Head of Engineering

About Arul Health

Arul Health is building an agentic AI platform that helps patients and caregivers navigate chronic and serious illnesses. We turn the overwhelming logistics of complex care into concrete actions that actually get done.

We are backed by tier-1 healthcare VCs, Techstars, American Cancer Society, and Moderna with early revenue and active partnerships across pharma and major health systems. Our founder, a Harvard graduate who built Arul after interviewing 3,000\+ patients and caregivers, is assembling a talent-dense founding team, and we are looking for a true architectural heavyweight to serve as its technical backbone.

The Role

This is a high-ownership, principal-level position for a builder who wants to shape the technical architecture, the product experience, and the company culture. You will join a small, talent-dense team and be responsible for keeping it that way: owning end-to-end technical decisions, building alongside our founding engineer and offshore team, and establishing an uncompromising engineering bar that makes top-tier talent excited to join.

You will join as our Head of Engineering, with a massive trajectory to define our engineering culture and scale into a broader technical leadership role as we expand.

What You Will Do

• Architect the Foundation:

Own cross-system technical decisions across the entire stack: the application layer, high-scale data pipelines, cloud infrastructure, and the core LLM orchestration layer.

• Build Hands-On:

Ship production code, debug complex live issues, and ensure system stability while laying a zero-technical-debt groundwork for scale.

• Drive the AI Product:

Lead development of our agentic, LLM-centric product, with advanced agent orchestration built on frameworks like LangGraph and Google's Agent Development Kit (ADK) and rigorous, deterministic prompt engineering.

• Own the Product Experience:

Bring real product design sensibility. Translate deep patient insight into intuitive, polished UI/UX and hold a high bar for craft across the product.

• Secure the Platform:

Design and implement healthcare-grade security and compliance protocols, ensuring readiness for HIPAA, SOC 2, and enterprise-grade software standards from day one.

• Lead Technical Partnerships:

Act as the definitive technical authority with senior technical stakeholders at major health systems (e.g., Northwestern Medicine), navigating complex API integrations and security reviews.

• Build a Talent-Dense Team:

Mentor a small, fast-moving engineering team, unblock offshore resources, and own our technical hiring and interview processes, recruiting people who raise the bar.

What We Are Looking For

• Experience:

3-12 years of software engineering experience, with a proven track record of operating at a Staff or Principal level in a top-tier engineering organization.

• Full-Stack Expertise:

Proven end-to-end product development spanning frontend, backend, infrastructure, and security.

• Agentic AI Fluency:

Hands-on experience with agent frameworks such as LangGraph or Google's Agent Development Kit (ADK), LLM orchestration, and complex multi-agent systems.

• Product \& Design Sense:

Strong product design and UI/UX instincts. You sweat the details of the user experience and can take a feature from concept to something beautiful.

• Regulated Environments:

Experience building in healthcare or similarly complex, highly regulated environments (HIPAA / SOC 2 strongly preferred).

• Pedigree:

A background at an elite tech company, a strong healthcare product company, or a premier academic institution.

• Builder Mentality:

The strategic vision to set long-term technical direction, coupled with the grit to dive deep into the codebase and fix production issues directly.

• Cultural Add:

A natural mentor and intellectual force multiplier whom exceptional teammates are excited to learn from.

• Location:

Must be based in Boston, New York, or elsewhere on the East Coast.

Compensation \& Upside

Our package reflects a principal-level founding role, combining a meaningful base salary with significant equity to close the gap to full market rate as the company grows.

Why Arul Health?

• Real Traction:

Venture-backed, a Techstars × Northwestern Medicine graduate, early revenue, and active enterprise partnerships.

• Talent Density:

Work directly with a founding team of exceptional builders and shape who joins next.

• Genuine Ownership:

Build the technical foundation from the ground floor and capture massive leadership upside.

• Mission that Matters:

Radically simplify care navigation for patients and families facing chronic and serious illness.