Lead Engineer
About The Position
Outro Health is the first company dedicated to helping people feel better by using less medication, not more. Our flagship program helps people safely taper off antidepressants and other psychiatric medications through specialist clinical care and purpose-built software. Our clinical work is led by co-founder Dr. Mark Horowitz, one of the world's foremost experts in deprescribing and author of the field's leading clinical textbook. In our first year, we built a first-of-its-kind care model with real revenue, healthy economics, and research partnerships with leading health systems and universities. Our software helps a small clinical team taper patients safely while reaching far more of them. Our next phase is refining that model and scaling it.
Requirements
- Shipped and operated substantial production systems.
- Strong judgment across architecture, data modeling, product engineering, and integrations.
- Real product instinct and comfort working through ambiguity.
- High standards for reliability, especially where software affects patient care.
- Serious experience building with AI tools—and know where they help and where they fail.
- TypeScript across most of the stack: Node.js, Next.js, React, Vite, React Native, Postgres, BigQuery, GCP, and Terraform.
Nice To Haves
- Healthcare or regulated-industry experience.
Responsibilities
- Design, build, and operate systems across clinician tools and patient-facing products.
- Manage medication, symptom, and clinical data.
- Handle insurance and healthcare integrations.
- Develop internal operations and research systems.
- Oversee infrastructure, reliability, security, privacy, and compliance.
- Ensure information is coherent, useful, and safe to act on, especially regarding patient medication and response.
- Own technical direction, architecture, engineering standards, delivery, and technical compliance (HIPAA, SOC 2, access controls, auditability, sensitive patient data).
- Hire and mentor subsequent engineers.
- Introduce useful process without unnecessary bureaucracy.
- Lead engineering as a function.
Benefits
- Salary: $165,000–$220,000, based on experience
- Equity: 0.5–0.75%
- $1,000 per month through Thatch ($250 more per dependent) to choose your own medical, dental, and vision plan
- 20 days of paid vacation, plus holidays
- Tooling: Claude, Codex, Cursor, and whatever else you need
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
