Head of Engineering

Develop Health•San Francisco, CA

14h

About The Position

Develop Health is seeking a hands-on engineering leader to lead the teams building technology and workflows that address prior authorization bottlenecks for prescribers, pharmacies, pharmaceutical companies, and patients. The role owns day-to-day engineering execution, team development, and key architectural decisions while staying close to the code. The Head of Engineering also works with tech leads on customer sales calls, bringing customer needs into product and engineering decisions. The platform operates in healthcare delivery, where workflows must be accurate, reliable, secure, and well documented for non-technical customers. The role requires balancing rapid delivery with the quality and reliability standards healthcare demands. The Head of Engineering reports to the co-founder and CTO and partners closely with the extended leadership team.

Requirements

10+ years of software engineering experience.
4+ years managing engineers.
2+ years growing managers or tech leads.
Hands-on experience shipping enterprise-grade systems using AI-native approaches.
Demonstrated experience hiring and scaling engineering teams at a high-growth company.
Strong written and verbal communication skills, including the ability to represent engineering to customers and fellow leaders.
Experience shipping LLM, agentic, or machine learning systems to production, with an understanding of evaluation and context management.
Ability to make architectural decisions and contribute directly to code when needed.
Ability to coach and develop engineers, including earlier-career engineers.
Experience building in a domain where reliability and correctness matter, such as security, compliance, fintech, or healthcare.

Responsibilities

Own engineering delivery across multiple pods, maintaining weekly ship cycles, clear ownership, and a balance of velocity and reliability.
Hire, onboard, and develop engineers, and grow the tech lead and engineering manager layers as the company scales.
Participate in interviewing candidates, including onsite interviews, to maintain a high hiring bar.
Guide the architecture of accurate, explainable, extensible, enterprise-grade platform systems and integrations.
Establish practical standards for code review, testing, AI and agent evaluations, observability, on-call, and incident response.
Partner with the infrastructure lead and fractional CISO to meet customer security, privacy, and deployment requirements.
Work with product and go-to-market leaders to translate customer feedback and requirements into roadmaps and features.
Represent engineering in customer sales calls and work with tech leads to keep customer needs close to product development.