Head of Engineering [NYC or SF]

Amigo AI

$175K — $210K *
Information Technology
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Proven engineering leadership experience in organizations with a strong engineering culture.
  • Broad knowledge across application, backend, infrastructure, and data platforms.
  • Demonstrated ability to manage and grow engineering talent, including successful mentorship.
  • Strong technical foundation to engage in system design and architectural discussions.
  • Ability to align customer needs with engineering outcomes into a tangible roadmap.
  • Excellent communication skills across multiple teams and levels.
  • Deep ownership of team performance and system health.

Responsibilities

  • Lead and mentor engineering teams across multiple technical domains.
  • Recruit and develop engineering talent, fostering a high-performance culture.
  • Drive project execution from initial problem definition to final deployment.
  • Participate in technical discussions to guide system design choices and trade-offs.
  • Establish engineering best practices, code review processes, and production incident responses.
  • Break down complex platform issues into manageable tasks for early value delivery.
  • Collaborate with cross-functional teams to align on platform development priorities.

Benefits

  • Comprehensive health, dental, and vision insurance.
  • Catered daily lunch and dinner.
  • Access to mental health support and wellness coaching.
  • Flexible wellness stipend for fitness and personal growth.
  • Annual budget for learning and professional development.
  • Conference attendance budget.
  • Annual team offsite for team building.
  • Opportunities for academic collaboration.
  • Unlimited paid time off (PTO).
Full Job Description
About this role

Before Amigo can deliver agents that clinicians trust, our engineers need a platform they can move quickly and safely on. That means an application layer that ships fast, backend and infrastructure that hold up under clinical load, and a data platform where a patient's timeline is correct and current. As Head of Engineering, you'll own all three and the standards they're held to.

You'll lead a team of established engineers and the ones you hire across application, backend and infrastructure, and data. Engineering here is still taking shape, which means influence over how the organization is structured, how we hire, what we build ourselves, and what we adopt. You'll set technical direction and the quality bar, and you'll grow the engineers and future leaders on the team.

This role blends technical leadership with product judgment. You'll work closely with our CTO on technical strategy and partner with the Applied AI and Forward Deployed teams whose deployments depend on the platform, translating what customers actually need into systems that hold up. The ideal candidate brings a strong engineering background, a deep sense of ownership, and the ability to build an organization rather than simply run one.

What you'll do
  • Lead and grow engineering across application, backend and infrastructure, and data, supporting engineers with mentorship, direct feedback, and clear technical guidance
  • Hire engineers and develop leaders, building a team that continuously raises its own bar
  • Drive execution from problem definition through deployment, balancing speed with the reliability a clinical setting demands
  • Engage deeply in technical discussions, guiding system design and helping the team navigate architectural tradeoffs
  • Set the engineering culture: how we review code, how we ship, what we consider done, and how we respond when production issues arise
  • Break large platform problems into increments that deliver value early while still supporting the platform's long-term direction
  • Partner with the Applied AI, Forward Deployed, and product teams to align priorities and decide what the platform should absorb versus what remains bespoke per customer
  • Keep the team fluent in the reliability, security, and privacy implications of what they build in an environment involving patient data


What we're looking for
  • A track record of engineering leadership in organizations with a strong engineering culture.
  • Breadth across more than one of application, backend and infrastructure, and data platform. This role spans all three, so we're looking for a generalist leader rather than a specialist in one area
  • Experience managing and developing engineers, including hiring, mentorship, and performance conversations, with examples of people who grew under you
  • A strong technical background, and enough current depth to engage credibly in system design, architecture, and tradeoff decisions
  • The ability to translate customer needs and engineering goals into a roadmap and then into shipped systems
  • Excellent communication across engineering, product, and the customer-facing teams, including the judgment to know when to escalate and when to absorb
  • A deep sense of ownership for both team outcomes and long-term system health
  • Comfort with ambiguity. Priorities move as deployments teach us what customers actually need
  • Healthcare experience is not required. Strong engineering leadership transfers, and the clinical context is learnable


Nice to have
  • Experience leading engineering inside a data-heavy company, or owning a data platform alongside application and backend teams
  • Background in highly scalable distributed systems or infrastructure platforms
  • Experience building platforms or products consumed directly by other engineers
  • Familiarity with regulated environments, whether healthcare, financial services, or the public sector


Benefits (available to Full-Time Employees)

Health & Wellness
  • Comprehensive health, dental, and vision insurance
  • Daily catered lunch and dinner
  • Mental health support and wellness coaching
  • Flexible wellness stipend for fitness, therapy, or personal growth
Growth & Development
  • Annual learning budget for courses, books, or conferences
  • Conference attendance budget for professional development
  • Annual team offsite
  • Academic collaboration opportunities
  • Unlimited PTO


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