VP of Engineering (San Francisco)

TLDR

We are hiring a VP of Engineering to lead Neon’s engineering team and enable the CTO to focus on strategically scaling the company. This leader will own execution across engineering, build and mentor a world-class team, and ensure we continue shipping high‑quality products at startup speed. The timeline to hire is by early 2026.

About us: join the team making life‑saving drugs accessible

The crisis: Sarah delayed cancer treatment for weeks facing $30,000 monthly costs. Marcus's autoimmune condition worsened while battling insurance denials.

Over 50% of critical prescriptions are abandoned due to:

• Cost barriers: Patients with high copays are 5x more likely to abandon treatment
• Insurance maze: Complex prior authorizations block access
• Logistical challenges: Coordinating medical visits for treatments

Our solution: Neon's technology eliminates these obstacles by automating patient access workflows for pharma companies: automating authorizations, streamlining benefits verification, and unlocking financial assistance.

Join our mission: We want to live in a world where every patient can navigate the healthcare system with ease, especially when it matters most. Help us ensure that access to medicine is determined by clinical need—not bureaucracy or financial constraint. When Neon succeeds, patients access life‑saving treatments without bankrupting their families, while we build an AI automation powerhouse serving healthcare's biggest enterprises.

Why join Neon?

• Frighteningly ambitious: We’re not just idealists. We’re seasoned builders. On a mission to build a $200B+ company—on the scale of Palantir or ServiceNow—serving the largest healthcare enterprises.
• Experienced founding team: Built by exited founders, YC & MIT alum , ex‑Tesla, ex‑Google engineers.
• Hypergrowth with stability: We went from initial idea to 7+ figure customer contracts in just 4 months—in an industry where sales cycles typically take 12-18 months. We are profitable and relentlessly focused on execution.
• Powerhouse backing: We’re funded by elite Silicon Valley VCs who've backed unicorns like DoorDash, Lyft, and Mammoth Biosciences. And strategic healthcare investors with deep industry connections.
• Outsized impact & opportunity: Work at the intersection of agentic AI, healthcare transformation, and life‑changing patient outcomes.
• Career acceleration: Join early and grow rapidly with us as we scale toward category dominance in healthcare automation.

What’s unique about working here?

Mission‑driven capitalists

We’re a rare blend of mission‑driven capitalists. We are on the path towards building a $200B+ business while dramatically improving the healthcare system—and patients’ lives.

Working like athletes

Like athletes, we are constantly honing our craft to produce our best possible work.

We work with intention and humility. We support and challenge each other to be our best selves.

And as a team, we achieve goals together that would be impossible alone.

Frequent offsites

We spend one week every month offsite in beautiful places like Tahoe, Squamish, Mendocino, the Santa Cruz mountains, and Monterrey. We ship an incredible amount of product on these offsites. And we have a blast — climbing, swimming, surfing, and otherwise enjoying these beautiful places.

Rediscover the magic of coding late into the night, in the zone. Side by side with a team that—through their example of excellence—is inspiring you to reach your potential.

It’s not for everyone.

But if you long for an intense camaraderie that you can’t find elsewhere, then Neon is the place for you.

Jobs To Be Done

Lead Neon’s engineering function to support rapid product innovation and scale.

• Own engineering execution : Ensure products are shipped reliably, securely, and at startup velocity.
• Build the team : Recruit, mentor, and retain exceptional engineers.
• Develop processes : Create systems that balance speed with quality as we grow.
• Partner with product and GTM : Align engineering with customer needs and market demands.
• Scale infrastructure : Guide technical architecture to support growth.
• Enable the CTO : Take ownership of day‑to‑day engineering so the CTO can focus on company‑level strategy.

Traits of a high‑performing VP of Engineering.

• Builder of teams : Skilled at recruiting and developing top technical talent.
• Execution‑focused : Strong track record of delivering complex products on time.
• Strategic technologist : Able to balance short‑term needs with long‑term scalability.
• Collaborative leader : Works across product, design, and business functions seamlessly.
• Culture shaper : Builds an engineering culture of excellence, speed, and accountability.

Experience

We’re looking for someone who has excelled in engineering leadership roles at high‑growth startups.

• Proven experience managing and scaling engineering teams.
• Background in enterprise SaaS or AI‑driven platforms .
• Experience building reliable, secure, and scalable systems.
• Track record of aligning engineering execution with business outcomes.
• Ability to thrive in fast‑paced, ambiguous startup environments.

Required Tools

You will be expected to leverage modern engineering and collaboration tools:

• Cloud platforms (AWS)
• Development frameworks and languages (Python, Node.js, TypeScript, etc.)
• CI/CD, testing, and monitoring systems
• Collaboration tools (Notion, Slack, Jira, GitHub)

Join Us

Neon is building the automation platform for enterprises.

We’re profitable, backed by top investors, and growing fast with 7+ figure contracts.

Apply today to help scale a rocket ship redefining enterprise automation and ensuring patients get life‑saving medications when they need them.

Please note: Applicants must be currently authorized to work in the United States on a full‑time basis. Visa sponsorship is not available for this position.

Title Keywords: VP of Engineering, Head of Engineering, Director of Engineering, Engineering Leader, Software Engineering Leadership, Enterprise SaaS, AI Platforms