Senior Software Engineer - Technical Lead

Karoo Health Inc; United States; Remote; USD 140,000 - 190,000; Full time

Benefits offered by this job

Equity

Remote-friendly

Health benefits

Learning stipend

Professional development

Job summary

Karoo Health Inc. is seeking a Senior Software Engineer - Technical Lead to guide core engineering efforts in a Pittsburgh-area role with remote U.S.-based options.

The position blends hands-on development with leadership, shaping the technical direction for a rapidly growing health-tech platform. You will mentor a small team, drive agile processes, and own end-to-end delivery from requirements through deployment, while ensuring scalable, secure cloud infrastructure and compliance with

Qualifications

• 4+ years leading small technical teams with direct deliverables responsibility.
• 6+ years backend or full stack engineering experience, startup or fast-paced environment preferred.
• Experience with healthcare data regulations (HIPAA/HITRUST) and data formats (FHIR).

Responsibilities

• Lead and mentor the engineering team, setting direction and driving continuous improvement.
• Facilitate daily standups, sprint planning, backlog grooming, and retrospectives for predictable delivery.
• Craft clean, testable code and drive end-to-end delivery from requirements to deployment.
• Own the software from inception to maintenance and updates.
• Architect, optimize, and maintain databases for reliability and performance.
• Design and deploy scalable, secure cloud infrastructure with IaC best practices.
• Ensure compliance with healthcare data regulations (HIPAA/HITRUST).

Skills

Leadership

Backend

Full stack

AWS

Databases

APIs

CI/CD

Communication

HIPAA/HITRUST

FHIR

Education

Bachelor's degree in CS/SE or equivalent

Tools

PostgreSQL

MySQL

MongoDB

DynamoDB

REST

GraphQL

Job description

Senior Software Engineer - Technical Lead

Job Description

Overview

Location: Pittsburgh preferred, or remote, U.S.-based

Type: Full-time technical leadership role

An Industry Defining Company

Karoo is a venture-backed startup, prior to Series A, on a mission to transform cardiovascular care. Our platform is designed to empower large provider groups and health systems to succeed in value-based care contracts with payers by improving patient outcomes and reducing cost of care through better coordination, analytics, and disease management. While our initial focus is cardiology, we are building a scalable operating system for managing complex conditions across the healthcare spectrum.

This is a rare opportunity to join a mission-driven founding team at a pivotal stage and help define the future of healthcare technology, with the power to improve the lives of patients with cardiovascular disease, the number one cause of death in America today.

The Role

Karoo Health is seeking a skilled and dedicated Technical Leader to guide our core engineering efforts. In this role, you will maintain hands‑on contribution while stepping up to lead a small team of software engineers. You will be responsible for setting technical direction, driving agile processes (daily standups, sprint planning, retrospectives), and fostering a high-performance culture.

In order to do this job well, you must be a curious, pragmatic problem solver and an empathetic technical leader. You strive to produce simple solutions to complex problems and know how to lead constructive technical discussions to guide your team toward the best path forward.

What You’ll Do

• Lead and Mentor: Set technical direction, unblock developers, and drive continuous improvement.
• Orchestrate Agile Processes: Facilitate daily standups, weekly sprint planning, backlog grooming, and team retrospectives to ensure predictable and timely delivery.
• Execute : Craft clean, testable, and maintainable code in collaboration with the team.
• Deliver : Own the software from requirements development through deployment and maintenance.
• Operationalize Data : Architect, optimize, and maintain databases to ensure reliability and performance
• Architect : Design and deploy scalable, secure, cloud infrastructure leveraging infrastructure-as-code best practices
• Safeguard Data : Ensure compliance with healthcare data regulations (e.g., HIPAA, HITRUST)

What We’re Looking For

• At least 4 years of experience leading small technical teams with direct responsibility for deliverables.
• Minimum 6 years of dedicated professional experience in backend or full stack engineering, ideally in a startup or fast-paced environment.
• Experience with healthcare data regulations (e.g., HIPAA, HITRUST) and data formats (e.g. FHIR).
• Strong communication skills with an ability to translate product requirements into technical task breakdowns.
• Bachelor’s degree in Computer Science, Software Engineering, or related field, or equivalent work experience.
• Deep understanding of cloud platforms (AWS preferred) and cloud-native development.
• Proficiency with relational and NoSQL databases (e.g., PostgreSQL, MySQL, MongoDB, DynamoDB) and API design (RESTful, GraphQL).
• Proven capability in system architecture, scalability, security best practices, and CI/CD pipelines.
• Must be legally authorized to work in the United States and not require employer sponsorship now or in the future.

Why Join Us

• Competitive salary and equity in an early-stage startup
• Opportunity to define the technical solution from the ground up
• Possibly fully remote work environment with flexible hours
• Health benefits, learning stipends, and professional development support
• A collaborative and transparent company culture that values creativity and ownership

Equal Opportunity Statement

At Karoo Health Inc (“Karoo”), we believe that improving healthcare starts with creating a more equitable and inclusive world, both inside and outside our organization. We are committed to fostering a diverse workforce that reflects the communities we serve, and to building a culture where every team member feels valued, supported, and empowered. Our commitment to inclusion is reflected in initiatives such as equitable compensation practices, employee resource groups, inclusive benefits, and more.

Karoo Health is proud to be an equal opportunity employer. We maintain a strict policy of non-discrimination for all applicants and employees. What does that mean for you? It means that we are dedicated to providing a workplace that is inclusive, respectful, and free from discrimination or harassment of any kind.

Employment decisions at Karoo Health are made based on merit, qualifications, and business need, without regard to race, religion, color, national origin, sex, sexual orientation, gender identity or expression, age, disability, marital status, veteran status, political affiliation, or any other characteristic protected under applicable law. This policy applies to every aspect of the employment journey, from recruitment and hiring to compensation, benefits, training, promotion, performance evaluation, and beyond.

We’re committed to doing the right thing, always, and that includes creating a fair and inclusive hiring process and workplace for all.

Karoo Health welcomes all.

In the United States, compensation is determined by factors including location, role level, job-related skills, experience, and market conditions. Some positions may also be eligible for bonuses, equity, or other benefits. To learn more about Karoo Health’s benefits, please contact our People Team.