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Head of Engineering - AI-Native Healthcare SaaS | Zenara Health

2 months, 2 weeks ago
India
Full-time
Lead
Engineering Manager
Software Development
AWS Azure CI/CD HIPAA Kubernetes Node.js React Secrets Management TypeScript
Apply Now
Zenara

Zenara

Zenara provides a solution that transforms the intake process into an efficient and profitable system for behavioral health, addressing challenges such as delays, fragmented tools, and inadequate preparation for clinicians, ultimately enhancing patient...

Health Care Providers & Services
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Description

  • Own delivery outcomes across all products, including scope management, release scheduling, quality controls, and stakeholder alignment.
  • Directly manage the engineering team through hiring, performance reviews, coaching, feedback, conflict resolution, and retention.
  • Set engineering culture and performance standards while building a cohesive, accountable team.
  • Own system architecture across the full stack, including web applications, APIs, infrastructure, and AI integrations.
  • Make trade-off decisions on speed versus thoroughness, refactoring versus shipping, and infrastructure investments versus feature work.
  • Establish and improve CI/CD, release engineering, environment setup, quality checkpoints, and deployment automation.
  • Lead engineering security practices, including access control, secrets management, audit trails, and SDLC security protocols.
  • Define and enforce AI governance policies for approved tools, intellectual property protection, and safe AI use in development.
  • Build the engineering organization by structuring roles, maintaining hiring standards, conducting technical interviews, and making hiring decisions.
  • Assess architecture, review code, troubleshoot production issues, and develop engineering runbooks for shipping and incident response.

Requirements

  • 10-18 years of software engineering experience, including at least 4 years in engineering management.
  • Experience managing teams of 5-20+ engineers with direct ownership of delivery, personnel, recruitment, performance management, and architecture.
  • Proven experience designing and advancing SaaS systems across front-end, back-end, database, and infrastructure layers.
  • Experience creating or significantly improving CI/CD pipelines, quality gates, and environment management.
  • Hands-on experience with cloud infrastructure such as Azure or AWS in production.
  • Strong technical depth to review code, debug production issues, and evaluate design choices.
  • Working knowledge of security fundamentals, including access control, secrets management, audit trails, and SDLC security.
  • Strong English communication skills with the ability to write clear decision memos, engineering plans, and risk escalations.
  • Startup or high-growth experience delivering in ambiguous, resource-constrained, and deadline-driven environments.
  • Preferred experience in healthcare SaaS, including EHR, billing, clinical workflows, or HIPAA.
  • Preferred familiarity with the TypeScript/Node/React ecosystem.
  • Preferred understanding of observability and SRE practices, including logging, metrics, tracing, and incident response.
  • Preferred experience productizing AI/ML features safely in production.
  • Preferred experience building QA and test automation into engineering culture.
  • Preferred experience leading remote-first teams across multiple time zones.
  • Preferred familiarity with EOS or similar operating frameworks.
  • Preferred knowledge of FHIR/HL7, Kubernetes, SOC 2, B2B multi-tenant SaaS, mental health domains, or FDA AI/ML compliance requirements.
  • Ability to work evening IST hours with 4-8 hours of daily overlap with US Pacific time.
  • Availability to support critical releases or incidents when needed.

Benefits

  • Equity participation through ESOP.
  • Fully remote work across India.
  • Equipment allowance provided.
  • Comprehensive health insurance.
  • Indian public holidays observed.
  • Flexible paid time off.
  • Budget for leadership development and coaching.
  • Direct access and regular communication with the founder-CEO.

Interested in this position?

Apply directly on the company website

Apply Now

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