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VP Engineering, CTO Track
Location
United States
Posted
7 days ago
Salary
$200K - $250K / year
Seniority
Lead
Job Description
VP Engineering, CTO Track
Urrly
• Lead the ground-up modernization of a mission-critical EHR and billing platform serving pediatric therapy practices. • Join at the start of an aggressive growth plan: the goal is to 10x the software business over five years through organic growth and acquisition, backed by committed PE capital. • Own the multi-year technology vision while remaining hands-on—perfect for a director-level (or rising senior manager) leader ready for the top seat. • Work directly with a product-led CEO and a seasoned senior designer; inherit two eager engineers who know the codebase cold and are hungry for mentorship. • Shape engineering culture, hiring roadmap, and best practices from Day 1 in a high-trust, low-bureaucracy environment. • Build HIPAA-compliant AI features (ambient documentation, treatment-plan recommendations, smart scheduling) that clinicians will love—and competitors will chase. • Define and socialize a phased modernization plan aligned to product, clinical, and business goals. • Advise the CEO and Board on architecture, AI adoption, and cloud investment decisions. • Upgrade the legacy .NET platform to modern .NET 8/9+ and retire end-of-life dependencies without disrupting active clinical workflows. • Replace embedded legacy UI with a WCAG 2.1 AA-compliant modern front-end (React, Vue, or Angular)—and write some of that code yourself. • Launch companion mobile apps (leading the work, not necessarily building it) that improve clinician usability and patient workflow efficiency. • Own HIPAA Security Rule posture and drive SOC 2 Type II readiness, executing a security roadmap with third-party audit support. • Bring security intuition to product and design decisions—MFA, encryption, secure-by-default patterns. • Ship clinician-facing AI features by integrating best-in-class models and vendors—applied AI, not custom model development. • Mentor and grow the existing engineers into a high-performing team; recruit as the roadmap demands. • Represent technology with customers, partners, auditors, and the Board.
Job Requirements
- 8+ years of software engineering experience, including 4+ years leading teams as Director, Sr. Manager, or equivalent.
- Hands-on expertise in the Microsoft .NET ecosystem—you can be productive with this team in the short term.
- Comfortable personally writing modern front-end code (React, Vue, or Angular), with an appreciation for consumer-grade UX.
- A real tech-debt story: you've taken something janky, figured out what to keep and what to upgrade, built it into a roadmap, and delivered it at a pace the business could absorb.
- Experience in healthcare IT, digital health, or EHR/EMR software; familiarity with HIPAA-regulated environments.
- Experience shipping applied-AI product features (LLM/vendor integration) and using AI tools in daily development.
- Player/coach leadership style: expect roughly 50% hands-on coding in year one, shifting toward leadership as the team grows.
- Business fluency: budgets, metrics, and communicating decisions to executives and the Board.
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