VP Engineering, CTO Track | Pediatric Therapy SaaS [Remote]

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.

Accountabilities

• 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.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

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