Sully.ai is hiring a Head of Engineering

About Us At Sully.ai, We’re Building the Most Impactful Healthcare Company on Earth We believe that access to a great doctor is a basic human right. Today, that’s not a reality. Delays, misdiagnoses, administrative chaos, and burnout plague the system. Our Mission One Human, One Doctor. We enable our customers to staff 30% of their workforce with AI by creating a shared agent architecture for scale and efficiency. All powered by our own patented, world-class models and deployed in real-world care. About the Role Sully automates clinical documentation at the point of care. Real-time ambient listening, structured medical notes, and agentic AI workflows that live inside the EHR. We're live in 270+ clinics, have processed 2M+ real physician-patient encounters, and run on custom medical models that outperform GPT, Claude and Gemini on clinical benchmarks. We're not a wrapper company. We're hiring multiple hands on Heads of Engineering to own core product domains: Consultant, Integrations, Mobile, and Platform. Each role has full technical and execution ownership: architecture, roadmap, delivery, and reliability, for its surface area. ─── What You'll Own • End-to-end engineering execution: architecture, roadmap, delivery, reliability • Drive function performance improvements: targeting 50%+ latency cuts across AI inference workflows • Observability, alerting, and model-selection systems that give you real signal at scale • The execution cadence your team needs to stay unblocked: OKRs, standups, backlog ownership, cross-functional alignment • Quality pipelines: for accuracy, completeness, and reliability of every AI output • Engineering bar across the stack: code quality, reviews, on-call, operational rigor ─── What We're Looking For • You've grown an engineering org: 10+ direct reports, real headcount growth, real process ownership with a passion for staying hands on and close to the code because you love it. • You've built production AI/ML systems: agentic pipelines, LLM inference, real-time NLP or speech. Generic RAG experience doesn't cut it here. • You've done Seed to Series A+ at least once: You know what scaling eng from 5 to 30+ actually looks like. • You still write code: Player-coach, not meetings-coach. • Ambiguity is your operating system: Incomplete direction to clear technical plan, to shipped product. No hand-holding needed. • Healthcare, clinical AI, or voice/speech AI background is a strong signal: Understanding why latency, reliability, and PHI compliance matter differently in this domain is a meaningful edge. ─── First 90 Days • Full ownership of your engineering domain, no ramp needed • End-to-end observability and alerting for core workflows • Define your domain's key performance, reliability, and quality metrics • Ship at least one high-impact improvement • Establish the execution cadence and quality bar your team runs on ─── Why Sully • Real Product Market Fit: 270+ clinics live, 2M+ encounters processed, physicians choosing to use it every day • Custom medical models: we build our own and they win on clinical benchmarks • You're replacing a genuinely painful workflow (manual documentation = physician burnout), not adding an AI feature • Small team, direct ownership, full stack responsibility: not a feature team at a big company • Series A with real revenue and real customers, scaling fast Why Join Sully.ai? 🔥 Revolutionizing the antiquated $800B+ Healthcare market 🧠 60%+ Ex-founders who have built, scaled, exited. We hire A-players ⚡️ Speed matters: we operate with urgency, autonomy, and ownership 🧪 You’ll work on real, first-of-their-kind problems at the edge of AI and medicine ❤️ Your work directly unlocks doctors to reclaim their time, and patients get better, faster care Sully.ai is an equal opportunity employer. In addition to EEO being the law, it is a policy that is fully consistent with our principles. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, religion, color, national origin, sex, sexual orientation, gender identity, genetic information, pregnancy or age. Sully.ai prohibits any form of workplace harassment. Compensation Range: $250K - $350K