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VP Engineering, CTO Track | Pediatric Therapy SaaS | Remote US

Urrly

Orlando, FL(remote)

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JOB DETAILS
SALARY
$200,000–$250,000
SKILLS
Amazon Web Services (AWS), AngularJS, Architectural Services, Artificial Intelligence (AI), Best Practices, Billing, Bootstrap, Business Intelligence, Cash Flow, Cloud Computing, Coaching, Code Reviews, Continuous Deployment/Delivery, Continuous Integration, Data Lake, Data Warehousing, DevOps, Disaster Recovery, Documentation, Ecosystems, Electronic Medical Records, Embedded Systems, Engineering, Environmental Health, External Audit, GCP (Good Clinical Practices), HIPAA (Health Insurance Portability and Accountability Act), HL7 (Health Level 7), Healthcare, JavaScript, Leadership, Machine Tool, Medical Billing, Medical Products, Medical Record System, Mentoring, Microsoft .NET, Microsoft Windows Azure, Mobile Applications, Natural Language Processing (NLP), Occupational Therapy, Pediatrics, Product Design, Product Engineering, Product Planning, React.js, Regulatory Compliance, Safety Compliance, Safety Standards, Software Engineering, Software as a Service (SaaS), Speech and Language Pathology, Team Lead/Manager, Team Player, Technical Recruiting, Technical Strategy, Treatment Plan, Usability Engineering, User Interface/Experience (UI/UX), Vue.js, Web Content Accessibility Guidelines (WCAG), Willing to Travel
LOCATION
Orlando, FL
POSTED
1 day ago

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: our client has passionate customers, strong cash flow, and a mandate to rebuild the tech stack for the next decade. As their 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 the CEO and Board on architecture, AI adoption, and cloud investment decisions.

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, Vue, or Angular front-end.
  • Launch companion mobile apps that improve clinician usability and patient workflow efficiency.
  • Decompose services over time and move toward a multi-tenant architecture as scale demands.

Security, Compliance & DevOps

  • Own HIPAA Security Rule posture, drive SOC 2 Type II readiness, and build a security-first engineering culture.
  • Stand up CI/CD, IaC, observability, and disaster-recovery pipelines across AWS, Azure, or GCP with support from an MSP.

Data & AI Platform

  • Architect a data lake/warehouse that integrates clinical, billing, and operational data.
  • Enable self-serve BI, ML pipelines, and responsible use of AI across the product and engineering organization.
  • Deliver clinician-facing AI features and developer AI tooling while meeting privacy, safety, and compliance standards.

Team Leadership & External Representation

  • Mentor and grow the existing engineers into a high-performing team.
  • Recruit additional technical talent as needed to support the modernization roadmap.
  • Represent technology with enterprise customers, partners, auditors, and other external stakeholders.

      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.

      About the Company

      U

      Urrly