Senior Software Engineer - Technical Lead

Karoo Health

$120K — $145K *
US-AnywhereRemote in United States
Information Technology
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 4+ years experience leading small technical teams with deliverable responsibility
  • 6+ years in backend or full stack engineering, preferably in a startup
  • Familiarity with healthcare data regulations like HIPAA and HITRUST
  • Strong ability to communicate technical tasks from product requirements
  • Bachelor's degree in Computer Science, Software Engineering, or equivalent
  • Deep understanding of cloud platforms, especially AWS
  • Proficient in relational and NoSQL databases (e.g., PostgreSQL, MySQL, MongoDB)

Responsibilities

  • Lead and mentor the engineering team by setting technical direction
  • Orchestrate agile processes like standups and sprint planning
  • Craft clean, testable, and maintainable code with the team
  • Own software development from requirements to deployment
  • Architect and optimize databases for performance and reliability
  • Design scalable, secure cloud infrastructure using best practices
  • Ensure compliance with healthcare data regulations

Benefits

  • Competitive salary and equity in an early-stage startup
  • Define the technical solution from the ground up
  • Fully remote work environment with flexible hours
  • Health benefits and learning stipends
  • Collaborative and transparent company culture that values creativity
Full Job Description
Senior Software Engineer - Technical Lead

Job Description

Overview

Location: Pittsburgh preferred, or remote, U.S.-based

Type: Full-time technical leadership role

The Role

Karoo Health is seeking a skilled and dedicated Technical Leader to guide our core engineering efforts. In this role, you will maintain hands-on contribution while stepping up to lead a small team of software engineers. You will be responsible for setting technical direction, driving agile processes (daily standups, sprint planning, retrospectives), and fostering a high-performance culture.

In order to do this job well, you must be a curious, pragmatic problem solver and an empathetic technical leader. You strive to produce simple solutions to complex problems and know how to lead constructive technical discussions to guide your team toward the best path forward.

When applying, please include a description of why you're interested in this role.

What You'll Do
  • Lead and Mentor: Set technical direction, unblock developers, and drive continuous improvement.
  • Orchestrate Agile Processes: Facilitate daily standups, weekly sprint planning, backlog grooming, and team retrospectives to ensure predictable and timely delivery.
  • Execute: Craft clean, testable, and maintainable code in collaboration with the team.
  • Deliver: Own the software from requirements development through deployment and maintenance.
  • Operationalize Data: Architect, optimize, and maintain databases to ensure reliability and performance
  • Architect: Design and deploy scalable, secure, cloud infrastructure leveraging infrastructure-as-code best practices
  • Safeguard Data: Ensure compliance with healthcare data regulations (e.g., HIPAA, HITRUST)
What We're Looking For

  • At least 4 years of experience leading small technical teams with direct responsibility for deliverables.
  • Minimum 6 years of dedicated professional experience in backend or full stack engineering, ideally in a startup or fast-paced environment.
  • Experience with healthcare data regulations (e.g., HIPAA, HITRUST) and data formats (e.g. FHIR).
  • Strong communication skills with an ability to translate product requirements into technical task breakdowns.
  • Bachelor's degree in Computer Science, Software Engineering, or related field, or equivalent work experience.
  • Deep understanding of cloud platforms (AWS preferred) and cloud-native development.
  • Proficiency with relational and NoSQL databases (e.g., PostgreSQL, MySQL, MongoDB, DynamoDB) and API design (RESTful, GraphQL).
  • Proven capability in system architecture, scalability, security best practices, and CI/CD pipelines.
  • Must be legally authorized to work in the United States and not require employer sponsorship now or in the future.
Why Join Us
  • Competitive salary and equity in an early-stage startup
  • Opportunity to define the technical solution from the ground up
  • Possibly fully remote work environment with flexible hours
  • Health benefits, learning stipends, and professional development support
  • A collaborative and transparent company culture that values creativity and ownership


In the United States, compensation is determined by factors including location, role level, job-related skills, experience, and market conditions. Some positions may also be eligible for bonuses, equity, or other benefits. To learn more about Karoo Health's benefits, please contact our People Team.

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