regulatory requirements, ideally within HIPAA-compliant or other regulated environments.

• A public GitHub profile, technical portfolio, open-source contributions, or side projects demonstrating engineering capabilities.

• Strong problem-solving, analytical, and architectural decision-making skills.

• Excellent communication and collaboration abilities, with experience working directly with founders and cross-functional stakeholders.

• Entrepreneurial mindset, adaptability, ownership, and comfort operating in a fast-paced startup environment.

• Professional English proficiency at C1 level or higher.

• Must be based in the United States and currently authorized to work under W-2 employment arrangements.

• Previous experience in healthcare technology, digital pharmacy, healthtech, logistics, or supply chain software.

• Experience building and maintaining HIPAA-compliant platforms or other regulated technology products.

• Practical experience integrating AI capabilities into production products or business workflows.

• Experience working with complex data systems, third-party integrations, and operational platforms.

• Based in New York City or Sugar Land, Texas, or willing to relocate to either location.