Founding Principal Engineer

Continuum Resource Network

. Write production code on challenging technical problems and design and maintain systems across telehealth, electronic health records, patient dashboards, and AI-powered capabilities .

Posted 10/17/2026full-timeNew York City • New York • United StatesLead💰 $200,000 - $250,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive full-stack engineering expertise with a focus on building production applications using TypeScript, Node.js, React, and AWS, while ensuring compliance with healthcare regulations. Capable of leading engineering teams, establishing standards, and making independent product decisions in a fast-paced startup environment.

Highest-signal resume keywords

Full-Stack Engineering ExperienceTypeScript, Node.js, React, AWSHealthcare Compliance KnowledgeAI Implementation ExperienceLeadership in Engineering Standards

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Full-Stack EngineeringTypeScriptNode.jsReactAWSAI ImplementationSoftware Development in Regulated EnvironmentsArchitecture OwnershipProduction Application DevelopmentCoding Standards Establishment

Soft Skills

Independent Decision-MakingProduct InstinctsAbility to Navigate AmbiguityHigh-Quality Solution DeliveryGenuine Interest in Pediatric Mental Health Care

Tools & Technologies

GitHubTelehealth PlatformsElectronic Health RecordsPatient DashboardsAI-Powered Capabilities

Industry Keywords

Healthcare TechnologyHIPAA ComplianceData Privacy RequirementsVenture-Backed Startup ExperienceBig Tech Experience

Tech Stack

Tools & technologies

AWSJavaScriptNode.jsReactTypeScript

About the role

Key responsibilities & impact

Write production code on challenging technical problems and design and maintain systems across telehealth, electronic health records, patient dashboards, and AI-powered capabilities
Partner directly with the CEO to translate clinical, growth, and operational needs into technical solutions
Make independent product decisions without relying on detailed product requirements documents
Guide the transition from the offshore engineering team
Establish engineering standards, code review processes, and quality practices
Identify and implement opportunities to leverage AI to accelerate development and enhance product capabilities
Help establish a high-caliber in-house engineering team over the next 6–12 months
Balance speed, scalability, reliability, security, and maintainability
Take end-to-end ownership of features and systems from understanding user needs through deployment and iteration

Requirements

What you’ll need

6–15 years of professional full-stack engineering experience
Recent experience as a founding engineer or one of the first five engineers at a venture-backed startup
Big Tech experience is welcome when combined with early-stage startup experience
Strong, hands-on experience building and shipping production applications using TypeScript, Node.js, React, and AWS
Experience operating at the Staff or Principal individual-contributor level, with ownership of systems from architecture through production
Experience building software in regulated environments, such as healthcare or fintech, with an understanding of security, privacy, and compliance requirements
Strong product instincts and ability to make thoughtful UX, feature, and technical decisions without detailed specifications
Ability to work independently, navigate ambiguity, and deliver high-quality solutions in an early-stage environment
Genuine interest in improving pediatric mental health care and ability to articulate why this mission is meaningful
Active GitHub profile or personal project portfolio demonstrating engineering skills and technical depth
Ability to work in a hybrid arrangement with three days per week in the company's Union Square, New York City office
Bonus: Experience leading or managing offshore and distributed engineering teams
Bonus: Hands-on experience implementing AI or LLM capabilities in production systems
Bonus: Experience integrating telehealth platforms, electronic health records, patient-facing applications, or other healthcare technology systems
Bonus: Familiarity with HIPAA and healthcare data privacy requirements
Bonus: Experience establishing engineering processes, coding standards, testing practices, and deployment workflows from the ground up
Bonus: Experience scaling engineering teams and transitioning from outsourced development to an in-house organization
Bonus: Experience working closely with executive leadership to influence product strategy and technical direction

Benefits

Comp & perks

Competitive Base Salary: $200,000–$250,000 per year
Equity Opportunity: 0.2%–0.4% equity
Direct Executive Collaboration: Work closely with the CEO and help shape company-wide technical strategy
Technical Ownership: Define the architecture, engineering standards, and development practices for a growing technology platform
Early-Stage Impact: Play a foundational role in building the company's in-house engineering organization
Mission-Driven Work: Contribute to technology designed to improve access to pediatric mental health care
AI Innovation: Help drive the practical adoption of AI across product development and engineering