This is an early stage startup, and they are very clear in describing that. I also like the clarity in their business model. And the conciseness. In 2 sentences they've told me everything I need to know. The founding team is also exceptionally on point. What I read into all this is that they are good to great at execution, at communication, and very well versed in the problem space. There aren't all that many medical doctor, strong compsci, startup founders.
The money on offer is very much on par with this kind of position at this size of company. I have to believe that the equity will also be respectable. Surely, they will find out soon enough.
I also think it's admirable that a company of this size isn't just winging it with security. I don't work in the space, but having been adjacent I can tell you that even in the healthcare startup space, few are treating security properly. (Hence the HIPAA in a box startups! Some occasionally advertised here on HN. I see far more ads for such startups than actual medical data processors hiring for security internally.)
I very much understand where the cynical take is coming from, but I think it's unfair. Security should be a core competency of such a company and they are trying to make it so. That's to be applauded not scorned.
> making healthcare costs lower
That's a laugh. Any cost cutting in billing function will absolutely not translate to lower patient costs. It's highly attractive for hospital and group provider profits of course!
This company is possessed of the rare and wonderful opportunity to take feedback to heart and show that they do indeed understand the importance of security. They can do that by doing something different from the security-team-in-one-person JDs that we security specialists see a dozen times a month. They all want netadmin, cloud admin, compliance, policy, governance, patching, software architecture, and IR in a single engineer's role, authority, and paycheck. Fortunately, a company with four years of runway can afford to take a better approach!
Thank you for bringing optimism and hope to HN. It's often in short supply. That's to be applauded.
The 4 years runway feels like a lie to me. Certainly they mean, if we don't grow and don't hire. Startups should be running out of money as fast as they can, not slowly eroding. I am not faulting them for that statement though. It is what it is. A well versed candidate will understand that.
I do believe that a single person can fill the role, at this stage of a company. That person is obviously (?) going to outsource some of the work, not handle it directly. Their job is to see that the task is done, not necessarily to do it.
Did your friend's startup did make it to an exit? Or to the next round of financing even?
If you got the level of skills this position wants... you'll have plenty of places to go.