Head of Engineering

New
United StatesFull-TimeSenior
Salary not disclosed
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Job Details

Experience
8+ years of software engineering experience, with at least 4 years in engineering leadership roles.
Required Skills
Node.jsPostgreSQLTypeScriptNest.jsNext.jsReactSoftware EngineeringDistributed Systems

Requirements

  • 8+ years of software engineering experience, with at least 4 years in engineering leadership roles.
  • Demonstrated success leading distributed engineering teams, including hiring, development, and culture-building.
  • Hands-on experience with modern web application architectures and the judgment to make sound architectural decisions.
  • Experience owning or significantly contributing to site reliability, observability, and incident management practices.
  • Strong cross-functional communication skills—comfortable partnering with Product, Design, Operations, and executive stakeholders.
  • Healthcare technology experience, or experience in another regulated industry (preferred).
  • Familiarity with core stack: TypeScript, Node.js, NestJS, Next.js/React, PostgreSQL (preferred).
  • Experience leading teams through meaningful AI tooling adoption (preferred).
  • Background in multi-system integration environments such as EHR, CRM, or payment processing (preferred).
  • Experience scaling engineering practices in a high-growth company (preferred).

Responsibilities

  • Lead and grow a distributed product engineering team, fostering a culture of craft, psychological safety, and continuous improvement.
  • Own engineering quality standards—code review practices, testing philosophy, documentation expectations, and how the team thinks about technical debt.
  • Drive architectural evolution in partnership with tech leads, including ongoing modernization of our platform and our integrations with AdvanceMD EHR, Salesforce, and third-party insurance and credentialing systems.
  • Own site reliability: incident response, on-call structure, observability tooling (Datadog), and the broader SRE function as it matures.
  • Shape how our engineering team adopts agentic coding tools—setting the tone, building guardrails, and developing the internal practices that make AI-assisted development a genuine accelerant.
  • Partner with Product and Design leadership to influence how work is scoped, sequenced, and executed—ensuring engineering perspective is part of the planning process, not just the delivery.
  • Own the engineering hiring process end-to-end: defining roles, calibrating candidates, and building a team that raises the collective bar.
  • Represent engineering in cross-functional leadership conversations, translating technical context into business impact and vice versa.
  • Build and maintain a healthy, high-trust relationship with your team—creating the conditions for engineers to do the best work of their careers.
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