Founding Principal Engineer — AI-Driven Telehealth

Handspring; New York (NY); Hybrid; USD 200,000 - 240,000; Full time

Benefits offered by this job

Equity

Job summary

Handspring seeks a senior, onshore Founding Principal Engineer to sit beside the CEO and lead engineering as the company scales. You will set technical direction for telehealth, EHR, onboarding, and patient dashboards while guiding the offshore team and establishing engineering standards as we accelerate our roadmap.

You will stay hands-on, write critical production code, and own reliability, security, and architectural decisions.

Qualifications

• 8+ years building production software, including time at staff/principal level.
• Deep full-stack expertise from schema to UI.
• Led teams hands-on, set standards, and mentored engineers.
• Experience with distributed or offshore teams; strong execution.
• Healthcare/regulatory environments experience is a plus.

Responsibilities

• Set the technical direction and architecture across core systems.
• Make build vs. buy decisions and steer outsourcing where appropriate.
• Write critical production code and own high-stakes problems.
• Lead and develop the offshore team, establish coding standards and on-call processes.
• Own reliability and security, ensuring HIPAA and payer regulatory readiness.
• Build the onshore eng org, hiring and shaping culture and structure.
• Define stack choices (TypeScript, Node, React, AWS) and adopt new tech as needed.
• Partner with the CEO to translate clinical, growth, and operations needs into engineering plans.

Skills

Full-stack software

Team leadership

Distributed teams

Security & compliance

Tools

TypeScript

Node.js

React

AWS

Job description

Handspring seeks a senior, onshore Founding Principal Engineer to sit beside the CEO and lead engineering as the company scales. You will set technical direction for telehealth, EHR, onboarding, and patient dashboards while guiding the offshore team and establishing engineering standards as we accelerate our roadmap.

You will stay hands-on, write critical production code, and own reliability, security, and architectural decisions.