Head of Engineering jobs in United States
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odiggo ยท 6 days ago

Head of Engineering

Sully.ai is a company focused on revolutionizing healthcare through AI technology. They are seeking multiple Heads of Engineering to take ownership of core product domains, ensuring end-to-end execution and driving improvements in performance and reliability.

Computer Software

Responsibilities

Own end-to-end engineering execution for your domain, from architecture and roadmap through delivery and reliability
Drive step-function latency reductions, targeting at least 50 percent improvements across note generation and decision-support workflows where applicable
Design and operate robust observability, metrics, and model-selection systems to ensure consistent performance at scale
Lead domain-specific execution rituals including daily and weekly standups, backlog ownership in Linear, and tight cross-functional coordination
Translate product goals into clear dependencies, timelines, and deliverables to keep teams unblocked and shipping
Operationalize continuous quality evaluation pipelines to improve accuracy, completeness, and reliability of outputs
Set and enforce engineering best practices across your stack, including code quality, reviews, on-call standards, and operational rigor

Qualification

End-to-end engineering executionSystems designLatency improvementObservability systemsHigh-intensity environment experienceClean code standardsTechnical communicationFounder-level ownership mindsetComfort with ambiguityBias toward simplicityFHIR/HL7Real-time streaming experienceFront-end integrationsTeam collaboration

Required

Founder-level ownership mindset. You operate like the business depends on your decisions and execution
Senior, hands-on engineering ability. You actively design systems, write and review production code, and set the technical bar by example
Experience in high-intensity environments such as YC-backed startups, early-stage companies, or zero-to-one teams where speed and judgment matter
Strong systems thinking with a proven record of improving latency, throughput, and reliability in real production systems
Comfort with ambiguity. You turn incomplete product direction into clear technical plans and ship without heavy process
High quality standards. You enforce clean abstractions, disciplined reviews, and operational rigor while moving fast
Bias toward leverage and simplicity. You choose durable solutions and know when to optimize versus when to ship
Clear communicator who can align engineering, product, and leadership with minimal overhead

Preferred

Experience with FHIR/HL7 or EHR systems
Background in real-time or near-real-time streaming, diarization, or structured-output pipelines
Experience supporting front-end or extension-based integrations (web, mobile, browser extension)

Company

odiggo

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Funding

Current Stage
Early Stage
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