VP Engineering, CTO Track | Healthcare SaaS | Remote US

Urrly is a profitable, PE-backed healthcare SaaS company seeking a VP of Engineering with a clear path to CTO. The role involves leading the modernization of their EHR and billing platform, shaping the engineering culture, and driving technology strategy while ensuring compliance and security.

Responsibilities:

• Lead the ground-up modernization of a mission-critical EHR and billing platform used by pediatric therapy practices nationwide
• Own the multi-year technology vision while remaining hands-on—perfect for a director-level leader ready for the top seat
• Work directly with a product-savvy CEO and seasoned designer; inherit two eager engineers who know the codebase cold and are hungry for mentorship
• Shape engineering culture, hiring roadmap, and best practices from Day 1 in a high-trust, low-bureaucracy environment
• Build HIPAA-compliant AI features (ambient documentation, treatment-plan recommendations, predictive scheduling) that clinicians will love—and competitors will chase
• Define and socialize a phased modernization plan aligned to product, clinical, and business goals
• Advise the CEO and Board on architecture, AI adoption, and cloud investment decisions
• Upgrade the legacy .NET monolith to modern .NET 8/9+ and introduce cloud-native patterns without disrupting active clinical workflows
• Replace embedded Bootstrap pages with a WCAG 2.1 AA-compliant React, Vue, or Angular front-end
• Launch companion mobile apps that improve clinician usability and patient workflow efficiency
• Decompose services over time and move toward a multi-tenant architecture as scale demands
• Own HIPAA Security Rule posture, drive SOC 2 Type II readiness, and build a security-first engineering culture
• Stand up CI/CD, IaC, observability, and disaster-recovery pipelines across AWS, Azure, or GCP with support from an MSP
• Architect a data lake/warehouse that integrates clinical, billing, and operational data
• Enable self-serve BI, ML pipelines, and responsible use of AI across the product and engineering organization
• Deliver clinician-facing AI features and developer AI tooling while meeting privacy, safety, and compliance standards
• Mentor and grow the existing engineers into a high-performing team
• Recruit additional technical talent as needed to support the modernization roadmap
• Represent technology with enterprise customers, partners, auditors, and other external stakeholders

Requirements:

• 8+ years of software engineering experience, including 4+ years leading teams as Director, Sr. Manager, or equivalent
• Hands-on mastery of the Microsoft .NET ecosystem and a successful track record modernizing legacy .NET systems
• Proven experience architecting and shipping large-scale JavaScript/TypeScript front-ends (React, Vue, or Angular)
• Deep familiarity with HIPAA-regulated environments and healthcare data standards (HL7 FHIR, X12, etc.)
• Cloud and DevOps depth with AWS, Azure, or GCP—IaC, containers, CI/CD, monitoring
• Demonstrated success delivering AI/ML capabilities in production SaaS products
• Player/coach leadership style: you still code, review PRs, and set architectural guardrails while empowering others
• Excellent collaboration skills across product, design, clinical, and commercial teams
• Experience with pediatric therapy, EHR/EMR, or revenue-cycle software
• Ownership of SOC 2 Type II audits, ambient clinical NLP, or PE-backed scale-ups