Vice President, Engineering & AI Systems

TELCOR•San Francisco, CA
•Hybrid

About The Position

The Vice President of Engineering will lead and grow the engineering organization within TELCOR AI Systems, working closely with the Chief AI Officer and senior technical leadership to build the team, drive engineering execution, and shape the business’s technical direction. TELCOR AI Systems operates with the pace and autonomy of a startup while benefiting from TELCOR’s established customer base, healthcare expertise, and resources. The team is scaling existing AI products, expanding AI across TELCOR’s healthcare workflows, and building toward increasingly agentic applications. The role owns the engineering organization while remaining close to the technology and product. The Vice President will hire and develop engineers, establish the structure and processes needed as the team grows, and work with leadership to determine what to build and how to build it. The preferred location is San Francisco, California, in a hybrid arrangement; Lincoln, Nebraska, or remote work may be considered for the right candidate. This is a full-time, exempt position.

Requirements

  • Significant engineering experience, including proven experience leading teams of 6–20 engineers.
  • Experience managing and developing software engineering teams.
  • Experience hiring and scaling engineering organizations.
  • Strong technical background, with experience building and operating production software.
  • Strong technical judgment and the ability to make decisions in ambiguous environments.
  • Ability to remain technically engaged while operating as a people leader.
  • Experience working closely with founders, executives, or senior technical leadership.
  • Strong communication and collaboration skills.
  • Builder mentality and willingness to establish structure where it does not yet exist.
  • Ability to operate effectively in a fast-moving, evolving environment.

Nice To Haves

  • RCM or healthcare experience, or broader vertical enterprise SaaS experience.
  • Experience integrating with or modernizing legacy enterprise systems.
  • Experience managing managers.
  • Deep TypeScript and Python experience.
  • Prior experience working in AWS.
  • Familiarity with .NET and SQL Server.

Responsibilities

  • Lead, manage, and develop the engineering team across product, platform, infrastructure, and forward-deployed engineering.
  • Recruit, hire, onboard, and develop engineering talent as the organization grows.
  • Establish engineering processes, operating rhythms, and organizational structure.
  • Partner closely with the Chief AI Officer and senior technical leadership on product and technical direction.
  • Ensure engineering projects and workstreams remain on track and appropriately prioritized.
  • Help identify and resolve technical and organizational blockers.
  • Remain engaged with architecture and technical decisions while providing strong engineering leadership.
  • Help evolve the engineering organization as TELCOR AI Systems scales.
  • Contribute to the development of increasingly AI-native and agentic workflows.
  • Help shape the evolution of the underlying platform and technology architecture.
  • Build a high-performing engineering culture where engineers are excited to do their best work.
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