Head of Software Engineering – Health Tech

Adoreal

Head of Software Engineering leading and mentoring a globally distributed engineering team at a rapidly growing Health Tech SaaS company. Driving architectural direction and implementing intelligent automation across the platform.

Posted 6/29/2026full-timeRemote • California, Colorado, Illinois, Oregon, Utah • 🇺🇸 United StatesLeadWebsite

Tech Stack

Tools & technologies

ASP.NETAWSAzureCloudEntity FrameworkERP.NETPythonSQL

About the role

Key responsibilities & impact

Own the technical roadmap in close collaboration with the product team and executive leadership.
Set the vision for engineering culture, delivery standards, and high development velocity.
Ensure engineering goals align with internal Adoreal priorities as well as clinic partners.
Foster cross-functional collaboration with UX/UI teams.
Lead a 30+ person engineering team (and growing) across multiple time zones, with a majority based in LATAM.
Hire, mentor, and develop engineering managers and high-performance contributors.
Foster a culture of learning the business and acting on behalf of the business with high accountability
Manage and deliver routine performance evaluations and performance improvement plans.
Oversee architecture and execution of scalable, secure, and maintainable systems.
Create new products from scratch & integrate and adapt API driven solutions to scale product portfolio and address partner needs for ERP systems
Own DevOps, infrastructure, and data security strategies.
Help develop and build our IT department including, MDM, SSO, and HIPAA compliance.
Stay at the forefront of AI trends and translate them into tangible platform improvements.
Ensure the engineering org builds GDRP, HIPAA, and other-compliant, scalable SaaS solutions for the US plastic surgery practices.

Requirements

What you’ll need

10–15+ years in software engineering, with at least 5 in senior engineering leadership roles.
Experience building and scaling engineering teams in high-growth startup environments.
Deep technical knowledge and hands-on experience with the .NET stack, including: ASP.NET Core, C#, Web API, Entity Framework, Python and SQL Server
Proven success scaling teams and systems in startup SaaS businesses, preferably during $10M–$80M growth phases within 5-7 years.
Cloud deployment in Azure or AWS
Background in healthcare tech, especially SaaS products.
Experience overseeing ERP implementation and AI/ML integrations.
Experience defining technical plans and org-wide strategies from scratch.
Deep operational discipline: knows how to spot execution issues and course-correct decisively

Benefits

Comp & perks

Healthcare coverage for you and your family
Paid time off (PTO) and paid holidays
Performance-based bonuses and company equity opportunities
Fully remote work environment with flexible schedules
Collaborative and thriving team culture guided by Adoreal’s core values

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Hard Skills & Tools

.NET StackASP.NET CoreC#Web APIEntity FrameworkPythonSQL ServerAI/ML IntegrationsTechnical PlanningOperational Discipline

Soft Skills

MentoringCross-Functional CollaborationPerformance ManagementHigh AccountabilityTeam Development