United States of America Remote (Country) Full-time USD 225,000 – 275,000 / year

Urrly is hiring a VP Engineering, CTO Track (Confidential)

Every day, pediatric physical, occupational, and speech therapists change children's lives—but their legacy software makes the job harder than it should be. The Brydon Group, a private equity firm specializing in profitable, recurring-revenue software and services companies, is in the final weeks of acquiring a healthcare SaaS company with passionate customers, strong cash flow, and a mandate to rebuild the tech stack for the next decade. As the first full-time technology executive—hired as VP of Engineering with a clear path to CTO—you'll lead that transformation end-to-end: modern .NET services, an accessible modern front-end, HIPAA-grade cloud infrastructure, and AI-powered clinical features that free clinicians to focus on kids, not clicks. A note on confidentiality: Qualified candidates sign an NDA early in the process and receive full detail on the company, financials, and thesis directly from the CEO and the Brydon deal team. Opportunity - Lead the ground-up modernization of a mission-critical EHR and billing platform serving pediatric therapy practices. - Join at the start of an aggressive growth plan: the goal is to 10x the software business over five years through organic growth and acquisition, backed by committed PE capital. - Own the multi-year technology vision while remaining hands-on—perfect for a director-level (or rising senior manager) leader ready for the top seat. - Work directly with a product-led CEO and a seasoned senior 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. No token-tracking, no bureaucracy—unlimited AI tooling, go build. - Build HIPAA-compliant AI features (ambient documentation, treatment-plan recommendations, smart 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 platform to modern .NET 8/9+ and retire end-of-life dependencies without disrupting active clinical workflows. - Replace embedded legacy UI with a WCAG 2.1 AA-compliant modern front-end (React, Vue, or Angular)—and write some of that code yourself. - Launch companion mobile apps (leading the work, not necessarily building it) that improve clinician usability and patient workflow efficiency. - Decompose services over time and move toward multi-tenant architecture as scale demands. Security & Compliance - Own HIPAA Security Rule posture and drive SOC 2 Type II readiness, executing a security roadmap with third-party audit support. - Bring security intuition to product and design decisions—MFA, encryption, secure-by-default patterns. Data & AI - Ship clinician-facing AI features by integrating best-in-class models and vendors—applied AI, not custom model development. - Champion AI-assisted development across the engineering organization while meeting privacy, safety, and compliance standards. - Lay the foundation for a data and analytics platform as the business scales. Team Leadership & External Representation - Mentor and grow the existing engineers into a high-performing team; recruit as the roadmap demands. - Be a full-time, present leader for a team that's ready for one. - Represent technology with customers, partners, auditors, and the Board. 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 expertise in the Microsoft .NET ecosystem—you can be productive with this team in the short term. - Comfortable personally writing modern front-end code (React, Vue, or Angular), with an appreciation for consumer-grade UX. - A real tech-debt story: you've taken something janky, figured out what to keep and what to upgrade, built it into a roadmap, and delivered it at a pace the business could absorb. - Experience in healthcare IT, digital health, or EHR/EMR software; familiarity with HIPAA-regulated environments. - Experience shipping applied-AI product features (LLM/vendor integration) and using AI tools in daily development. - Player/coach leadership style: expect roughly 50% hands-on coding in year one, shifting toward leadership as the team grows. - Business fluency: budgets, metrics, and communicating decisions to executives and the Board. Nice to Have - Pediatric therapy, EHR/EMR, or revenue-cycle/billing software experience. - Full legacy-modernization or re-platforming leadership. - Cloud/DevOps depth (Azure preferred)—an MSP handles infrastructure today, so this is not a Day 1 burden. - SOC 2 Type II audit ownership, ambient clinical NLP, or PE-backed scale-up experience. Location & Travel - Remote within the United States. The anchor acquisition is in the southeastern US. - Expect significant travel to the Southeast US hub during the first 6–12 months, ~20% travel thereafter. Compensation: $225–275K OTE; Potential for Equity.
Job Details
Location United States of America
Work mode Remote (Country)
Employment Full-time
Salary USD 225,000 – 275,000 / year
Posted 2 months ago
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A company that partners with fast-growing healthcare organizations expanding new programs inside major US health insurers. They focus on reducing deal stall and accelerating enterprise expansion velocity using AI-driven processes.
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