• At least 8 years building and shipping production software, including setting the technical direction for a system multiple teams depend on and seeing it through to adoption.
• You decide which problems are worth solving. You work with users and stakeholders to frame broad goals, negotiate scope, and push back when a requirement works against the outcome.
• You design for where the product is going, not just the next feature. You weigh alternatives and failure modes across systems, know when an existing design needs to be replaced, and still reach for the simplest path there.
• You raise the bar for the whole team. You spot the failures that keep coming back, fix the patterns behind them, and mentor engineers into owning bigger work.
• You push coding agents to their limits, hold their code to the same bar as your own, and turn what you learn into practices the whole team uses.

You Don't Need

Healthcare experience. We'll teach you the domain. You also don't need a PM background, experience building for planet-scale traffic, or management experience.

How We Work

We start simple and add complexity when we have a reason to. We care a lot about getting things right, because a dropped request here means a patient waits longer for their medication, and we handle protected health information every day. Engineers own their work from the first customer conversation through launch and after. The people who do well here push hard, take feedback well, and ask a lot of questions.

What We Offer

• 250K–300K base plus meaningful early-stage equity
• Medical, dental, and vision. We pay 100% of your premiums and 50% for dependents
• 401(k) with a 4% match
• Up to 12 weeks of fully paid parental leave, starting from your first day
• Flexible PTO and all major holidays
• A high-end workstation and budget for the AI tools you want to use
• A $5K relocation bonus

Visa sponsorship will be considered on a case-by-case basis. As an early-stage company, our ability to provide immigration support depends on the role, applicable immigration requirements, anticipated costs, and timing. Support is subject to review by immigration counsel and company approval. At this time we do not support new H1-B visas for candidates outside the United States.

Interviewing With Us

There are three steps: a recruiter call, an engineering skills screen built around a realistic problem instead of trivia, and an onsite at one of our Bay Area offices. The whole process usually takes about two weeks, and we'll get back to you within a day after each step.

Develop Health is an equal opportunity employer and welcomes applicants of every background.

Compensation: $250K - $300K