Senior Director, Platform Engineering

MedAmerica • Sacramento, CA

8d • $178,890 - $232,555 • Remote

About The Position

This role is for a Senior Director, Platform Engineering, based remotely nationwide. The company, Vituity, is dedicated to transforming healthcare and improving lives through a collaborative culture. They emphasize team accomplishments and a "culture of brilliance," where employees work together to tackle healthcare challenges. Vituity has a presence in over 900 practices nationwide, serving millions of patients annually, and offers the flexibility to relocate jobs within their network. The opportunity involves managing staff engineers, holding technical standards, managing offshore relationships, and leading a blended onshore and offshore organization. The role requires designing and developing the platform engineering team, determining platform survival and retirement, and establishing shared tools, standards, and governance. A key responsibility is managing team ownership of production AI systems, including retrieval pipelines, model orchestration, evaluation, and data infrastructure, with a strong focus on accuracy, safety, and clinical metrics. The position also involves overseeing model sourcing (build vs. buy), judging agentic workflow performance, and managing the development lifecycle using AI agents with appropriate controls for a healthcare environment. The role demands instilling accountability for correctness, safety, and security, ensuring products are developed in a regulated environment (HIPAA, PHI handling, access controls), and implementing governance as guardrails. Collaboration with Revenue Cycle, Information Security, IT Architecture, and Application Operations is expected, as is representing Engineering to Clinical and Executive Leadership.

Requirements

• Bachelor’s degree in Computer Engineering, Computer Science, or related discipline required.
• 10+ years in software engineering, including 5+ years leading engineering leaders, with responsibility for organization level delivery and technical strategy required.
• Experience as a direct line manager of senior and staff level engineers required.
• Experience building a platform or internal developer capability and growing it on evidence rather than on demand required.
• Experience consolidating overlapping internal tools required.
• Direct experience applying AI agentic harnesses/frameworks within the software development process, with a defensible view on scaling that responsibly required.
• Current ongoing expertise in modern AI engineering, including large language models and agentic systems, retrieval, evaluation and observability, and the supporting data infrastructure required.
• Experience running a blended onshore and offshore organization, including a vendor relationship at scale required.
• Experience delivering software in a regulated or high trust domain required.
• Hands-on technical depth in Engineering, Architecture, Security background vs. Business expertise only.
• Technical leadership and architectural judgement at organizational scale.
• Ability to build and defend team size, team shape, and platform investment.
• Ability to manage vendors and offshore delivery.
• Ability to decline scope that belongs elsewhere.
• Skilled at leadership, conflict resolution, and team building.
• Ability to effectively lead and constructively communicate to all levels of the organization.
• Ability to influence senior leaders and Executives in matters of significance.
• Demonstrated cross functional team leadership and development.
• Ability to work in a fast-paced environment with increasing support demands and complexity.
• Ability to anticipate the needs of a changing landscape.
• Strong analytical and critical thinking skills.
• Excellent written and oral communication, and presentation skills.
• Well-developed relationship management capabilities.
• Ability to articulate, drive, and ensure process standardization and adoption of best practices.
• Excellent oral and written communication skills to effectively interact with internal and external customers and department staff.
• Consumer- and results-oriented.

Nice To Haves

• Master’s degree in Computer Engineering, Computer Science, Business Administration, or related discipline preferred.
• Healthcare, revenue cycle management, or clinical systems background strongly preferred, adjacent regulated industries considered preferred.
• Knowledge of healthcare data standards and interoperability: FHIR, HL7, X12, and electronic data interchange, claims and clinical data preferred.
• Experience implementing governance as guardrails rather than review boards preferred.
• Experience defining and implementing platform scope preferred.
• Working knowledge of HIPAA, protected health information handling, auditability, access controls, and applicable clinical and payer requirements.

Responsibilities

• Manage staff engineers owning hiring, performance, growth, retention, leave cover, and the day to day technical direction of their work.
• Hold the technical bar across the applications the staff engineers support, and arbitrate architecture disagreements between senior technical staff.
• Manage the offshore relationship through the Offshore Engineering Manager, which covers the AVPL India delivery team, its vendor relationship, and vendor performance & quality.
• Lead a blended onshore and offshore organization as a single engineering capability.
• Design and develop the platform engineer team.
• Manage platform engineers owning hiring, performance, growth, retention, leave cover, and the day to day technical direction of their work.
• Determine which platforms survive and what is retired; consolidate overlapping internal tools to one or two platforms; absorb VIA work.
• Build and establish the shared tools, standards, controls, governance, shared capabilities, security model and observability that other teams build on without needing engineering’s direct involvement.
• Manage team ownership of production AI systems: oversee the team design and delivery of the retrieval pipelines, model orchestration, evaluation harnesses and data infrastructure that carry live patient, claims and operational data; enforce evaluation and monitoring as a required part of the definition of done, including accuracy, hallucination and safety testing, drift detection, human in the loop review, and clinically meaningful quality metrics.
• Oversee model sourcing: build verses buy across foundation models, hosted interfaces, open weight models anything trained in house, with a clear eye view of cost, latency, privacy and vendor risk.
• Judge against throughput and quality change from agentic workflows, and support team development of the platform underneath them: orchestration, context management, permissions, observability.
• Manage team development in and of agent-augmented development lifecycle as a platform capability: agentic coding, automated test generation, code review, migration, refactoring, documentation and incident triage, with the provenance, review gates, security scanning and the intellectual property and compliance controls a healthcare environment requires.
• Instill team accountability for correctness, safety and security within the engineering organization; it is never delegated to AI/Models.
• Ensure products are developed correctly in a regulated environment, including HIPAA, protected health information handling, auditability, access controls and applicable clinical and payer requirements.
• Implement governance as guardrails within the system, with policy as code, permissions and audit built into the platform and observability enabled by default.
• Partner with Revenue Cycle, Information Security, IT Architecture and Application Operations.
• Represent Engineering to Clinical and Executive Leadership.

Benefits

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25 plus discretionary profit-sharing contributions (eligible January following 18 months of service)
• Generous paid time off starting 3-4 weeks’ annually
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP and travel assistance included
• Wellness program
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees
• Success Sharing bonus program

What This Job Offers

• Job Type: Full-time
• Career Level: Senior