Founding Full-Stack Engineer

Outro Health USA•New York City, NY

About The Position

Outro Health is the first company dedicated to helping people feel better by using less medication, rather than more. Our flagship program, Taper Management, is a virtual care program that helps people safely taper off antidepressants and other psychiatric medications. It’s based on hyperbolic tapering, the first neurobiology-based method for stopping psychiatric medications. We’ve built the best team in deprescribing, led by our co-founder Dr. Mark Horowitz—the world-leading expert in the space. Dr. Horowitz wrote the textbook on deprescribing, and has helped update national guidelines in several countries. In our first year we've developed a first-of-its-kind care model, with meaningful revenue, healthy economics, and research partnerships with leading health systems and universities. The product team builds the software that care runs on — the systems that let a small clinical team taper patients safely and reach far more of them. The next phase is refining that model and scaling it.

Requirements

TypeScript-focused product engineer who likes turning messy real-world systems into clear software.
Shipped solo, even if it was a side project with zero users.
Enough visual taste to release a v1 that looks good.
Comfortable across the stack, but leaning backend or systems-minded.
Care about data modeling and domain boundaries — in particular whether what we collect from different places (forms, messages, prescriptions, notes) ends up connected or scattered.
Build software that absorbs complexity without becoming painful to maintain.
Good at resolving ambiguity.
Thrive on ownership and don't need every requirement handed to you.
Excited by a broad surface.
Serious about AI tools, with opinions: where they help, where they're going, and how they change what a small team can build.
Ideally 3+ years of non-internship experience as a full-stack software engineer - but we can be flexible for the right candidate.

Responsibilities

Work directly with clinicians and operations staff to turn complex clinical workflows into thoughtful, reliable software.
Connect Outro to insurance and data platforms, to allow us to bill insurance broadly, scale care, and deliver better results to patients.
Extend the custom tool our clinicians work in daily, e.g. integrating external services into it more deeply like patient-provider messaging, or developing AI tools to assist patient care.
Scope and ship patient-facing features, e.g. launching a new educational product, or working on our React Native app.
Continue development on the AI agents we’ve built for our operations team, or scope out data collection with academic research partners.
Carry features from design through deployment, monitoring, and iteration on real feedback.
Pick up unfamiliar domains fast and use that understanding to make better calls.
Experiment with AI tools.