As engineer #2 at Outro Health, you will partner directly with the CTO to build a revolutionary health platform from scratch. You will own the full-stack architecture across patient-facing mobile apps, clinician portals, and pharmacy integrations. This is a rare opportunity to shape the engineering culture and product of a mission-driven NYC startup.
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Founding Engineer at Outro Health
Join Outro Health as a Founding Engineer and help solve one of the biggest challenges in modern mental health: safely tapering off antidepressants. As the second engineering hire at this seed-stage startup, you'll work directly with the CTO and world-renowned co-founder Dr. Mark Horowitz to architect a first-of-its-kind virtual clinic from the ground up. This is a high-impact, onsite NYC role for a builder who thrives in high-ambiguity environments and wants to ship mission-critical code. You'll shape the engineering culture, manage complex pharmacy integrations, and build AI-native tooling that directly improves health outcomes for millions of people globally.
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Location
New York City, United States
Compensation
Not Disclosed
Company
Outro Health
Role overview
Outro Health is a virtual, evidence-based antidepressant tapering clinic and platform that helps patients safely reduce and come off antidepressant medications under the guidance of expert clinicians.[1][5][8] The company focuses on personalized, medically supervised tapering plans that use a hyperbolic tapering method, where dose reductions become progressively smaller over time to minimize nervous system disruption and withdrawal symptoms.[1][2] Co-founded by world-leading deprescribing expert Dr. Mark Horowitz, Outro combines telehealth visits with clinicians, ongoing monitoring, and educational resources to create flexible tapering schedules tailored to each patient’s medication history, symptom profile, and goals.[1][2][5][8] The service currently specializes in taper management for antidepressant medications such as duloxetine, escitalopram, sertraline, and venlafaxine, aiming to provide a safer, more comfortable, and more affordable alternative to traditional approaches to stopping these drugs.[2][6][8]
What you will do
- Architect and build end-to-end features using TypeScript, Node.js, and Next.js, scaling the platform from its early stages to a robust production system.
- Develop and maintain cross-platform mobile experiences with React Native, ensuring seamless, medically-safe communication between patients and their specialized clinical teams.
- Collaborate directly with the founders in an onsite NYC environment to iterate on product requirements, pharmacy logistics, and internal operations tooling.
Who this is a fit for
- Proven experience as an early-stage or founding engineer (ideally #1-5) who has successfully built and scaled products from near-zero in high-ambiguity environments.
- Deep technical proficiency across the modern TypeScript stack, including React, Node.js, and GCP, with a preference for candidates from the health-tech sector.
- Strong bias for action and local presence in NYC, ready to work onsite 5 days a week in a fast-paced, collaborative startup setting.
Why this role is remarkable
- Join as the second engineer, gaining significant influence over the technical architecture, product direction, and foundational engineering culture from day one.
- Work on a deeply impactful product co-founded by Dr. Mark Horowitz, a leading global authority on deprescribing and co-author of the Maudsley Guidelines.
- Tackle high-complexity engineering challenges including pharmacy integrations, AI-native clinician workflows, and high-stakes patient-facing mobile experiences in an underserved medical niche.
How Jack & Jill work together
I get to know what you’re great at, then find roles you’d never find yourself.Ok, I'll go first. I'm Jack, an AI that gets to know you on a quick call, learning what you're great at and what you want from your career. Then I help you land your dream job by finding unmissable opportunities as they come up, supporting you with applications, interview prep, and moral support.
I recruit from Jack’s network and make the intro when I spot a great match.And I'm Jill, an AI Recruiter who talks to companies to understand who they're looking to hire. Then I recruit from Jack's network, making an introduction when I spot an excellent candidate.
Jack gets to know what you're great at and what you want next, then searches 15 million jobs daily and helps you discover roles at companies like this.
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What happens next?
Jack’s an AI agent for job searching and career coaching. He works for you.
Jill is the AI recruiter working for the company. She recruits from Jack’s network.
If your profile’s a match and Outro Health wants to meet, Jill will make the intro. In the meantime, Jack will send you excellent alternatives.