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. The Brydon Group, a private equity firm specializing in profitable, recurring-revenue software and services companies, is in the final weeks of acquiring a healthcare SaaS company with passionate customers, strong cash flow, and a mandate to rebuild the tech stack for the next decade. As the first full-time technology executive—hired as VP of Engineering with a clear path to CTO—you'll lead that transformation end-to-end: modern .NET services, an accessible modern front-end, HIPAA-grade cloud infrastructure, and AI-powered clinical features that free clinicians to focus on kids, not clicks. A note on confidentiality: Qualified candidates sign an NDA early in the process and receive full detail on the company, financials, and thesis directly from the CEO and the Brydon deal team.

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.

Nice To Haves

  • Pediatric therapy, EHR/EMR, or revenue-cycle/billing software experience.
  • Full legacy-modernization or re-platforming leadership.
  • Cloud/DevOps depth (Azure preferred)—an MSP handles infrastructure today, so this is not a Day 1 burden.
  • SOC 2 Type II audit ownership, ambient clinical NLP, or PE-backed scale-up experience.

Responsibilities

  • 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.
  • Decompose services over time and move toward multi-tenant architecture as scale demands.
  • 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.
  • Champion AI-assisted development across the engineering organization while meeting privacy, safety, and compliance standards.
  • Lay the foundation for a data and analytics platform as the business scales.
  • Mentor and grow the existing engineers into a high-performing team; recruit as the roadmap demands.
  • Be a full-time, present leader for a team that's ready for one.
  • Represent technology with customers, partners, auditors, and the Board.

Benefits

  • Potential for Equity
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