Xealth provides a digital-prescribing and integration platform that embeds within EHR workflows to let clinicians prescribe, deploy, monitor, and analyze patient use of apps, content, devices, and services.
<h3><strong>Our Mission & Culture</strong></h3> <p>At Xealth, we’re revolutionizing healthcare by leveraging data and automation to empower care providers—building on EHRs such as Epic and Cerner—to seamlessly prescribe, deliver, and monitor digital health for patients. We are a detail-oriented team committed to maintaining high standards while moving with agility and impact.</p> <p>We are looking for a Director of Engineering to help lead our engineering organization as we scale our digital health platform. This is a hands-on leadership role for someone who has grown up as a strong individual contributor and evolved into a leader who can set technical direction, build and mentor high-performing teams, and drive engineering execution in a fast-moving healthcare SaaS environment. </p> <h3><strong>The Role</strong></h3> <p>We are looking for a Director of Engineering to help lead our engineering organization as we scale our digital health platform. This is a hands-on leadership role for someone who has grown up as a strong individual contributor and evolved into a leader who can set technical direction, build and mentor high-performing teams, and drive engineering execution in a fast-moving healthcare SaaS environment. </p> <p><strong>*Must be open to working a hybrid schedule; in our office is in Seattle.* </strong></p> <h3><strong>What You'll Own</strong></h3> <ul> <li>Own engineering execution across one or more product areas, partnering closely with Product, Design, and the CTO on roadmap and technical strategy</li> <li>Build, mentor, and scale engineering teams — including hiring, performance management, and career development for engineers and engineering managers</li> <li>Drive architectural decisions for highly available, secure, HIPAA-compliant cloud services running on AWS</li> <li>Establish and evolve engineering processes (agile practices, code review standards, on-call/incident response, technical documentation)</li> <li>Champion the adoption of AI-assisted software development practices across the engineering org — including tools like Claude Code, GitHub Copilot, and agentic coding workflows — to improve velocity and code quality</li> <li>Partner cross-functionally with Security, Compliance, and Customer Success to ensure engineering work supports Xealth's healthcare partnerships and regulatory obligations</li> <li>Communicate technical strategy and tradeoffs clearly to both technical and non-technical stakeholders, including executive leadership and the board</li> <li>Manage vendor and infrastructure decisions in partnership with the CTO</li> </ul> <h3><strong>What We're Looking For</strong></h3> <p><strong>Required</strong></p> <p><strong>Engineering Background</strong></p> <ul> <li>10+ years of professional software engineering experience, with demonstrated depth as a hands-on engineer before moving into leadership</li> <li>Track record of leading engineering teams (5-25+ engineers) through significant growth or complexity</li> <li>Strong leadership and communication skills — able to influence, align, and motivate teams as well as communicate clearly with executives and non-technical partners</li> </ul> <p><strong>Technical Expertise</strong></p> <ul> <li>Deep understanding of AWS and cloud-native architecture, with direct experience designing and operating highly scalable, resilient distributed systems</li> <li>Experience with modern software architecture patterns (microservices, event-driven systems, API design)</li> <li>Comfort operating in a security- and compliance-conscious environment</li> </ul> <p><strong>AI Fluency</strong></p> <ul> <li>Genuine enthusiasm for AI as a force multiplier in the software development lifecycle — not just familiarity, but hands-on experience integrating AI coding tools, agentic workflows, or LLM-based tooling into engineering practice</li> <li>Ability to evangelize and operationalize AI adoption across an engineering organization, balancing productivity gains with code quality and security</li> </ul> <p><strong>Preferred</strong></p> <ul> <li>Experience in SaaS, ideally in healthcare or another regulated industry</li> <li>Familiarity with healthcare data standards (FHIR, HL7) or EHR integration ecosystems</li> <li>Experience with HIPAA compliance and healthcare data security requirements</li> <li>Background scaling engineering orgs at high-growth startups</li> </ul> <h3><strong>How We Work<br></strong></h3> <ul> <li>Hybrid in Seattle — we value in-person collaboration and flexibility in equal measure</li> <li>Infrastructure managed as code — if it's not in Git, it doesn't exist</li> <li>On-call expectations are reasonable and shared across the team</li> <li>You'll have real autonomy over architectural decisions, not just implementation work</li> </ul> <h3><strong>Why join Xealth?<br></strong></h3> <p>You'll work closely with a CTO-level partner who is deeply engaged in both the technical and strategic sides of the business, in an environment where AI tooling adoption is already a core priority rather than an afterthought.</p> <ul> <li><strong>Meaningful Work:</strong> Your engineering directly enables better patient care and health outcomes for millions.</li> <li><strong>Cutting-Edge Stack:</strong> Work with modern tools and a team that prioritizes technical excellence and continuous learning.</li> <li><strong>Best Workplace: </strong>Xealth has been named to the World's Best Digital Health Companies list by Newsweek, awarded gold in the Digital Health awards in 2024 and twice in 2023. In 2023 Xealth was also listed as one of BuiltIn's Best Places to Work, and one of Fierce Healthcare's Fierce 15 of 2023.</li> </ul> <h3><strong>About Xealth</strong></h3> <ul> <li>Xealth created the leading digital health platform helping health systems deliver connected, personalized care at scale. Embedded in the EHR, it enables clinicians to prescribe, automate, and measure the impact of digital tools--including apps, services, and