Head of Engineering

Job type:
Full Time
· Department:
Engineering
· Work type:
Remote
· USD 230000
-260000 / year

Mountain View, California, United States;
United States

,
We’re Building the Most Impactful Healthcare Company on Earth

We believe that access to a great doctor is a basic human right. Today, that’s not a reality. Delays, misdiagnoses, administrative chaos, and burnout plague the system.

Our Mission: One Human, One Doctor. We build AI teammates that augment clinicians — scribes, nurses, receptionists, translators — all powered by our own world‑class models and deployed in real‑world care.

Our Traction

• 450+ organizations signed 16 months
• AI agents cut admin by ~2.8 hours daily and reduce onboarding 85%.
• 5M+ Clinical Tasks completed to date, serving 36+ specialties.
• Raised $25M from YC, Eric Yuan, Amity, Semper Virens
• Patented AI architecture (Med Con‑1)
  outperforms GPT-4.5, Gemini, Claude on clinical reasoning tasks
• Sully requires A‑players capable of 4 months = 1 year output.

We are hiring multiple Heads of Engineering to own and scale core product domains:
Scribe, Consultant, Integrations, and Platform. Each role has full technical and execution ownership for its surface area.

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.

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.

Comfort with ambiguity. You turn incomplete product direction into clear technical plans and ship without heavy process.

Bias toward leverage and simplicity. You choose durable solutions and know when to optimize versus when to ship.

• Experience with FHIR/HL7 or EHR systems.
• Background in real-time or near‑real-time streaming, diarization, or structured‑output pipelines.

• Take full ownership of the assigned engineering domain.
• Ensure end to end observability and alerting for core workflows.
• Define the domain’s key performance, reliability, and quality metrics.
• Identify and ship at least one high impact improvement.
• Establish execution cadence, priorities, and quality standards.

If you’ve ever said, “I want to do work that actually matters”, this is it. Let’s build something life‑changing, together.

• Entrepreneurial to your core
  :
  You think in outcomes, thrive in chaos, and take ownership without limits
• Mission‑obsessed
  :
  You’re here to save lives, not just ship features — patients and doctors are your why.
• Impact‑driven & fast‑moving
  :
  You sprint toward hard problems and ship with sharp judgment.
• Elite teammate
  :
  You raise the bar through high standards, direct feedback, and craft excellence.
• 🔥 Revolutionizing the antiquated $800B+ Healthcare market
• 🧠 50%+ of us are ex‑founders. We hire A‑players, not passengers
• ⚡️ Speed matters - we operate with urgency, autonomy, and ownership
• 🧪 You’ll work on real, first‑of‑their‑kind problems at the edge of AI and medicine
• ❤️ Your work helps doctors reclaim their time - and patients get better, faster care

Sully.ai is an equal opportunity employer. In addition to EEO being the law, it is a policy that is fully consistent with our principles. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, religion, color, national origin, sex, sexual orientation, gender identity, genetic information, pregnancy or age.

Sully.ai prohibits any form of workplace harassment.