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Fullstack Engineering

Head of Engineering

Remote — San Francisco, United States$250,000/year1 openings

About this role

Head of Engineering

Job Type: Full-Time
Location: Onsite – San Francisco, CA
Compensation: $250K base + 1.5% equity

Role Overview

Seeking a Head of Engineering to lead and collaborate closely with product, pharmacy, and clinical teams. This role requires a highly creative technical leader with strong product instincts and deep familiarity with modern AI tools, workflows, and rapid prototyping.

Must-Have Qualifications

  • Creative technical leadership — Strong product instincts and ability to guide ambitious projects.

  • AI expertise — Deep familiarity with modern AI tools, models, and prototyping.

  • AI-driven mindset — Uses AI as part of building, thinking, and shipping.

  • Team leadership — Experience leading engineering teams and building ambitious consumer products.

  • Hands-on approach — Comfortable across product, backend systems, data infrastructure, AI workflows, and internal tooling.

  • Quality judgment — Strong judgment around quality, speed, privacy, and reliability.

  • Healthcare interest — Excitement about healthcare, longevity, and building in regulated environments.

  • Onsite collaboration — Desire to work closely with the team onsite in San Francisco.

Key Responsibilities

  • Patient experience — Build systems for peptide discovery, clinical intake, prescriptions, subscriptions, fulfillment, and ongoing care.

  • Health data layer — Connect labs, medical history, prescriptions, symptoms, biometrics, wearables, and patient-reported outcomes.

  • Recommendation systems — Develop peptide and protocol recommendations with clinical oversight and safety guardrails.

  • Clinical tools — Create tools for chart review, patient communication, follow-ups, and protocol management.

  • Pharmacy software — Manage sourcing, testing, transparency, inventory, fulfillment, and quality systems.

  • Internal systems — Support both direct-to-consumer and B2B pharmacy/clinical platforms.

  • Engineering culture — Establish team, architecture, and culture to scale quickly while maintaining patient trust.

About the Organization

A healthcare-focused technology company reimagining how people access and manage their health. Combining a seamless consumer experience with a full-stack clinic, pharmacy, and patient communication layer, the organization makes high-quality care more accessible, trustworthy, and beautifully designed. Backed by leading investors, it moves quickly and believes the best health products should feel as polished as the best consumer apps.

  • Fully remote contract role open to candidates in San Francisco, United States.
  • Compensation: $250,000/year, paid in USD.
  • Vetted and managed by Recruitment Room — no placement fees for candidates.
  • Flexible hours; part-time and full-time engagements available.

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