Joseph Gefroh
SVP of Product & Engineering · HealthSherpa · Kirkland, Washington
Gefroh builds, scales, and stabilizes technical companies through product strategy, engineering leadership, AI-enablement, and disciplined operations.
Systems thinker. Builder. Operator.
Impact
- Scaled product and engineering operations at a regulated marketplace through 600% growth, expanding from 1 to 5 business lines while doubling per-contributor throughput.
- Scaled a healthtech's operations infrastructure from 150 to 5,200 RPS with 99.996% annual uptime, supporting 15 million enrollments.
- Redesigned a fundraising company's customer lifecycle around persistent team accounts, enabling upmarket enterprise expansion and $1b in fundraising.
- Rebuilt a pre-seed startup's failed flagship product in two weeks, preserving a company-critical launch for its sole customer.
Writing
View allHobbies
View allSimple to learn, expressive to use web-based paint tool for quick diagrams and markups.
Survive the zombie apocalypse in this intentionally paced shooter built with pure JavaScript and WebGL.
Battle across space with physics-based flight simulation, complex combat, and inertial-driven dogfights.
In the Wild
Case study featuring my work scaling HealthSherpa's infrastructure to handle massive traffic during health insurance enrollment periods.
Article I authored about engineering leadership and mentoring junior talent, cross-posted on EM Hub.
Featured as an industry expert discussing how Code Climate's Velocity platform helped reduce deployment cycle time from 120 to 48 hours.
Podcast appearance discussing strategies for scaling engineering teams.
About
Joseph Gefroh is a startup executive with 12+ years of experience scaling engineering and product at companies and building AI-enabled solutions.
He helps pre-seed to Series B companies build the operating discipline needed to accelerate product development, manage crises, and scale through rapid growth.
Gefroh currently serves as SVP of Product & Engineering at HealthSherpa. Previously he was Head of Engineering at Snap! Mobile, Head of Engineering at Jumpsuit Commerce, and Co-founder at hnl.io.