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Founding Principal Engineer


Job Location:

New York City, NY - USA

Monthly Salary: Not provided by the employer
Posted: 24 September 2026 (Yesterday)
Application Deadline: 22 December 2026
Vacancies: 1 Vacancy

Job Summary

Founding Principal Engineer HealthTech / AI

New York NY Hybrid 3 Days In-Office
$200K$250K Base 0.2%0.4% Equity Full-Time

GPF Staffing is recruiting a Founding Principal Engineer for a rapidly growing Series B healthcare technology company transforming pediatric mental health care.

This is a highly influential hands-on engineering role for an experienced builder who wants to work directly with the CEO own major technical decisions and establish the engineering foundation for a growing healthcare platform.

The company is transitioning from an offshore development model to a small high-caliber in-house engineering organization. The Founding Principal Engineer will play a central role in determining how the platform engineering practices and future team are built.

What Youll Do
  • Write production code and solve the companys most complex technical problems.
  • Own architecture across telehealth EHR integrations patient-facing dashboards and emerging AI capabilities.
  • Work directly with the CEO to translate clinical operational and growth objectives into technical solutions.
  • Make independent product and engineering decisions without relying on highly detailed PRDs.
  • Lead the technical transition from the existing offshore engineering team.
  • Establish engineering standards code-review processes development practices and quality expectations.
  • Drive responsible AI adoption across the organization to accelerate product development and internal capabilities.
  • Help establish and grow a small exceptional U.S.-based engineering organization over the next 612 months.
What Were Looking For
  • 6 years of professional software engineering experience.
  • Strong hands-on experience building and shipping complex production applications.
  • Previous experience in an early-stage or startup environment ideally working directly with founders or executive leadership.
  • Demonstrated ownership of technical and architectural decisions from concept through production.
  • Strong product mindset with the ability to make sound product decisions when requirements are not fully defined.
  • Comfortable operating with significant autonomy in a fast-moving environment.
  • Experience establishing engineering standards and improving development processes.
  • Strong communication skills and the ability to work across technical clinical operational and business teams.
  • Interest in applying AI to products engineering workflows and organizational processes.
Tech Stack

TypeScript React AWS

Compensation & Equity

Base Salary: $200000$250000
Equity: 0.2%0.4%

Location

New York NY Union Square

This is a hybrid position requiring candidates to work in-office three days per week. Candidates who are not currently located in New York should be willing to relocate.

Visa Sponsorship

The company is open to eligible visa transfers including H-1B transfers and qualifying OPT candidates.

Hiring

The company expects to hire 12 engineers for this opportunity.

This opportunity is best suited for a hands-on technical leader who still wants to build rather than someone looking for a primarily people-management role. Youll have the opportunity to influence architecture product direction engineering culture AI adoption and the development of the future engineering organization.