Technology Lead

Job Description

Toast is recruiting on behalf of a healthcare technology company operating at the intersection of AI and patient engagement. The company is a growth-stage startup building intelligent automation products for healthcare organizations, with a particular focus on contact center modernization and operational efficiency. Their engineering team is small but technically deep, and they are at a stage where the architecture decisions being made today will shape the platform for years to come. This is a foundational technical leadership hire.
 

Responsibilities

 

• Lead the end-to-end technical architecture of the platform, spanning backend services, data infrastructure, AI-enabled workflows, and frontend delivery.
• Manage and mentor a software development team across backend, full stack, data, and DevOps disciplines through hands-on code review, architectural guidance, and clear engineering standards.
• Own key architectural decisions including technology selection, system design, and integration patterns, with documented rationale and a clear view of long-term consequences.
• Drive engineering planning in close collaboration with product leadership by decomposing roadmap items into sound technical designs, surfacing risks early, and holding the team accountable to quality.
• Establish observability, reliability, and security practices as embedded engineering culture rather than periodic audits.
• Represent engineering in business and client conversations where technical credibility is required, including architecture reviews, compliance discussions, and enterprise onboarding.
• Recruit and interview senior engineering candidates, with a strong instinct for identifying genuine technical depth.

 

Requirements

 

• 8 or more years of software engineering experience, with at least 3 years in a senior or technical lead capacity owning architecture and delivery.
• Strong platform engineering background with proven experience building and operating complex distributed systems.
• Deep experience with Python-based backend systems and cloud infrastructure, with Azure experience preferred.
• Hands-on experience with AI and ML adjacent infrastructure including RAG pipelines, vector stores, and agent orchestration.
• Experience designing systems under compliance-heavy constraints such as healthcare, financial, or similar regulated environments, with attention to security, auditability, and data residency.
• A track record of setting and maintaining engineering standards that teams actually follow.
• Strong communication skills with both technical and non-technical stakeholders.
• Comfort operating in a fast-moving, early-stage environment where priorities evolve.
• Experience with security and compliance frameworks such as OWASP and SOC 2 practices is an asset, as is prior experience with Graph databases and Neo4j.

 

Benefits

 

• Competitive base salary reflective of a technical leadership role at a well-funded growth-stage company.
• Equity participation with meaningful upside as the company scales.
• Comprehensive benefits package including health, dental, and vision coverage.
• Direct report to the CEO with full authority to shape the technical direction of the platform from the ground up.
• Work on a product with tangible patient impact, deploying AI to improve how people experience healthcare at critical moments.
• High visibility in a small team where your contributions are immediately felt across the organization.
• The decisions you make now will have lasting consequences on both the product and the people it serves.