As the senior engineering leader at Outro Health, you will take primary ownership of the production software and technical foundation. You’ll build clinician tools, patient-facing products, and critical healthcare integrations while ensuring system reliability and security. This deeply hands-on role is designed to evolve into Head of Engineering as you scale a high-performing team.
Lead Engineer at Outro Health
Outro Health is looking for a Lead Engineer to take primary ownership of the technical foundation for the first platform dedicated to safe psychiatric medication tapering. Working alongside world-renowned clinical experts, you will build mission-critical systems that directly impact patient safety and care. This is a deeply hands-on role with a direct path to Head of Engineering as the company scales. If you are a Senior or Staff Engineer with expert TypeScript skills and a desire to lead a small, high-performing engineering organization in a mission-driven startup, apply today to join us in New York or remotely.
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Location
New York City, United States / Remote
Compensation
$165k-$220k + Equity
Company
Outro Health
Role overview
Outro Health is a virtual, evidence-based antidepressant tapering clinic and platform that helps patients safely reduce and come off antidepressant medications under the guidance of expert clinicians.[1][5][8] The company focuses on personalized, medically supervised tapering plans that use a hyperbolic tapering method, where dose reductions become progressively smaller over time to minimize nervous system disruption and withdrawal symptoms.[1][2] Co-founded by world-leading deprescribing expert Dr. Mark Horowitz, Outro combines telehealth visits with clinicians, ongoing monitoring, and educational resources to create flexible tapering schedules tailored to each patient’s medication history, symptom profile, and goals.[1][2][5][8] The service currently specializes in taper management for antidepressant medications such as duloxetine, escitalopram, sertraline, and venlafaxine, aiming to provide a safer, more comfortable, and more affordable alternative to traditional approaches to stopping these drugs.[2][6][8]
What you will do
- Design, build, and operate robust production systems using TypeScript, Node.js, and Next.js for both patient-facing apps and internal clinical tools.
- Architect and maintain critical infrastructure, ensuring high standards for reliability, security, and HIPAA compliance to protect sensitive patient medication data.
- Partner with the Product Lead and clinicians to shape technical strategy, translating complex clinical workflows into elegant, scalable, and safe software solutions.
Who this is a fit for
- Extensive experience shipping and operating substantial production systems as a Senior or Staff Engineer, with high standards for reliability where software affects patient care.
- Expert-level proficiency in TypeScript, React, and Node.js, with strong judgment in data modeling, system architecture, and cloud infrastructure using GCP and Terraform.
- Demonstrated product instinct and experience leveraging AI tools like Claude and Cursor to accelerate development while maintaining long-term system coherence and quality.
Why this role is remarkable
- Direct career path to Head of Engineering, taking over primary technical ownership from the founding engineer to build and lead a small, excellent engineering organization.
- Work at the intersection of clinical excellence and technology, collaborating with global experts to solve the massive, neglected challenge of safe medication deprescribing.
- High-impact technical ownership across clinician tools, patient products, and data infrastructure within a startup that has achieved real revenue and healthy economics in its first year.
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