About the Role

We’re building a mission-driven healthtech platform focused on improving access to pediatric therapy for neurodiverse children while removing administrative burden for therapists. This is a founding CTO role for someone who wants to build from zero, make architectural decisions that matter, and help shape the company at the earliest stage.

The role can be performed fully remotely, but we prefer candidates based in Southern California to allow for occasional in-person collaboration. We’re looking for an experienced, hands-on engineer who is excited to work in ambiguity, move fast, and build something meaningful that has real-world impact on families and clinicians.

What You’ll Do

  • Take ownership of an early MVP and scale it into a production-grade platform
  • Build and iterate on a HIPAA compliant marketplace platform
  • Design and implement backend systems for scheduling, messaging, payments, and document handling
  • Leverage AI thoughtfully to improve workflows (scheduling, documentation, automation)
  • Work closely with founders on product decisions, roadmap, and technical tradeoffs
  • Establish engineering best practices (security, scalability, CI/CD)
  • Prepare the platform for future growth, compliance, and fundraising diligence

Required Experience:

  • Strong experience building production-grade applications end-to-end
  • Deep proficiency with modern JavaScript/TypeScript ecosystems
  • Hands-on experience with:
    • React / Next.js
    • React Native (Expo preferred)
    • Backend-as-a-Service or Postgres-backed systems
  • Strong understanding of API design, authentication, and data modeling
  • Experience integrating third-party services (payments, messaging, auth)
  • Ability to think longterm and outside the box

Preferred Experience:

  • Experience building HIPAA-compliant or healthcare-adjacent applications
  • Experience building marketplace platforms
  • Startup or early-stage company experience
  • Familiarity with:
    • Supabase (Postgres, Auth, Storage, Edge Functions)
    • Stripe
    • StreamChat
    • Vercel
    • GitHub + CI/CD workflows
  • Experience applying AI to real workflows

Compensation & Structure

  • This is an equity-first role
  • Cash compensation will be limited or deferred initially
  • Significant ownership and long-term upside
  • Founder-level influence over product, architecture, and company direction

If you care about:

  • Building something great
  • Owning what you build
  • Turning ambiguity into execution
  • Solving problems

We’d love to talk.

Seniority level

Executive

Employment type

Full-time

Job function

Information Technology

Industries

Technology, Information and Internet

About Patch Therapy, Inc.

Patch is a mission-driven healthtech platform focused on improving access to pediatric therapy while removing the administrative burden that prevents therapists from doing their best work. Patch is the first marketplace built specifically for pediatric therapists, including speech therapy, occupational therapy, and physical therapy. Built by practicing pediatric therapists, Patch connects families directly with trusted providers while giving therapists the tools to manage scheduling, communication, documentation, and payments all in one place. Our goal is to make care more accessible for families and practice management simpler for clinicians.

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