Product & Engineering
Fractional CTO & Lead Engineer
Design the architecture and lead the build for the next generation of Family Room.
Family Room runs on two technical solutions today. The first is a validated, Epic-integrated build (Vue and C#) now in a live clinical trial at Nebraska Medicine, where family caregivers complete care check-ins that show up for the nursing team on a flowsheet. The second is an enterprise WordPress web app that gathers caregiver assessments and delivers tailored tips and guides; it’s live in another major health system and stays our commercial product until something better is ready to replace it. With Phase II STTR funding on the horizon, we’re ready to take what we’ve learned over the last two years and build the next iteration of the platform.
You’d be our first in-house technical partner, and the person who decides, with us, what that platform becomes. You own the roadmap, the architecture, our integration strategy, and the day-to-day of the build. Your operating thesis is nimbleness: one codebase, many configurations, deployable across a single unit, a whole hospital, or an entire health system. It’s a lean, part-time seat now, positioned first in line for the full-time CTO role as our revenue and depth grow. We’d build toward that together rather than promise it up front.
What you’ll own
- Architecture and roadmap: through a human-centered design process, make the calls that let one system scale cleanly across many customers and configurations.
- The current commercial product: advise on it, support new implementations, and decide when and how to sunset it as the next-generation platform comes online.
- Content management: choose the system that lets non-engineers author, configure, and deploy content per unit, hospital, and health system without an engineering rebuild each time.
- The data and analytics engine: decide what we capture, build the pipeline, and feed real-time recommendations and leadership dashboards.
- DevOps, security, and compliance: CI/CD, environments, and multi-tenant deployment, rigorous where the product demands it and deliberately simple everywhere else.
- Integration strategy: how the product connects to the systems customers already run, in our case EHRs via Epic and FHIR.
- The build itself: direct a lean network of development partners and AI-assisted engineering with clear scopes and honest velocity, and leave a repeatable playbook behind.
What we’re looking for
- A staff or principal-level architect who still ships, has built scalable multi-tenant systems, and has strong opinions about when not to build.
- Fluent in AI-assisted development, with the judgment to review what the agents produce.
- Strong on the systems layer: data pipelines, CI/CD, and secure deployment.
- Comfortable working shoulder to shoulder with design, clinical, and business partners, and translating technical trade-offs into terms everyone can act on.
- Experience in a regulated data environment. Healthcare data exchange (FHIR, HL7, EHR integration) is core to our work, or you can master a comparable domain fast.
Your first 90 days
- Weeks 1–2: absorb the strategy, the codebases, the early usage data, and the partner history. Ask everything.
- Weeks 2–4: map the technical current state with Greg, convene partners around explicit roles, and define the product/build seam in writing.
- Weeks 4–8: take part in a structured teardown of what exists, and commit to a direction backed by real evidence.
- By month 3: a build plan locked and underway, with milestones mapped to sprints.
How to apply
Tell us what caught your interest.
Skip the resume and cover letter. Instead, send us three things:
- A few recent examples of relevant work or projects.
- A link to your LinkedIn.
- A short note on what caught your interest in this particular role.
We read every one.
A note from Bre & Greg
Family Room started with a simple conviction: that the people at the bedside — families, nurses, and patients — deserve to feel supported, and that caring for them well is its own kind of healing.
We're looking for big-hearted, hard-working people to build that with us, and we take seriously what we owe you in return. A real sense of shared purpose. The autonomy to do your best work. The space to create something you're genuinely proud of. Our goal was never just to build a sustainable company; it's to build sustainable lives alongside it, so we can keep making meaningful things together for a long time. Stay close to purpose, and we've found the healing tends to follow.
Where we are
Bre and Greg have spent the last two and a half years exploring the caregiver experience in critical care, with funding from the NIH and the Betty Irene Moore Foundation. What began as research is now a working model of care, live in real ICUs. Today we're running a clinical trial across five ICUs at Nebraska Medicine and a research partnership with Intermountain Health across two more hospitals. We're still a small team, and honestly, that's the opportunity. The next evolution of this work is genuinely unwritten, and there's a lot of it to shape: the technology, the clinical care, the research, the training, the physical environment of the unit, and the full model of care that ties them all together. Whoever joins us now helps decide what it becomes.
How we work
We'll be honest about the stage we're at. This is early, ambitious work in one of the most complex environments there is, which means a lot is still uncertain, and some of it will stay that way for a while. We don't treat that as something to apologize for. It's the real texture of the work, and it's exactly why one of our core values is Follow the Brush: embrace the unknown, lean into complexity, and trust your intuition when the path isn't obvious yet. We try to be mindful disruptors, pushing hard on what's broken in healthcare while staying part of the solution instead of shouting from the sidelines. And because the work can be heavy, we choose joy on purpose. We make room for play and rest, we slow down to speed up, and we bring our whole, authentic selves to it.