VP Engineering, CTO Track | Pediatric Therapy SaaS | Remote US

Urrly•Orlando, FL

12d•$200,000 - $250,000•Remote

About The Position

Every day, pediatric physical, occupational, and speech therapists change children’s lives—but their legacy software makes the job harder than it should be. Join a profitable, PE-backed healthcare SaaS company at the inflection point: we have passionate customers, strong cash flow, and a mandate to rebuild the tech stack for the next decade. As our first full-time VP of Engineering with a clear path to CTO, you’ll lead that transformation end-to-end—shipping modern .NET services, an accessible React front-end, HIPAA-grade cloud infrastructure, and AI-powered clinical features that free clinicians to focus on kids, not clicks.

Requirements

8+ years of software engineering experience, including 4+ years leading teams as Director, Sr. Manager, or equivalent.
Hands-on mastery of the Microsoft .NET ecosystem and a successful track record modernizing legacy .NET systems.
Proven experience architecting and shipping large-scale JavaScript/TypeScript front-ends (React, Vue, or Angular).
Deep familiarity with HIPAA-regulated environments and healthcare data standards (HL7 FHIR, X12, etc.).
Cloud and DevOps depth with AWS, Azure, or GCP—IaC, containers, CI/CD, monitoring.
Demonstrated success delivering AI/ML capabilities in production SaaS products.
Player/coach leadership style: you still code, review PRs, and set architectural guardrails while empowering others.
Excellent collaboration skills across product, design, clinical, and commercial teams.

Nice To Haves

Experience with pediatric therapy, EHR/EMR, or revenue-cycle software.
Ownership of SOC 2 Type II audits, ambient clinical NLP, or PE-backed scale-ups.

Responsibilities

Define and socialize a phased modernization plan aligned to product, clinical, and business goals.
Advise CEO and Board on architecture, AI adoption, and cloud investments.
Upgrade the legacy .NET monolith to modern .NET 8/9+ and introduce cloud-native patterns without disrupting active clinical workflows.
Replace embedded Bootstrap pages with a WCAG 2.1 AA-compliant React (or Vue/Angular) front-end and launch companion mobile apps.
Decompose services and move toward multi-tenant architecture as scale demands.
Own HIPAA Security Rule posture, drive SOC 2 Type II readiness, and instill a security-first culture.
Stand-up CI/CD, IaC, observability, and disaster-recovery pipelines in AWS/Azure/GCP with support from an MSP.
Architect a data lake/warehouse integrating clinical, billing, and ops data; enable self-serve BI and ML pipelines.
Deliver clinician-facing AI features and developer AI tooling while meeting privacy and safety standards.
Mentor and grow the existing engineers into a high-performing squad; recruit additional talent as needed.
Represent technology with enterprise customers, partners, and auditors.

Benefits

Profitable, PE-backed healthcare SaaS company
Clear path to CTO
Work directly with a product-savvy CEO and seasoned 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
High-trust, low-bureaucracy environment
Build HIPAA-compliant AI features
Modern .NET services
Accessible React front-end
HIPAA-grade cloud infrastructure
AI-powered clinical features
WCAG 2.1 AA-compliant React (or Vue/Angular) front-end
Companion mobile apps
CI/CD, IaC, observability, and disaster-recovery pipelines in AWS/Azure/GCP
Data lake/warehouse integrating clinical, billing, and ops data
Self-serve BI and ML pipelines
Clinician-facing AI features
Developer AI tooling
Remote within the United States
Ability to spend significant time in Orlando during the first 6–12 months
~20 % travel to Orlando and/or Philadelphia thereafter
Get a response within 24 hours