Engineering Leader, Value Based Care Stealth Startup

Engineering Leader

About Bedrock Talent

At Bedrock Talent, we're intentional about the companies we represent.

We don't partner with every startup that comes our way. We work with founders we'd be excited to work for ourselves, companies solving meaningful problems, and teams we genuinely believe have the potential to build category-defining businesses.

This is one of those companies.

About the Company

Our client is a well-funded, seed-stage healthcare technology startup building AI-powered infrastructure to modernize how healthcare organizations coordinate care and administer benefits for some of the country's most vulnerable patient populations.

They're tackling an incredibly complex operational challenge at the intersection of healthcare, data, and AI—replacing fragmented workflows with intelligent software that helps ensure patients receive the services they're entitled to while reducing administrative burden for care teams.

The founding team combines deep healthcare domain expertise with experience building and scaling technology companies. They're thoughtful builders, customer-obsessed, and intentionally creating a culture centered around ownership, collaboration, and craftsmanship.

Because the company is still in its earliest stages, we're conducting this search confidentially.

The Opportunity

We're looking for an Engineering Leader to set the technical direction and build the engineering function as the company grows.

You'll work closely with the founders to turn the company's product vision into a reliable, scalable platform. You'll guide architecture and engineering decisions, lead a small team, and help shape how the company hires, builds, and delivers software.

This is a hands-on leadership role. You'll stay close to the product and technical work while creating the clarity, standards, and team structure needed to scale.

Before You Apply

Rather than bury the important details in a long job description, here are the things that usually determine whether someone gets excited about this opportunity—or realizes it probably isn't the right fit.

You'll Lead and Build the Engineering Function

You'll help define the technical strategy, engineering practices, and team structure that will support the company as it grows.

The role calls for someone who can set a direction, make sound tradeoffs, and bring a team along—while staying close enough to the work to help solve important technical problems.

Meaningful Work

The product directly supports healthcare organizations serving aging and medically complex populations.

The systems you lead will help reduce administrative burden, improve care coordination, and help people receive critical services more efficiently.

It's infrastructure—but infrastructure with a very human impact.

AI Is Core to the Product

This isn't a company trying to bolt AI onto an existing product.

AI is foundational to how the platform operates. You'll guide the development of LLM-powered workflows, automation, and software built around large healthcare datasets, helping define what modern AI-native healthcare software looks like.

Build Alongside the Founders

You'll work closely with the founders on product strategy and technical direction.

Your perspective will help shape the architecture, engineering culture, hiring plan, and development approach as the company grows.

Exceptional Founders

I've spent more than a decade recruiting for startups and have worked with hundreds of founders.

Every once in a while, you meet a team that simply has what I call good bones.

They're ambitious without ego, deeply thoughtful about what they're building, and genuinely care about creating a company where exceptional people can do the best work of their careers.

That's why Bedrock Talent chose to partner with them.

What You'll Do

• Set technical direction and guide architecture across backend systems, APIs, databases, and cloud infrastructure.

• Lead the design and delivery of customer-facing product features, staying hands-on where it matters.

• Build event-driven systems and scalable data pipelines.

• Guide the development of AI-powered workflows using modern LLM technologies.

• Ensure systems are reliable, secure, and designed to handle sensitive healthcare data.

• Partner with the founders and product stakeholders to turn business goals into a clear technical roadmap.

• Establish engineering practices that support quality, collaboration, and steady delivery.

• Hire, coach, and develop engineers as the company grows.

• Build an engineering culture that values ownership, thoughtful communication, and strong execution.

Tech Stack

• Python

• Serverless architecture

• Large Language Models (LLMs)

We're Looking For Someone Who...

• Has 7+ years of experience building production software, including experience leading engineers or engineering teams.

• Has strong backend engineering and data systems experience.

• Has built cloud-native systems in AWS.

• Can set technical direction while remaining comfortable getting into the details.

• Has a track record of delivering customer-facing products, not just infrastructure.

• Can make thoughtful architecture and prioritization decisions in a fast-moving environment.

• Already incorporates AI tools into their development workflow and understands how to build AI-enabled products.

• Has experience with healthcare systems or other highly regulated environments.

• Thrives in ambiguity and enjoys helping a company grow from zero to one.

This Role Is Probably a Great Fit If...

• You want to shape the engineering direction of a mission-driven startup.

• You're energized by building a team and creating clarity as the company grows.

• You enjoy solving difficult technical problems with real-world impact.

• You care deeply about engineering quality while still moving quickly.

• You want meaningful equity and the opportunity to help build something lasting.

This Role Probably Isn't the Right Fit If...

• You prefer large engineering organizations with established processes and layers of management.

• You want to focus exclusively on people management and stay far from technical decisions.

• You enjoy specializing in one narrow area of engineering.

• You're looking for highly structured product roadmaps and clearly defined requirements.

• You'd rather optimize an existing platform than help build and scale one.

Why This Role?

Engineering leadership opportunities at this stage don't come around often.

The combination of exceptional founders, a meaningful healthcare mission, AI-native product development, and the chance to shape a growing engineering organization is rare.

If reading this made you think, "This is exactly the kind of company I've been hoping to help build," we'd love to connect.