How Teladoc Health, a NYSE-Listed HealthTech, Built a 25-Engineer Team in 8 Months

  • Eastern Europe
  • Engineering Infrastructure Setup
  • Hard-to-Find Tech Skills
  • High-Volume Hiring
  • Public Company
HQ
New York, NY, USA
Company size
5,000-10,000
Funding raised
$180M IPO (2015); Public (NYSE: TDOC)
Lead investors
Pre-IPO: New Capital Partners, Kleiner Perkins, Icon Ventures, Trident Capital, HLM Venture Partners, Cardinal Partners
Team location
Eastern Europe
Cooperation time
since 2021
Product
Virtual care services and technology for health plans, employers, health systems and consumers
Notable clients
Aetna, CVS Health, UnitedHealthcare, Blue Shield of California, Highmark, Centene, Mount Sinai

Teladoc Health is a US-based virtual care company, listed on the NYSE since 2015, that delivers telehealth visits, mental health therapy, chronic condition management and expert medical opinions. It works with health plans, employers, providers, health systems and consumers across the US, Europe, the UK, Canada and Australia – 12,000+ client organizations, a network of 40,000+ clinicians and more than 17 million visits a year. Every product it ships handles protected health information, which puts its engineering work inside one of the most heavily regulated data environments in software.

Issue

In October 2021, Teladoc Health set out to build an engineering team in Ukraine. It started with four roles – a Ruby tech lead, a lead frontend engineer, a senior PHP backend developer, a senior business analyst – but they sat on top of a healthcare product, and that decided what kind of partner could do it.

Engineers on this team would have access to patients’ personal data, and the processing of that data is tightly regulated. That made compliance a selection criterion rather than a box to tick after signing – the contracting model had to be right from the first hire, not improvised and corrected later. The providers Teladoc looked at sold that compliance in bundles. Teladoc’s own assessment at the time was blunt: they were forced to pay for things they did not wish to pay for, with no option to take only the services they needed.

Then there was the hiring. As more roles opened, they landed in an unusual combination – Ruby, Scala, and Android stacks plus healthcare domain requirements: FHIR on the Scala work, HIPAA or HITRUST on the management roles. Roles like these don’t fill from an inbound pipeline. They have to be sourced.

One partner had to do both.

Solution:

Teladoc partnered with Alcor to run both halves: sourcing the engineers and contracting them. Recruitment isn’t part of a standard COR offering – that combination is why Teladoc chose Alcor.

Alcor’s tech recruiters built the pipelines as the team grew from four roles to 25 specialists, and the searches that closed, closed fast – the Senior Scala Engineer who took the job was in the pipeline the day the role opened, the Senior Business Analyst the day after. Quality showed up in what Teladoc did with the shortlists: one search opened as a Senior QA Engineer role, and after interviewing the first candidate Alcor presented, the hiring manager created a QA Engineering Manager position instead – the fit was stronger than the role that had been scoped.

The legal track ran in parallel. A Contractor of Record model: specialists engaged as registered Ukrainian sole proprietors, contractor agreements and worker classification settled, Ukrainian tax law consulting running continuously – including through martial law. Teladoc added engineers in a new country without adding an entity to its corporate structure. Operations followed the team as it grew: standardized hardware for every specialist, confirmation letters for visas and banking, payroll split into parallel cycles across Teladoc’s internal engineering teams with individual payslips and per-cost-center invoicing.

And what Teladoc didn’t choose, it was never billed for – which settled the question that had stalled the search in the first place.

RESULTS:

25 top-tier engineers in 8 months
Senior Scala, Ruby and Android engineers, QA and Business Analysts – hired, onboarded and working on Teladoc’s healthcare platform inside the first year, with 96% clearing probation.
Compliant contractor structure
Alcor built and ran Teladoc’s Contractor of Record setup in Ukraine – worker classification, contractor agreements, payroll and continuous guidance on local tax law and martial law. Teladoc added engineers in a regulated data environment without building local employment infrastructure of its own.
Teladoc's engineers, under Teladoc's leadership
The specialists Alcor sourced worked under Teladoc’s own engineering leadership in Ukraine, split across four internal engineering teams with separate cost centers. Alcor handled the contracting and operations; the technical work and the people stayed Teladoc’s.
A team the US side could work with
Teladoc’s US engineers were satisfied with the quality of the work and with the team’s flexibility on working hours – which mattered most on the roles that needed regular overlap with the US.
The right candidate in the first batch
The engineer who became Teladoc’s Senior Scala Engineer was in the pipeline the day the role opened; the Senior Business Analyst, the day after. For one senior QA opening, the hiring manager met the first candidate Alcor presented and created a QA Engineering Manager role instead – the fit was stronger than the role that had been scoped.
Engineers who grew into the organization
One Business Analyst became the Hiring Manager for further BA and product hires, driving the design and delivery of key product initiatives. A Ruby engineer is now a Development Team Lead. Every engineer currently on the team has been there 4+ years.
Hired experts in:
FHIR Ruby on Rails Scala Play Spark Kafka gRPC Kotlin Java AWS Kubernetes Selenium Cypress

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Alcor Helped Build the Foundation for Everything That Followed

2021

Alcor begins building Teladoc Health’s engineering team in Ukraine

2022

Teladoc’s revenue grows 18% year over year to $2.4B, alongside an expansion of the product range across the integrated whole-person care platform

2023

Teladoc reaches $2.6B in revenue with 33% adjusted EBITDA growth and $194M in free cash flow, serving approximately 90 million members

2023

Launches a fully integrated whole-person care experience through a new app, with services available in English and Spanish

2024

Named to the Fortune 1000 and ranked #26 on the Fortune Best Workplaces in Health Care list

2025

Acquires Catapult Health, adding virtual preventive care and at-home diagnostic testing capabilities, and UpLift, whose in-network health plan relationships represent more than 100 million covered lives

2025

Surpasses 100 million US members, launches the Wellbound employee assistance program and is named one of Forbes America’s Best Large Employers

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