VP Engineering, CTO Track | Pediatric Therapy SaaS

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a VP Engineering, CTO Track | Pediatric Therapy SaaS based in the United States.

This is a unique opportunity to lead the technology transformation of a growing healthcare SaaS platform serving pediatric therapy providers nationwide. As the first senior technology executive, you will define the long-term engineering vision while remaining actively involved in architecture, product development, and team leadership. Working closely with executive leadership, you will modernize a mission-critical platform, introduce AI-powered capabilities, and build scalable, secure cloud infrastructure. This high-impact role offers a clear pathway to Chief Technology Officer, combining strategic influence with hands-on engineering in a collaborative, high-growth environment backed by ambitious expansion plans.

• Define and execute a multi-year technology strategy aligned with product, customer, and business objectives.
• Lead the modernization of a legacy .NET platform by migrating to modern .NET technologies while ensuring uninterrupted customer operations.
• Design and implement a modern, accessible front-end architecture using technologies such as React, Vue, or Angular.
• Drive the development of mobile applications and scalable multi-tenant architecture to support future growth.
• Establish engineering best practices, software development standards, and a high-performance engineering culture.
• Lead cloud architecture, security initiatives, and compliance efforts, including HIPAA security requirements and SOC 2 readiness.
• Introduce AI-powered product capabilities by integrating leading AI technologies into customer-facing workflows.
• Build the foundation for scalable analytics and data capabilities to support business intelligence and product innovation.
• Mentor, develop, and expand the engineering organization while serving as a hands-on technical leader.
• Partner with executive leadership, customers, auditors, and board members to communicate technology strategy, roadmap, and business impact.

Requirements

• 8+ years of software engineering experience, including at least 4 years leading engineering teams at the Director, Senior Manager, or equivalent level.
• Strong hands-on expertise with the Microsoft .NET ecosystem and modern software architecture.
• Experience developing modern front-end applications using React, Vue, or Angular.
• Proven success leading large-scale platform modernization or technical transformation initiatives.
• Experience working within healthcare technology, digital health, EHR/EMR platforms, or other HIPAA-regulated environments.
• Experience delivering AI-powered product features through LLM or third-party AI integrations.
• Strong understanding of cloud technologies, application security, and software compliance best practices.
• Ability to balance strategic technology leadership with hands-on software development, particularly during periods of rapid growth.
• Strong business acumen with experience presenting technology strategies, budgets, and roadmaps to executive leadership and boards.
• Experience with Azure, SOC 2 compliance, pediatric therapy software, revenue cycle management, or private equity-backed SaaS organizations is considered a strong advantage.

Benefits

• Competitive on-target earnings of $225,000–$275,000 annually.
• Equity participation opportunity.
• Fully remote position within the United States.
• Clear career progression to Chief Technology Officer (CTO).
• Opportunity to shape the engineering organization from the ground up.
• Significant ownership over technology strategy, architecture, hiring, and product innovation.
• Access to modern AI development tools and cutting-edge technologies.
• Collaborative, low-bureaucracy environment with direct executive and board-level visibility.
• Opportunity to build technology that improves healthcare delivery and clinician productivity.
• Travel to the southeastern United States during the initial onboarding period, with approximately 20% travel thereafter.