Senior Product Engineer

PrimaryMD is a concierge medical practice combining primary care, urgent care, and longevity medicine. The Senior Product Engineer will own the technology platform end to end, building tools for care teams and members, AI-enabled workflows, and connected health data capabilities.

Responsibilities:

• The operating system for our care teams. Our physicians, care coordinators, and medical assistants run their day on our platform: tasks, care plans, scheduling, and referrals. Make it the best clinical software they have ever used. Picture every coordinator starting the day with one brief that shows every member who needs something, and why
• The member experience. Between visits, members should feel their care team is right there with them. Build what they open every week: their results in context, their wearable data, their plan, and an easy way to reach the people who know them
• AI that carries real work. Agents that track every referral until the appointment is booked and the notes are back, triage the inbox, and draft documentation, so our team spends its time with members. Physicians stay in the loop: anything clinical ships with their sign-off
• Data that becomes clarity. EHR, labs, wearables, and biomarkers, connected, clean, and secure. Surface what deserves a physician's attention. When a member's sleep and resting heart rate shift for two weeks, their physician should know before the member thinks to mention it
• The whole loop. Talk to the people using it, decide what matters, design it, build it, ship it, and keep it running. Uptime, security, and patient privacy are yours as much as features are

Requirements:

• A track record of shipping and maintaining production software that real people use
• Full-stack range: data model, backend, frontend, integrations, and deployment
• You can take an idea to production on your own
• AI at the center of how you build
• You work with coding agents (Claude Code, Codex, or similar) every day, you have a system for getting production-quality output from them, and you can show us
• Strong product judgment
• You figure out what to build by talking to users, and you care how it feels to use
• Ownership
• You see a problem, make the call, and ship without waiting for a spec
• The ability to teach
• Experience in healthcare or health tech, or a real passion for it
• Experience with HIPAA, patient data, and healthcare systems (EHRs, labs, wearables)
• You've founded a company
• If you've built and exited, and you miss seeing your work in real people's hands every day, this seat was made for you
• Based in New York City