Vice President, Engineering

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.