Note: The job is a remote job and is open to candidates in USA. Parsley Health is rebuilding primary care around root-cause, whole-person medicine through a mostly virtual medical practice and connected care platform. The Lead Engineer will lead a small engineering team while remaining deeply hands-on, owning technical direction, shipping full-stack product and platform work, and partnering with clinical and product teams to build reliable, scalable, and AI-enabled systems.
Responsibilities
- You will manage 1-2 full-time engineers and help coordinate work across 3-4 additional developers. You'll work directly with the CTO to define technical strategy, as well as the structure, clarity, and follow-through needed for the team to thrive. You will provide clear feedback, help prioritize work, unblock execution, and support a team environment where engineers understand what matters and can do their best work
- You are the most senior technical decision-maker on the team: you own architecture calls, take on the hardest problems yourself, and set the quality bar through your own code and design reviews
- You will design and ship meaningful product and platform work yourself — backend services, fullstack features, integrations, internal tools, and infrastructure improvements. Your output as an engineer is a core part of this role
- You will translate clinical and operational needs into practical technical plans, help scope work, and make smart tradeoffs around speed, quality, risk, and complexity
- You will use tools like Claude, Cursor, and other AI-assisted workflows to improve engineering speed and quality, while maintaining strong judgment around security, privacy, accuracy, and production risk
- You will help maintain and improve backend services, infrastructure, deploy hygiene, observability, production reliability, and architectural decision-making
Skills
- Strong full-stack engineering experience across backend services and modern frontend applications
- Experience as a tech lead who also managed people — or a staff-level IC who has mentored engineers, led projects end to end, and wants to add light management
- Comfort across Node, TypeScript, React, and Next.js
- Experience running or supporting production workloads on Kubernetes
- Strong product judgment and the ability to partner well with Product, Clinical, Design, Data, and Security
- Practical experience using AI-assisted engineering tools to move faster without lowering the quality bar
- A high bar for reliability, security, code quality, documentation, and what “done” means
- Comfort in a small, fast-moving environment where priorities can shift and the team needs people who can both lead and execute
- This role reports to the CTO and is remote by default. Because most of our team is based on the East Coast, we strongly prefer candidates in the Eastern or Central time zones who are comfortable working an Eastern time schedule. Candidates in the New York City area are especially well positioned, as they will have opportunities to work periodically from our office and collaborate in person with clinicians and senior leaders
- Strong backend experience in Go or Kotlin, with a preference for candidates who have worked in both
- Experience with cloud infrastructure in AWS or GCP, with a preference for GCP
- Experience in healthcare, digital health, clinical operations, regulated environments, or products that handle sensitive data
- Experience improving internal tools, clinical workflows, care team tooling, or operational systems
- Experience managing contractors or distributed engineering capacity
- Experience helping teams adopt AI tools, engineering standards, or development workflows
Benefits
- Equity stake for all employees based on role level
- 401(k) + employer matching program
- Hybrid opportunity with remote work and time on site at our NYC HQ
- Complimentary Parsley Health Complete Care membership
- Subsidized medical, dental, and vision insurance plan options
- Generous flexible time off plan
- Annual professional development stipend
- Annual wellness stipend
Company Overview
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