VP Engineering, CTO Track | Pediatric Therapy SaaS | Remote US
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.
Opportunity
- Lead the ground-up modernization of a mission-critical EHR and billing platform used by pediatric therapy practices nationwide.
- Own the multi-year technology vision while remaining hands-on—perfect for a director-level leader ready for the top seat.
- 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 in a high-trust, low-bureaucracy environment.
- Build HIPAA-compliant AI features (ambient documentation, treatment-plan recommendations, predictive scheduling) that clinicians will love—and competitors will chase.
What You Will Own
- Technology Strategy & Roadmap
- 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.
- Modernization & New Product Delivery
- 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.
- Security, Compliance & DevOps
- 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.
- Data & AI Platform
- 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.
- Team Leadership & External Representation
- Mentor and grow the existing engineers into a high-performing squad; recruit additional talent as needed.
- Represent technology with enterprise customers, partners, and auditors.
What Makes You a Strong Fit