Founding Principal Engineer — HealthTech AI

globalplacementfirm; New York (NY); Hybrid; USD 200,000 - 250,000; Full time

Benefits offered by this job

Hybrid work model (3 days in-office)

Union Square, NYC location

Visa transfers accepted

Job summary

GPF Staffing is recruiting a Founding Principal Engineer for a rapidly growing HealthTech startup in New York. This hands-on leadership role reports to the CEO, owns major architectural decisions, and sets the engineering foundation for a growing healthcare platform.

You will guide the transition from offshore to a small in‑house team, establish standards and processes, and drive responsible AI adoption. The ideal candidate has 6+ years of production software experience, startup experience, and

Qualifications

• 6+ years of professional software engineering experience.
• Previous experience in an early-stage or startup environment.
• Demonstrated ownership of technical and architectural decisions from concept through production.
• Strong product mindset with the ability to make sound product decisions when requirements are not fully defined.
• Comfortable operating with significant autonomy in a fast-moving environment.
• Experience establishing engineering standards and improving development processes.
• Strong communication skills and the ability to work across technical, clinical, operational, and business teams.
• Interest in applying AI to products, engineering workflows, and organizational processes.

Responsibilities

• Write production code and solve the company's most complex technical problems.
• Own architecture across telehealth, EHR integrations, patient-facing dashboards, and emerging AI capabilities.
• Work directly with the CEO to translate clinical, operational, and growth objectives into technical solutions.
• Make independent product and engineering decisions without relying on highly detailed PRDs.
• Lead the technical transition from the existing offshore engineering team.
• Establish engineering standards, code-review processes, development practices, and quality expectations.
• Drive responsible AI adoption across the organization to accelerate product development and internal capabilities.
• Help establish and grow a small, exceptional U.S.-based engineering organization over the next 6–12 months.

Skills

Hands-on engineering

Architecture ownership

Startup experience

Product mindset

Cross-functional communication

AI interest

Tools

TypeScript

Node.js

React

AWS

Job description

GPF Staffing is recruiting a Founding Principal Engineer for a rapidly growing HealthTech startup in New York. This hands-on leadership role reports to the CEO, owns major architectural decisions, and sets the engineering foundation for a growing healthcare platform.

You will guide the transition from offshore to a small in‑house team, establish standards and processes, and drive responsible AI adoption. The ideal candidate has 6+ years of production software experience, startup experience, and