Take full ownership of building and scaling a core function of the business. Design and build foundational infrastructure for AI pipelines, real-time inference systems, EHR integrations, or clinical interfaces. Establish engineering practices, hiring pipelines, and technical processes. Define technical direction across AI, data, backend, and platform layers. Partner closely with product, clinical, sales, and operations. Build with the end-user in mind, understanding clinician workflows, latency constraints, and clinical safety requirements.