Vice President, Engineering
Lead and scale a distributed engineering organization as VP of Engineering for a Series B musculoskeletal care platform. Own technical strategy, infrastructure, reliability/scalability in a HIPAA environment, recruiting, and cross-functional alignment with Product and Operations.
About the job
What You’ll Do
- Lead, mentor, and scale a distributed engineering organization across NYC and Vancouver.
- Own engineering recruiting strategy, hiring standards, organizational design, and headcount planning.
- Define and drive technical strategy across backend services, infrastructure, integrations, and platform architecture.
- Guide scalability and reliability initiatives for systems supporting real-time patient communications (audio and SMS) and asynchronous workflow processing.
- Own infrastructure strategy, including cloud architecture, CI/CD, observability, deployment automation, and operational excellence.
- Establish engineering best practices for security, compliance, resiliency, and performance in a HIPAA-compliant environment.
- Partner closely with Product and Operations leadership to align engineering priorities with company goals and roadmap execution.
- Improve engineering velocity, system reliability, and cross-functional collaboration as the organization scales.
Required Qualifications
- Proven experience leading, managing, and scaling a distributed engineering organization, including direct ownership of recruiting, hiring, and headcount planning.
- Expertise in setting technical direction, architectural standards, and driving large-scale infrastructure decisions across backend services and complex integrations.
- Deep experience establishing and enforcing engineering standards and operating compliant, fault-tolerant production environments, preferably in a HIPAA or other regulated industry.
- Track record of driving and implementing reliability and scalability solutions, particularly for platforms handling real-time (audio/SMS) and long-running asynchronous data workflows.
- Demonstrated ability to partner effectively with Product and Operations leadership to translate business priorities into a clear, actionable engineering roadmap.
Preferred Qualifications
- Experience in healthcare technology or SaaS platforms at a medium-sized startup.
- Familiarity with HL7, FHIR, or EHR integrations.
- Experience with cloud platforms such as AWS, Azure, or GCP.
- Hands-on experience with CI/CD pipelines, infrastructure automation, and version control systems (e.g., Git).
- Experience working in a monorepo setup (e.g., Turborepo, Nx).
Nice to Have
- Experience with distributed data or batch processing frameworks (e.g., Apache Spark, Databricks, or similar).
- Exposure to DevOps practices, including containerization, observability, and deployment automation.
Skills
AWS, Azure, GCP, CI/CD, Git, Turborepo, Nx, Spark, Databricks, Hl7, FHIR, HIPAA
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