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Engineering Lead - US Healthtech AI

Hiring from
Uruguay
Work type
Remote
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Remote, LATAM (Brazil, Uruguay, or elsewhere in LATAM)
Overlap with US Eastern Time
Full-time, long-term contract through GoGrow

The role

GoGrow is helping a fast-growing US healthtech company build its first engineering team in Latin America, and we need the founding lead. The client runs an AI platform for healthcare revenue cycle management (RCM), used by more than 10,000 providers. Its team is AI-native: most code is written with Claude, Cursor, and similar tools.

You’ll start hands-on, shipping production features. Then you’ll hire and lead a team that starts at 3–5 engineers and is planned to reach 15–25 within a year. The team will own a product area end to end, such as payer portal automation, payer policy tooling, or Voice AI. You’ll be dedicated to this client full-time and part of their engineering team, not working from a ticket queue.

What you’ll do

  • Design, build, and ship production features from day one

  • Own your area from architecture through production support

  • Hire, mentor, and grow your team, and set how it works

  • Scope and deliver predictably, working closely with US Product and Engineering

  • Keep the bar high on quality and security in a HIPAA-regulated environment

What we’re looking for

  • 10+ years building SaaS products across the full stack

  • Proven leadership as an EM or director, ideally having built a team from scratch, while still writing code

  • Strong experience with Python, React, TypeScript, AWS, Postgres, Snowflake

  • Fluent English and sustained experience working with US teams

  • An ownership mindset and the ability to deliver predictably

  • Nice to have: Healthtech or RCM experience (strongly preferred), and experience with payer integrations, RPA, LLMs, FastAPI, or LangChain.

What we offer

  • A founding leadership role with real ownership and room to grow

  • Fully remote, with a company-provided MacBook

Process

GoGrow intro call → screen with the client’s Head of Engineering → virtual onsite (coding, system design, leadership, culture fit)

We aim to have this role filled by the end of the year. Apply with your CV and a short note about a team you’ve built or led.

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