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# CTO - Digital health

- **Company:** Haystack People
- **Location:** Rotterdam, Netherlands
- **Contract:** Permanent contract
- **Skills:** Artificial Intelligence, EHealth, Python (Programming Language), TypeScript, ReactJS, Backend, Fastapi
- **Published:** June 12, 2026
- **Apply:** https://nl.indeed.com/viewjob?jk=52b81cf8dc3af357

## About the Role

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

## Description

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


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