CTO at Digital Health Startup at Alfie (W22)
$130k - $175k  •  1.00% - 3.00%
Democratizing access to precision weight loss medications
New York City / Remote (USA)
Any (new grads ok)
About Alfie

At Alfie, we've built a program based on the top research from places like Harvard and Stanford that allows us to precisely determine which weight loss medications will be most effective for our members in a multimodal approach. We're optimizing medications in complex care pathways like no one else has before.

Our program has been shown to be 2x more effective than standard prescription medication and 5x more effective than habit change alone.

We've raised seed capital from firms like Goodwater Capital, Nina Capital, and Pheonix Club, and various angels including the founder of OpenTrons (raised $200M from Softbank).

About the role
Skills: JavaScript, Google Cloud, SQL, Amazon Web Services (AWS)

What you'll be doing

  • Own end-to-end implementation of projects including initial scoping of features, design of product, architecture of the database, and development of the final deliverable
  • Work directly with customers, physicians, and health coaches to understand their needs and to inform product design decisions
  • Learn new skills and technologies (as required) to solve different engineering challenges while maintaining flexibility
  • Uphold security requirements and maintain compliance with HIPAA security regulations

What we're looking for

  • Change-makers passionate about revolutionizing the health care space
  • “Full-stack capable” engineer with 2+ years of experience as part of a development team
  • Familiar with JavaScript / TypeScript / Node.js
  • DevOps experience with Github / AWS / GCP
  • Ability to work with autonomy and innovate around problem requirements independently
  • Data-oriented and able to adapt on the fly to ambiguity
  • You love solving problems - taking on difficult challenges and providing creative solutions
  • You're comfortable working across a dynamic team with shifting priorities and project loads


  • Competitive salary and equity
    • Initial compensation based on qualifications and experience
    • Compensation will grow with individual and company performance
    • Value of equity will grow significantly with company performance
  • Health, dental, and vision insurance coverage
  • Unlimited time off policy

We are an equal opportunity employer that values and welcomes diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.


At Alfie, our goal is to deliver the most frictionless approach to care as possible. We do this through a combination of a mobile-web application interface and SMS interactions with users. We use technology across the stack including JavaScript, Python, TypeScript, GCP, AWS, Twilio, etc.

Interview Process

Introductory Call

We'll set up an initial 15 minute call to share more about the role with you and see if we're the right fit for each other from a first glance.


We'll ask you a combination of technical and non-technical problems (often regarding problems we've seen in our day to day operations) to get an understanding of your ability to solve key problems in our business.

As this is a CTO role, we do require some leetcode aspects as well to verify your abilities.

Portfolio Review

If you have current projects / a Github repo, we'll ask to review these to get a better sense of how you've previously delivered.

We'll move as fast as you do, with an average time to hire of under a week.

Other jobs at Alfie

fulltimeNew York City / Remote (USA)Full Stack$130k - $175k1.00% - 3.00%Any (new grads ok)

Hundreds of YC startups are hiring on Work at a Startup.

Sign up to see more ›