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Founding Full-Stack Engineer

Outro Health
CompanyOutro Health
CategoryEngineering
LocationNew York City
RemoteOn-site (inferred)
EmploymentNot stated
LevelNot stated
SalaryUSD 165k–220k
Posted26 Jun 2026
Last verified30 Jul 2026
SourceEmployer career page (ashby)
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Description
ABOUT OUTRO Outro Health https://outro.com/ is the first company dedicated to helping people feel better by using less medication, rather than more. Our flagship program, Taper Management, is a virtual care program that helps people safely taper off antidepressants and other psychiatric medications. It’s based on hyperbolic tapering, the first neurobiology-based method for stopping psychiatric medications. We’ve built the best team in deprescribing, led by our co-founder Dr. Mark Horowitz—the world-leading expert in the space. Dr. Horowitz wrote the textbook on deprescribing, and has helped update national guidelines in several countries. In our first year we've developed a first-of-its-kind care model, with meaningful revenue, healthy economics, and research partnerships with leading health systems and universities. The product team builds the software that care runs on — the systems that let a small clinical team taper patients safely and reach far more of them. The next phase is refining that model and scaling it. More on Outro here: - Our launch in WIRED https://www.wired.com/story/tapering-off-anti-depressants-outro-telehealth/ - Dr. Horowitz on NPR’s Science Friday https://www.sciencefriday.com/segments/ssri-antidepressant-withdrawal/ ABOUT THE ROLE We’re hiring a full-stack TypeScript engineer to join the team as engineer #2 at Outro. Our product surface is expanding fast, from a high-touch clinical service toward an integrated experience for patients, clinicians, and operations. You'll work directly with clinicians and operations staff to turn complex clinical workflows into thoughtful, reliable software. The work is varied, but it isn't scattered — almost everything we build is a way of capturing, reading, or acting on one question: what's happening with a patient's medication, and how are they responding? Part of the job is making sure those things add up to one clear picture of a patient, not data sitting in separate systems. Areas include: - Integrations — connect Outro to insurance and data platforms, to allow us to bill insurance broadly, scale care, and deliver better results to patients. - Clinical product — extend the custom tool our clinicians work in daily, e.g. integrating external services into it more deeply like patient-provider messaging, or developing AI tools to assist patient care. - Patient product — scope and ship patient-facing features, e.g. launching a new educational product, or working on our React Native app. - Operations support — continue development on the AI agents we’ve built for our operations team, or scope out data collection with academic research partners. - End-to-end ownership — carry features from design through deployment, monitoring, and iteration on real feedback. WHO YOU ARE - A TypeScript-focused product engineer who likes turning messy real-world systems into clear software. You've shipped solo — even if it was a side project with zero users — and you have enough visual taste to release a v1 that looks good. - Comfortable across the stack, but leaning backend or systems-minded. You care about data modeling and domain boundaries — in particular whether what we collect from different places (forms, messages, prescriptions, notes) ends up connected or scattered. You build software that absorbs complexity without becoming painful to maintain. - Good at resolving ambiguity. Hand you a vague problem and you'll talk to the right people, find the underlying need, propose a few solutions, write a clear spec, build a v1, and iterate. You thrive on ownership and don't need every requirement handed to you. - Excited by a broad surface. One season clinical workflows, the next patient education, insurance integrations, or research data. You pick up unfamiliar domains fast and use that understanding to make better calls. - Serious about AI tools, with opinions: where they help, where they're going, and how they chan
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