Principal Founding Engineer - Full Stack (Typescript, React, Node, AWS)

We are looking for a Founding Principal Engineer with 6+ years of experience, who will be working directly alongside the CEO to set the technical foundation for a pediatric mental health platform that’s rebuilding care from the ground up. You’ll be a product-minded, hands-on builder who thrives in early-stage environments and takes ownership of complex consumer products in a regulated space. We just raised our Series B and are replacing our offshore team with a small, exceptional in-house engineering org, and you’ll be the one to define how it’s built.

What will you be doing?

Writing production code on the hardest problems while owning architecture across telehealth, EHR, patient dashboard, and AI adoption Working directly with the CEO to translate clinical, growth, and operations needs into technical plans: making independent product decisions without detailed PRDs Leading and transitioning the offshore engineering team while establishing engineering standards, code review, and quality practices Driving AI adoption across the organization to accelerate the product roadmap.

Role Details

• 6 - 15 years of experience in full-stack engineering
• Tech stack: TypeScript, Node.js, React, AWS

Must have experience/skills:

Work experience

• Recent early- stage/startup experience as senior or founding engineer
• Hard skills: Production full- stack TypeScript (Node + React + AWS)
• Soft skills: Product- minded: makes UX/feature decisions without detailed PRDs
• Seniority: 6 - 15 years of experience in full- stack engineering
• Work experience: Staff/Principal- level IC owning systems end- to- end
• Hard skills: Built software in regulated environments (fintech, healthcare, HIPAA)
• Active GitHub or personal project portfolio demonstrating engineering skill