Lead the architecture, development, and scaling of Fold Health’s healthcare platform. Responsibilities include guiding engineering teams, building backend microservices, APIs, and frontend applications, ensuring HIPAA compliance, managing CI/CD and testing, optimizing performance, evaluating emerging technologies, and supporting roadmap planning. The role also involves mentoring engineers, leading proof-of-concept initiatives, and delivering reliable, data-driven healthcare products across web and mobile platforms.
Role Overview
We are looking for a Lead Engineer who will play a key role in designing, building, and scaling Fold Health’s healthcare platform. The ideal candidate will be a hands-on technologist with strong leadership skills, capable of guiding engineering teams, setting best practices, and driving the delivery of high-quality, scalable solutions.
Responsibilities
- Technical Leadership
- Lead design and architecture discussions for scalable, secure, and resilient systems.
- Define and enforce coding standards, best practices, and technical guidelines.
- Mentor and coach engineers, fostering a culture of learning and innovation.
- Lead design and architecture discussions for scalable, secure, and resilient systems.
- Product Development
- Collaborate with product managers, architects, and cross-functional teams to build and deliver end-to-end features.
- Drive the development of backend microservices, APIs, and frontend applications.
- Ensure HIPAA and other healthcare compliance in all technology solutions.
- Collaborate with product managers, architects, and cross-functional teams to build and deliver end-to-end features.
- Innovation & Strategy
- Evaluate and adopt emerging technologies (AI/ML, healthcare data standards, cloud-native).
- Contribute to roadmap planning and provide input on technical feasibility and effort estimation.
- Lead proof-of-concept (POC) initiatives for new product features and integrations.
- Evaluate and adopt emerging technologies (AI/ML, healthcare data standards, cloud-native).
- Quality & Performance
- Ensure performance, scalability, and reliability of applications across web and mobile platforms.
- Oversee CI/CD pipelines, automated testing, and code review processes.
- Monitor and optimize application and infrastructure performance.
- Ensure performance, scalability, and reliability of applications across web and mobile platforms.
Requirements
Requirements
- Bachelor’s/Master’s degree in Computer Science, Engineering, or related field.
- 10–15 years of hands-on engineering experience, with at least 3+ years in a lead/architect role.
- Strong expertise in Node.js (NestJS), ReactJS, React Native, Python (preferred), and TypeScript.
- Experience with cloud platforms (AWS, GCP) and containerized environments (Docker, Kubernetes).
- Solid knowledge of PostgreSQL, data pipelines, and healthcare data (EHR, claims, ADT, FHIR standards).
- Familiarity with AI/ML integration and building data-driven applications.
- Experience with HIPAA, security best practices, and compliance in healthcare systems.
- Strong problem-solving, system design, and communication skills.
- Proven track record of mentoring teams and delivering complex products in a startup or fast-paced environment.
Good to Have
- Experience with healthcare integrations (Elation, Athena, eCW, HIE, claims pipelines).
- Familiarity with Twilio – Programable SMS and Voice calls, Mailgun - emails, wearable data APIs.
- Exposure to BI/reporting tools (PowerBI, BigQuery).
- Prior experience in Value-Based Care (VBC) programs or healthcare startups.
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