Remote VP of Engineering for a Healthcare Company

Pearl • Houston, TX

5d • Remote

About The Position

This is a hands-on individual contributor role at a seed-stage U.S. healthcare technology company working to redistribute unused medications to patients who cannot afford them. The company uses a pharmacist-led process to recertify donated medications for safe reuse and is preparing to scale after signing or nearing large health plan contracts. The team has eight people across two continents.

The engineer will work directly with the Head of Technology and CEO to build products that increase the supply of donated medications. The first project is a donation management platform that enables major health systems to donate medications through a platform rather than an email-based process. The role spans a Python/Django and PostgreSQL backend, a React frontend, and AWS infrastructure. Success means health systems use the platform to donate medications and donated supply grows as a result.

The position is fully remote within the United States, with work scheduled around U.S. time zones (EST/CT) and overlap with U.S. business hours. Remote team members travel to Houston quarterly and to New York for onboarding. New York City or Sugar Land, Texas, is preferred, and relocation assistance is available.

Requirements

• At least 5 years of professional software engineering experience, including at least 2 years at seed-to-Series A startups or in small, autonomous engineering teams.
• Experience taking at least one product or major feature from zero to production as an early engineer.
• Production full-stack experience across frontend, backend, and database; Python/Django, React, and PostgreSQL are preferred, and equivalent modern stacks are accepted.
• Hands-on coding in an individual contributor role within the last 2 years.
• A public GitHub profile, portfolio, open-source work, or side projects available for review.
• Based in the United States and currently authorized for W-2 employment.
• English proficiency at C1 or higher on the CEFR scale.

Nice To Haves

• Experience in healthcare, digital pharmacy, healthtech, logistics, or supply chain.
• Experience building software for HIPAA-compliant or other regulated platforms.
• AWS infrastructure experience with CDK or Terraform.
• Experience integrating AI capabilities into a production product or workflow.
• Based in, or open to relocating to, New York City or Sugar Land, Texas.

Responsibilities

• Build the first donation management platform for health systems, replacing the current email-based process.
• Own new products for healthcare providers, health systems, and medication supply operations.
• Turn 50-state compliance rules, multi-state transfers, and expiration tracking across thousands of SKUs into working business logic.
• Partner with the Head of Technology on product direction and key engineering decisions.
• Design, build, and ship full-stack features from concept to production using React, Django, and PostgreSQL.
• Extend the existing codebase and reduce 6–9 months of accumulated technical debt.
• Build and maintain integrations with health system, pharmacy, and logistics partners.
• Meet HIPAA and PHI data-handling requirements in every feature.
• Manage AWS infrastructure using CDK and Terraform.
• Improve architecture, code quality, and documentation so future engineers can onboard quickly.
• Identify and fix inefficiencies in existing systems, workflows, and user experience.
• Work directly with the CEO on product direction and Figma design handoffs.
• Contribute to product and technical planning in a flat, eight-person team.
• Establish the technical foundation for a future engineering team.

Benefits

• Competitive salary based on experience and skills.
• Fully remote work from anywhere in the United States.
• Recognition for maintaining 100% CRM hygiene and on-time reporting.
• Generous PTO in accordance with company policy.
• HMO coverage after 3 months for full-time employees who are based in the Philippines.
• Direct mentorship from international industry experts.
• Ongoing access to learning and development resources.
• Opportunities to connect with professionals worldwide.
• Relocation assistance is available.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed