Series B startup bringing machine learning to preventative health, now billable through major payers.

VP of Engineering

New YorkHybrid$240K - $280K10+ yearsReferral bonus eligible
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You'll arrive each morning to a standup balancing React front-end refinements against Node architecture decisions that determine whether a diabetic's glucose alert fires on time. Your calendar splits between Pairing with senior ICs on thorny TypeScript abstractions, interviewing the next platform lead, and translating a patient feedback loop the clinical team surfaced into this quarter's OKRs. The codebase already serves millions of sessions monthly; your job is to keep latency low while the insurance credentialing footprint quadruples over eighteen months.

What they're looking for

  • 10+ years shipping production software, with at least three leading cross-functional teams of 15+ in regulated or HIPAA-adjacent environments
  • Demonstrated ownership of full-stack systems at scale: React SPA consuming a Node.js service layer, preferably with real-time or IoT data streams
  • Track record partnering with product and compliance to ship through ambiguity—prior healthcare, insurance, or ML-ops experience strongly preferred
  • Comfort operating in a hybrid NYC office culture where you'll be expected in-person Tuesdays and Thursdays, with flexibility otherwise
  • Executive presence sufficient to present technical roadmaps to boards, auditors, and payer IT review committees alike

Tech stack

ReactNodeJS

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This role is one we're recruiting for on behalf of a client company; the client's identity is kept confidential at this stage. A Fluency recruiter will follow up with details.

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