VP of Engineering

Pluto Health • Durham, NC

1d • Hybrid

About The Position

We’re seeking a VP of Engineering with deep AI/ML experience, strong healthcare domain knowledge, and the ability to remain close to the technical work when needed. You will lead and grow a high-performing engineering organization, oversee the evolution of our platform, and ensure our technical vision aligns with our mission and business strategy. This is a role for a seasoned and versatile technical leader, someone who’s not only architected and scaled secure, compliant systems in healthcare, but also built and deployed real-world AI/ML applications. You bring strategic thinking, a track record of delivering complex products, and the ability to inspire both engineers and stakeholders.

Requirements

• 10+ years of experience in engineering leadership roles, including at high-growth startups
• Demonstrated ability to deliver production-grade AI/ML solutions end-to-end, from model development to deployment and optimization, beyond oversight roles.
• 5+ years working within the healthcare ecosystem (payers, providers, digital health, or life sciences)
• Comfortable navigating health data standards, interoperability (e.g., HL7, FHIR), and regulatory frameworks
• Strong understanding of cloud architecture, containerization, infrastructure as code, and DevOps practices
• Experienced in building secure, scalable, and resilient systems in AWS, GCP, or similar environments
• Proven track record of technical decision-making and hands-on problem-solving
• Effective communicator with the ability to distill technical complexity for cross-functional audiences
• Understanding of Python, TypeScript, Go, Swift, and Kotlin
• Passionate about our mission and excited to shape the next generation of health coordination technology

Responsibilities

• Set and drive the engineering vision, strategy, and roadmap in alignment with company objectives
• Lead and scale high-performing teams across AI/ML, infrastructure, and full-stack engineering
• Guide the design and implementation of production-grade AI/ML solutions across the product
• Stay close to the codebase—reviewing architecture, contributing to models, or debugging when needed
• Ensure our systems meet the highest standards for security, compliance (HIPAA/PII/PHI), and reliability
• Partner closely with product, clinical, and data science teams to translate care gaps into engineered solutions
• Continuously improve engineering processes with a bias toward fast iteration, automation, and quality
• Use data to track engineering velocity, reliability, and impact—and adjust course accordingly
• Foster an inclusive and innovative engineering culture with strong mentorship and technical rigor
• Recruit, retain, and develop top engineering talent as we continue to grow

Benefits

• Join one of the fastest-growing, venture-backed health tech companies
• Work alongside a world-class team
• Be part of the solution: improve the way care is delivered for millions of patients
• Competitive salary and employee equity options
• Comprehensive benefits including health, dental, and vision coverage
• Flexible PTO policy, 10 company paid-holidays and a 4% matched 401(k)

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: No Education Listed