Lead Engineer

🕒 Yesterday

🌐 United States, Canada – Remote

🇺🇸 United States – Remote 🇨🇦 Canada – Remote

🗽 New York – Remote

🗽 New York – Remote

💵 $165k - $220k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Outro Health

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2022

🏥 Healthcare

☁️ SaaS

👥 B2C

💰 $2.8M Pre Seed Round - Outro Health on 2024-10

Healthcare • SaaS • B2C

Outro Health is a clinician-guided telehealth platform that specializes in evidence-based, hyperbolic tapering to help patients safely reduce and stop antidepressant medications. The company pairs each patient with a dedicated clinician who designs individualized taper plans, monitors symptoms via an app, coordinates compounded prescriptions and refills, and provides ongoing support, community events, and lifestyle guidance. Outro operates in select U. S. states and focuses on deprescribing antidepressants (with plans to expand to other psychotropic medications).

📋 Description

• Take primary ownership of engineering as Outro's senior hands-on engineering leader • Write a large share of production software • Design, build, and operate clinician tools and patient-facing products • Develop systems for medication, symptom, and clinical data • Build insurance and healthcare integrations • Build internal operations and research systems • Own infrastructure, reliability, security, privacy, and compliance • Make patient medication and response information coherent, useful, and safe to act on • Own technical direction, architecture, engineering standards, delivery, and technical compliance • Shape approaches to HIPAA, SOC 2, access controls, auditability, and sensitive patient data • Hire and mentor subsequent engineers • Introduce useful process without unnecessary bureaucracy • Collaborate with the Product Lead, founders, clinicians, operators, and designer on product and technical strategy

🎯 Requirements

• Strong Senior or Staff Engineer experience at an early-stage healthcare or technology company • 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 knowledge of where they help and where they fail • Healthcare or regulated-industry experience is useful, but not required • TypeScript, Node.js, Next.js, React, Vite, React Native, Postgres, BigQuery, GCP, and Terraform experience • Ability to work Eastern hours • Must join in New York City or work remotely within the US or Canada

🏖️ Benefits

• 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 • Claude, Codex, Cursor, and whatever else you need