# Remote VP of Engineering for a Healthcare Company > Pearl · United States (Remote) · Full-time · Posted 2026-11-04 **Workplace:** remote **Department:** Technical ## Description **Work From Anywhere in the US (New York or Houston preferred, relocation assistance available)** **Work Schedule: US Timezone (EST/CT) | Overlap with US business hours** **About Pearl Talent** Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund. Hear why we exist, what we believe in, and who we’re building for: Watch here: [https://www.loom.com/share/863b8e426e6d48309aa8f4ea4c1c94cd](https://www.loom.com/share/863b8e426e6d48309aa8f4ea4c1c94cd) **About the Client** A seed-stage US healthcare technology company is building a system to redistribute unused medications to patients who cannot afford them. It is looking for a Founding Senior Full-Stack Engineer to build the products that increase the supply of donated medications. The company runs a pharmacist-led process that recertifies donated medications for safe reuse. The team is 8 people across two continents. Large health plan contracts are signed or pending, so the company is close to moving from proof of concept to scaled execution. **About the Role** This is a hands-on individual contributor role. You will work directly with the Head of Technology and the CEO, building across a Python/Django and PostgreSQL backend, a React frontend, and AWS infrastructure. Your first project is a donation management platform that lets major health systems donate medications without the current email-based process. Success means health systems donate through the platform instead of email, and the supply of donated medications grows as a result. Remote team members travel to Houston quarterly and to New York for onboarding. **Core Responsibilities** Product Development - Build the first donation management platform for health systems, replacing the current email-based process - Own new products for healthcare providers, health systems, and medication supply operations - Turn 50-state compliance rules, multi-state transfers, and expiration tracking across thousands of SKUs into working business logic - Partner with the Head of Technology on product direction and key engineering decisions Engineering Execution - Design, build, and ship full-stack features from concept to production in React, Django, and PostgreSQL - Extend the existing codebase and reduce 6–9 months of accumulated tech debt - Build and maintain integrations with health system, pharmacy, and logistics partners - Meet HIPAA and PHI data-handling requirements in every feature Infrastructure and Quality - Manage AWS infrastructure using CDK and Terraform - Improve architecture, code quality, and documentation so future engineers can onboard quickly - Find and fix inefficiencies in existing systems, workflows, and user experience Founder Collaboration - Work directly with the CEO on product direction and Figma design handoffs - Contribute to product and technical planning in a flat, 8-person team - Set up the technical foundation for a future engineering team ## Requirements **Must-Have** - 5+ years of professional software engineering experience, including 2+ years at seed to Series A startups or small, autonomous engineering teams - Took at least one product or major feature from zero to production as an early engineer - Full-stack production experience across frontend, backend, and database (Python/Django, React, and PostgreSQL preferred; equivalent modern stacks accepted) - Hands-on coding in an individual contributor role within the last 2 years - Public GitHub profile, portfolio, or open-source or side projects available for review - Based in the United States with current authorization for W-2 employment - English at C1+ CEFR level **Nice-to-Have** - Experience in healthcare, digital pharmacy, healthtech, logistics, or supply chain - Built software for HIPAA-compliant or other regulated platforms - AWS infrastructure experience with CDK or Terraform - Integrated AI capabilities into a production product or workflow - Based in, or open to relocating to, New York City or Sugar Land, TX ## Benefits - **Competitive Salary:** Based on experience and skills - **Remote Work:** Fully remote—work from anywhere - **Team Incentives:** Recognition for maintaining 100% CRM hygiene and on-time reporting - **Generous PTO:** In accordance with company policy - **Health Coverage for PH-based talents:** HMO coverage after 3 months for full-time employees - **Direct Mentorship:** Guidance from international industry experts - **Learning & Development:** Ongoing access to resources for professional growth - **Global Networking:** Connect with professionals worldwide ### **Our Recruitment Process** 1. Application 2. Screening 3. Skills Assessment 4. Topgrading Interview 5. Client Interview 6. Job Offer 7. Client Onboarding ### **Ready to Join Us?** If you’re empathetic, organized, and passionate about improving patient experiences through operational excellence, this role is for you. Apply now to help make specialized healthcare more accessible to patients across the U.S. ## Apply [Apply at Pearl](https://apply.workable.com/pearltalent/j/FFF7D110FA/apply) --- Powered by [Workable](https://www.workable.com)