Tech Lead

Ekkomd; Chennai, Tiruchirappalli, Coimbatore District, Bengaluru, Hyderabad; On-site; INR 4,500,000 - 6,000,000; Full time

Job summary

Ekko Medical Solutions Private Limited is hiring a Tech Lead to own how we build across our React/TypeScript front-end and NestJS/TypeScript backend. You will set architectural direction, code alongside the team, and mentor engineers to raise the bar.

You’ll work in Chennai, India, collaborating with product and the CTO to ship an AI-powered healthcare platform that turns clinical conversations into structured docs. Early-stage team with a strong ownership mindset.

Qualifications

• 7+ years building production software across front-end and back-end.
• Strong full-stack TypeScript with React on the frontend and Node/NestJS on the backend.
• Proven track record of making sound architecture decisions and communicating simply.
• Experience mentoring engineers and raising a team's bar.
• Comfort owning delivery end to end: scope, sequencing, risk, and shipping.
• Thrives in startup environments with ambiguity and ownership.

Responsibilities

• Set architecture direction across web app, backend, and AI pipeline integration.
• Write production code in TypeScript stack and lead by example in code reviews.
• Mentor engineers, provide feedback, and help the team grow.
• Break roadmaps into milestones, manage risk, and ensure timely shipping.
• Partner with product and CTO to build the right thing, not just something.

Skills

7+ years experience

Full-stack TypeScript

React

Node/NestJS

Architecture decisions

Mentoring engineers

Delivery ownership

Tools

AWS

Prisma

Redis

WebSockets

GitHub Actions

Job description

Ekko is an AI-powered healthcare product that turns clinical conversations into structured documentation. Our pipeline transcribes audio, generates clinical notes, and extracts structured data using LLMs. We ship across three surfaces — a web app, a backend service, and a browser extension — used by clinicians who depend on accuracy. We're a small, early-stage team.

We're hiring a Tech Lead to be our player-coach: someone who writes real production code and sets technical direction for the team. You'll own how we build across our React/TypeScript front-end and NestJS/TypeScript backend, make the architecture calls that matter, and grow the engineers around you. This is not a hands-off architect role. You'll spend a healthy share of your week in the codebase (think roughly half to two-thirds), shipping alongside the team while also unblocking them, reviewing their work, and raising the standard. The best person for this leads by earning trust, not by issuing decrees. You listen first, diagnose before you change things, and you're as comfortable mentoring a junior engineer as you are debating a tradeoff with a founder.

Set Technical Direction

• Own architecture decisions across the web app, backend, and AI pipeline integration
• Make pragmatic tradeoffs between speed, reliability, and long-term maintainability
• Define engineering standards for code quality, testing, and how we ship

Stay Hands-On

• Write production code across our React / TypeScript and NestJS / TypeScript stack
• Take on the hard or ambiguous parts of the build yourself
• Lead by example in code review, debugging, and incident response

Grow the Team

• Mentor engineers and help them go from executing tasks to owning outcomes
• Give clear, kind, direct feedback, and pair on tricky problems
• Build a healthy engineering culture as the team scales

Own Delivery

• Break a roadmap into shippable milestones and keep them moving
• Be honest and early about risk, scope, and timelines
• Partner with product and the CTO so we build the right thing, not just something

What You Bring

• **7+ years building production software**, with at least 2 years leading or as a tech lead
• **Strong full-stack ability in TypeScript** — React on the front-end, Node/NestJS or similar on the backend
• **A track record of making sound architecture decisions** and explaining the reasoning simply
• **Real experience mentoring engineers** and raising a team's bar
• **Comfort owning delivery end to end**: scope, sequencing, risk, and shipping
• The judgment to listen and diagnose before making sweeping changes
• **Comfort with startup life**: ambiguity, ownership, and shipping over perfection

Nice to Have

• Healthcare or other high-trust, accuracy-critical software experience
• Experience building or integrating LLM/AI pipelines in production
• Familiarity with AWS, Prisma, Redis, and real-time systems (WebSockets)
• Experience setting up CI/CD and quality gates (GitHub Actions)
• Serious foodies welcome; we take team lunch a little too seriously
• Bonus if you can settle an architecture debate with a well-timed Rajinikanth dialogue

Why join Ekko

• Real ownership. You're setting the technical direction for the whole product, not inheriting someone else's.
• AI product depth. You'll lead engineering on a real LLM pipeline in a clinical setting.
• Direct impact. Small team, fast feedback, decisions made in days not quarters.
• Good people. We take the work seriously and ourselves a lot less so.