Manage and grow a team of full-stack engineers shipping AI-powered workflows. Guide development of agentic experiences using LLMs and AI-assisted workflows. Ensure AI features keep a human-in-the-loop. Instill best practices for AI safety, guardrails, evaluation, monitoring, and responsible deployment. Partner with clinicians and product leaders to translate cardiometabolic care needs into engineering work. Build backend services and tools that automate care delivery. Develop scalable systems for new care programs. Build and evolve backend services and APIs using Ruby on Rails, Node.js, and GraphQL. Uphold a culture of small-batch iteration, safe rollouts, and continuous improvement. Ensure reliability, operational excellence, and tech debt management. Collaborate with engineering leaders to establish architectural patterns. Guide teams building and operating services on AWS, including EKS and Lambda. Support web and mobile experiences built with React, Next.js, React Native, and TypeScript. Work closely with product, design, clinical, and operations partners to define roadmaps. Translate complex requirements into simple, iterative milestones. Provide clarity and structure in ambiguous problem spaces. Coach and mentor engineers in technical execution and cross-functional leadership. Create growth opportunities through delegation, feedback, and planning. Foster a culture grounded in empathy, ownership, and mission alignment.