Vice President – Engineering

Flagler Health

. Lead, mentor, and scale a distributed engineering organization across NYC and Vancouver .

Posted 7/6/2026full-timeNew York City • New York • 🇺🇸 United StatesLeadWebsite

Tech Stack

Tools & technologies

Cloud

About the role

Key responsibilities & impact

Lead, mentor, and scale a distributed engineering organization across NYC and Vancouver
Own engineering recruiting strategy, hiring standards, organizational design, and headcount planning
Define and drive technical strategy across backend services, infrastructure, integrations, and platform architecture
Guide scalability and reliability initiatives for systems supporting real-time patient communications (audio and SMS) and asynchronous workflow processing
Own infrastructure strategy, including cloud architecture, CI/CD, observability, deployment automation, and operational excellence
Establish engineering best practices for security, compliance, resiliency, and performance in a HIPAA-compliant environment
Partner closely with Product and Operations leadership to align engineering priorities with company goals and roadmap execution
Improve engineering velocity, system reliability, and cross-functional collaboration as the organization scales

Requirements

What you’ll need

Proven experience leading, managing, and scaling a distributed engineering organization, including direct ownership of recruiting, hiring, and headcount planning.
Expertise in setting technical direction, architectural standards, and driving large-scale infrastructure decisions across backend services and complex integrations.
Deep experience establishing and enforcing engineering standards and operating compliant, fault-tolerant production environments, preferably in a HIPAA or other regulated industry.
Track record of driving and implementing reliability and scalability solutions, particularly for platforms handling real-time (audio/SMS) and long-running asynchronous data workflows.
Demonstrated ability to partner effectively with Product and Operations leadership to translate business priorities into a clear, actionable engineering roadmap.

Benefits

Comp & perks

Distributed remote team with hybrid offices in NYC and Vancouver
Regular and consistent in-person collaboration
Highly collaborative culture with video-on team meetings and technical discussions

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Backend ServicesIntegrationsCI/CDDeployment AutomationObservabilityFault-Tolerant Production EnvironmentsReal-Time CommunicationsAsynchronous Workflow ProcessingOrganizational DesignHeadcount Planning

Soft Skills

MentoringCross-Functional CollaborationPartnership with Leadership