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Why this grade This listing scored 30/100, which is an F. It lost the most ground on freshness. See the breakdown
- Description depth 20 / 20 How much the posting actually says about the work, measured in characters of real text.
- Pay transparency 12 / 25 A published salary range, worth more than any other single factor because it is what a candidate cannot find out without applying.
- Remote clarity 8 / 15 Whether "remote" means anywhere, or is quietly restricted to one country.
- Corroboration 5 / 10 Whether more than one source carries this listing.
- Role specificity 0 / 10 Whether the listing is tagged well enough to tell what the role actually is.
- Freshness 0 / 15 How recently it was posted. Older postings are likelier to be filled or abandoned.
-15 Ghost-job penalty — Deducted for signals that this posting may not be a real, currently-open role — staleness, repeated relisting, or talent-pool language.
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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
- 8+ years of software engineering experience, including 4+ years leading teams as Director, Sr. Manager, or equivalent.
- Hands-on mastery of the Microsoft .NET ecosystem and a successful track record modernizing legacy .NET systems.
- Proven experience architecting and shipping large-scale JavaScript/TypeScript front-ends (React, Vue, or Angular).
- Deep familiarity with HIPAA-regulated environments and healthcare data standards (HL7 FHIR, X12, etc.).
- Cloud and DevOps depth with AWS, Azure, or GCP—IaC, containers, CI/CD, monitoring.
- Demonstrated success delivering AI/ML capabilities in production SaaS products.
- Player/coach leadership style: you still code, review PRs, and set architectural guardrails while empowering others.
- Excellent collaboration skills across product, design, clinical, and commercial teams.
Nice to Have
- Experience with pediatric therapy, EHR/EMR, or revenue-cycle software.
- Ownership of SOC 2 Type II audits, ambient clinical NLP, or PE-backed scale-ups.
Location & Travel
- Remote within the United States.
- Ability to spend significant time in Orlando during the first 6–12 months, then ~20 % travel to Orlando and/or Philadelphia thereafter.
Apply now and get a response within 24 hours.
Salary: $200,000 – $250,000 / yearOriginally posted on Himalayas
Apply for this role Opens himalayas.app — the link as listed; we have not yet verified it is the employer's own page
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Where this listing came from
- 07 Jul 2026 Himalayas first sighting
Seen on 1 board over 0 days.