CTO - Digital health

This is a founding CTO position - combined technical and product leadership. You join as the most senior person in engineering, reporting directly to the founders. A squad structure is already being assembled (App, Web, Backend, Subscription & Payment, Patient Experience), so you’re not starting from zero, but you are the one who shapes how it all comes together.

The founders want someone who walks in with a point of view. Not someone who asks what the org chart should look like - someone who tells them.

What you’ll do

• Own the technical roadmap and architecture decisions for a Python/FastAPI + React/TypeScript stack on GCP
• Lead and grow a cross-functional engineering team across multiple squads
• Take full ownership of GDPR, ISO 27001, security posture, and regulatory compliance
• Drive the transition from agency-built code to an in-house, documented, scalable platform
• Work closely with the founders on product strategy and prioritisation
• Hire and develop the engineers who will build the platform’s next chapter
• Stay hands-on - prototype, review, guide, and stay close enough to the code to make real calls

Do you have experience in TypeScript?, * Proven track record as a CTO, VP Engineering, or Head of Engineering at a scale-up or high-growth environment

• Hands-on builder DNA - you’ve coded in production and you’re still comfortable opening a repo
• Experience designing and shipping scalable backend architecture
• Strong track record hiring and leading engineering teams
• Compliance and security mindset - GDPR, ISO 27001, or regulated environments are familiar territory
• AI-native working style - you use AI tooling actively and know how to embed it in engineering teams
• Comfortable with ambiguity, fast pace, and making decisions without complete information
• Nice to have
• Experience with Python/FastAPI, React/TypeScript, GCP
• Background in e-commerce, logistics, fintech, or digital health
• Experience insourcing or replacing an agency-built codebase
• Dutch or strong English; Dutch market familiarity a plus

• base salary
• Equity participation
• Full ownership of technology and product - a genuine seat at the table
• A profitable, bootstrapped company with real European ambition
• Hybrid setup - Rotterdam office

Interested?

This profitable, bootstrapped healthtech scale-up operates an online pharmacy and telehealth platform across the Netherlands and Belgium, with active expansion into Germany and France. The platform serves thousands of patients and runs on a subscription-plus-delivery model - think logistics-grade operational complexity, with medical and regulatory requirements on top.

The company is around 100 people, the founding team is entrepreneurial and fast-moving, and the tech team is in the early stages of being built out. The previous CTO has stepped aside. The mandate is clear: take the platform in-house, build the team, and scale.