Director of Engineering

Xealth•Seattle, WA

5d•$200,000 - $250,000•Hybrid

About The Position

Xealth is revolutionizing healthcare by leveraging data and automation to empower care providers. We are seeking a Director of Engineering to lead our engineering organization as we scale our digital health platform. This is a hands-on leadership role for an individual who has a strong individual contributor background and has evolved into a leader capable of setting technical direction, building and mentoring high-performing teams, and driving engineering execution in a fast-paced healthcare SaaS environment. The role requires a hybrid work schedule, with the office located in Seattle.

Requirements

10+ years of professional software engineering experience, with demonstrated depth as a hands-on engineer before moving into leadership.
Track record of leading engineering teams (5-25+ engineers) through significant growth or complexity.
Strong leadership and communication skills — able to influence, align, and motivate teams as well as communicate clearly with executives and non-technical partners.
Deep understanding of AWS and cloud-native architecture, with direct experience designing and operating highly scalable, resilient distributed systems.
Experience with modern software architecture patterns (microservices, event-driven systems, API design).
Comfort operating in a security- and compliance-conscious environment.
Genuine enthusiasm for AI as a force multiplier in the software development lifecycle — not just familiarity, but hands-on experience integrating AI coding tools, agentic workflows, or LLM-based tooling into engineering practice.
Ability to evangelize and operationalize AI adoption across an engineering organization, balancing productivity gains with code quality and security.
Must be a U.S. Citizen or Permanent Resident.

Nice To Haves

Experience in SaaS, ideally in healthcare or another regulated industry.
Familiarity with healthcare data standards (FHIR, HL7) or EHR integration ecosystems.
Experience with HIPAA compliance and healthcare data security requirements.
Background scaling engineering orgs at high-growth startups.

Responsibilities

Own engineering execution across one or more product areas, partnering closely with Product, Design, and the CTO on roadmap and technical strategy.
Build, mentor, and scale engineering teams — including hiring, performance management, and career development for engineers and engineering managers.
Drive architectural decisions for highly available, secure, HIPAA-compliant cloud services running on AWS.
Establish and evolve engineering processes (agile practices, code review standards, on-call/incident response, technical documentation).
Champion the adoption of AI-assisted software development practices across the engineering org — including tools like Claude Code, GitHub Copilot, and agentic coding workflows — to improve velocity and code quality.
Partner cross-functionally with Security, Compliance, and Customer Success to ensure engineering work supports Xealth's healthcare partnerships and regulatory obligations.
Communicate technical strategy and tradeoffs clearly to both technical and non-technical stakeholders, including executive leadership and the board.
Manage vendor and infrastructure decisions in partnership with the CTO.