Lead Software Engineer
Pillexa

We’re seeking a product-minded Lead Engineer to lead and grow our engineering team as we scale our healthcare SaaS platform. This is a founder-style role — you’ll be responsible for owning the engineering function, driving strategy and execution, and partnering across the business to build high-quality, impactful products.
You’ll work directly with the founders and leadership team to shape product and technical direction. We're a fast-moving, mission-driven company with deep startup roots. If you’re excited about building in healthcare, owning your outcomes, and leading with vision and accountability, this role is for you.
You’ll be expected to work from the office most of the week, with the flexibility to work remotely when needed.
Responsibilities
- Lead and grow a high-performing engineering team, fostering a culture of ownership, collaboration, and product-thinking
- Partner cross-functionally with Product, Operations, Marketing, and Sales to understand workflows, identify pain points, and deliver high-impact features
- Own the complete engineering roadmap — from strategic planning and architecture to hands-on execution and scaling
- Contribute to the codebase, especially in the early days — using TypeScript, Node.js, React/Next.js, PostgreSQL, and Redis
- Guide technical decision-making and ensure high-quality engineering practices across the team
- Drive accountability and deliver measurable outcomes in support of business goals
- Set the tone for our engineering culture: pragmatic, fast, and focused on user and business impact
- Help shape hiring strategy and build a world-class technical team as we scale
Requirements
- 4–5+ years of professional experience as a software engineer, with at least 1–2 years in a leadership or ownership role
- Strong full-stack technical background — ideally with experience in TypeScript, Node.js, React/Next.js, PostgreSQL
- Demonstrated experience working on complex products, preferably in healthcare, SaaS, or with deep integrations
- Ability to break down tasks and own the project management tool with proper documentation and insights.
- You’ve either led engineering at an early-stage startup or have founder experience yourself
- Product-first mindset: you think about user value and business outcomes just as much as code
- Strong communication and collaboration skills — you can influence cross-functional teams and lead with clarity and empathy
Bonus Points
- Experience with healthcare or regulated industries (e.g., HIPAA, prescription workflows, audit logs)
- Experience with custom e-commerce frameworks
No agencies please.
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