Founding Head of Engineering - MedTech - Hybrid

Job Description

A mission-driven startup in the healthcare and AI space is building intelligent software to help innovators bring life-saving technologies to market faster. Their platform transforms complex, manual processes into automated, insight-driven workflows, improving speed, reliability, and compliance for medical and scientific innovators.

This is a fast-moving, high-trust environment where truth matters more than ego, and outcomes matter more than optics. The team values curiosity, integrity, and the drive to build something meaningful from the ground up.

They’re backed by a world-class accelerator and supported by leading mentors and early enterprise partners in the MedTech industry.

The company is hiring a hands-on Founding Head of Engineering to own and scale its technical vision. You’ll work alongside the founder to architect, build, and ship a technically sophisticated product while defining engineering excellence at startup pace.

What You’ll Do

Technical Architecture & Leadership

• Design and evolve data-intensive architecture for performance and scale
• Make thoughtful decisions on frameworks, infrastructure, and trade-offs
• Implement observability, auditability, and reliability standards across services
• Balance speed with scalability and long-term maintainability

Software Development & Delivery

• Lead development from prototype to production with rapid feedback loops
• Build modular, cloud-based services for data ingestion and workflow automation
• Translate ambiguous requirements into clear deliverables and measurable outcomes
• Maintain a bias toward simplicity, clarity, and integrity

Team Building & Culture

• Recruit, mentor, and inspire a small, high-performing team
• Create a culture of ownership, learning, and accountability
• Be both a hands-on builder and a technical leader

Infrastructure, Security & Operations

• Establish CI/CD pipelines and cloud environments
• Oversee uptime, performance, and incident response
• Ensure compliance with enterprise-grade security and regulated-industry standards

Your Background

You’re a builder with integrity, someone who thrives under pressure, values direct feedback, and loves solving complex problems elegantly.

• Execution-driven: You measure progress in working systems, not presentations
• Technically deep: You can design, build, and debug across the stack
• Collaborative: You align with business goals and respect diverse expertise
• Systems thinker: You understand how automation, reliability, and compliance intersect
• AI-pragmatic: You know where AI adds value, and where it doesn’t

Preferred Background

• Experience building or scaling data-heavy SaaS products (ideally in regulated domains)
• Background in search, recommendation systems, or complex data modeling
• Experience building AI/ML or intelligent automation solutions
• Strong grounding in cloud infrastructure, CI/CD, and security best practices
• Prior leadership experience in an early-stage or high-growth environment

Why Join

You’ll be building a genuinely hard technical product with real-world impact, not just another wrapper around AI APIs.

• Equity: Meaningful early equity
• Benefits: Health, dental, life insurance; 401(k); generous PTO
• Ownership: Shape the foundation and grow into a long-term executive or CTO role
• Impact: Help accelerate innovation in a $30B+ global industry
• Momentum: Already working with leading customers and advisors in MedTech