[Hiring] VP Engineering, CTO Track @Urrly

Role Description

Every day, pediatric physical, occupational, and speech therapists change children's lives—but their legacy software makes the job harder than it should be. As the first full-time technology executive—hired as VP of Engineering with a clear path to CTO—you'll lead that transformation end-to-end:

• Modern .NET services
• An accessible modern front-end
• HIPAA-grade cloud infrastructure
• AI-powered clinical features that free clinicians to focus on kids, not clicks

A note on confidentiality: Qualified candidates sign an NDA early in the process and receive full detail on the company, financials, and thesis directly from the CEO and the Brydon deal team.

Qualifications

• 8+ years of software engineering experience, including 4+ years leading teams as Director, Sr. Manager, or equivalent
• Hands-on expertise in the Microsoft .NET ecosystem
• Comfortable personally writing modern front-end code (React, Vue, or Angular)
• Experience in healthcare IT, digital health, or EHR/EMR software
• Experience shipping applied-AI product features (LLM/vendor integration)
• Player/coach leadership style
• Business fluency: budgets, metrics, and communicating decisions to executives and the Board

Requirements

• Lead the ground-up modernization of a mission-critical EHR and billing platform serving pediatric therapy practices
• Join at the start of an aggressive growth plan: the goal is to 10x the software business over five years
• Own the multi-year technology vision while remaining hands-on
• Work directly with a product-led CEO and a seasoned senior designer
• Shape engineering culture, hiring roadmap, and best practices from Day 1
• Build HIPAA-compliant AI features (ambient documentation, treatment-plan recommendations, smart scheduling)

What You Will Own

• Technology Strategy & Roadmap:
  • Define and socialize a phased modernization plan aligned to product, clinical, and business goals
  • Advise the CEO and Board on architecture, AI adoption, and cloud investment decisions
• Modernization & New Product Delivery:
  • Upgrade the legacy .NET platform and retire end-of-life dependencies
  • Replace embedded legacy UI with a WCAG 2.1 AA-compliant modern front-end
  • Launch companion mobile apps that improve clinician usability and patient workflow efficiency
  • Decompose services over time and move toward multi-tenant architecture
• Security & Compliance:
  • Own HIPAA Security Rule posture and drive SOC 2 Type II readiness
  • Bring security intuition to product and design decisions
• Data & AI:
  • Ship clinician-facing AI features by integrating best-in-class models and vendors
  • Champion AI-assisted development across the engineering organization
  • Lay the foundation for a data and analytics platform as the business scales
• Team Leadership & External Representation:
  • Mentor and grow the existing engineers into a high-performing team
  • Be a full-time, present leader for a team that's ready for one
  • Represent technology with customers, partners, auditors, and the Board

Nice to Have

• Pediatric therapy, EHR/EMR, or revenue-cycle/billing software experience
• Full legacy-modernization or re-platforming leadership
• Cloud/DevOps depth (Azure preferred)
• SOC 2 Type II audit ownership, ambient clinical NLP, or PE-backed scale-up experience

Location & Travel

• Remote within the United States
• Expect significant travel to the Southeast US hub during the first 6–12 months, ~20% travel thereafter

Compensation

• $225–275K OTE; Potential for Equity

Apply now and get a response within 24 hours.