We need someone who keeps engineering moving by elevating how the team works and how work gets done. You will embed intelligent automation and adaptive tooling into daily development so execution scales without adding drag. You will evolve the operating system for the team, aligning people, process, and delivery so shipping is fast, repeatable, and reliable. Partnering closely with the CTO, you will translate technical vision into executable plans, with a sharp focus on EHR integrations and complex third party platforms.

If you like organizing chaos without layering on bureaucracy, this is your role.

What you’ll own

• Managing the full engineering team You’ll run 1:1s, coaching, feedback, leveling, hiring, onboarding, and performance for all engineers. You make the team better and help people grow.

• Keeping work flowing You’ll handle planning, sprint/kanban rhythm, estimation, check-ins, and delivery. The goal isn’t a rigid process — it’s predictable progress.

• Turning priorities into actionable plans You’ll take high-level goals from leadership and Product and break them into scoped, trackable work with clear ownership and realistic timelines.

• Maintaining engineering hygiene You’ll keep an eye on code reviews, testing, documentation, on-call, and release readiness. Not as a gatekeeper — as someone who prefers fewer avoidable problems later.

• Surfacing risks early You’ll flag tradeoffs, delays, or blocking issues before they blow up. You keep people aligned on where things actually stand.

• Partner Ecosystem Setting up vendor relationships, keeping tracks of costs, and assisting in contract and approval negotiations.

• Partnering with the CTO You and the CTO work together to translate technical direction into execution. He’ll focus on architecture and innovation; you’ll make sure the team can ship against it.

• Tightening cross-team communication You’ll keep expectations aligned across Product, Prof Services, and the rest of the org so nothing becomes a surprise at the wrong time.

What you bring

• Experience managing engineers (team size isn’t the point; clarity and steadiness are)

• Strong execution instincts: you enjoy unblocking people and keeping momentum

• Enough technical depth to understand tradeoffs and pressure-test decisions

• Ability to give direct, constructive feedback

• Comfort working in a fast-moving startup where priorities shift

• Preference for lightweight process and high transparency

• Calm under pressure and clear under ambiguity

Healthcare experience is a bonus, not essential.

Additionally familiarity with contemporary product development workflow tools such as Linear is a big plus.

What success looks like

• Engineers know what they’re doing and why

• Delivery becomes consistent and predictable

• Scope and expectations stay aligned across teams

• Issues are caught early instead of in crisis mode

• The engineering team feels supported, not scattered

• The CTO can focus on deeper technical work without babysitting day-to-day execution

• The whole org feels more grounded and less reactive

Why this role exists now

Engineering has grown quickly around a fast-evolving AI product. We need someone who can keep the day-to-day operation sane, steady, and effective while partnering with the CTO to deliver on the company’s technical direction.