Head of Engineering

Sully.ai•Mountain View, CA

About The Position

At Sully.ai, 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 (MedCon-1) outperforms GPT-4.5, Gemini, Claude on clinical reasoning tasks Sully requires A-players capable of 4 months = 1 year output. If you’ve ever said, “I want to do work that actually matters”, this is it. Let’s build something life-changing, together. Who Thrives Here 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. Why Join Sully.ai? 🔥 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.

Requirements

5+ years of engineering leadership or senior engineering experience with a track record of reducing latency and improving throughput.
Deep expertise in observability and metrics instrumentation: dashboards, alerts, tracing, logs, error pipelines, and model-monitoring systems.
End-to-end system ownership experience for critical reliability workflows (audio transcription, note output, EHR integrations).
Strong prioritization, code review discipline, and commitment to quality guardrails.

Nice To Haves

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).

Responsibilities

Lead the engineering team responsible for Sully.ai’s AI Scribe Agent, owning velocity, quality, and reliability across clinical note generation and decision support.
Drive major latency reductions (targeting ≥50%) across note generation and decision-support workflows.
Build robust observability, metrics, and model-selection systems to ensure flawless performance at scale.
Run daily/weekly Scribe standups, manage the Linear board, and ensure consistent execution and cross-functional alignment.
Map dependencies, timelines, and deliverables to align engineering priorities.
Operationalize continuous note-quality evaluation to improve accuracy and completeness.
Enforce engineering best practices, code quality, and operational excellence across the Scribe stack.

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