VP, Engineering

Nsight Health

VP of Engineering for Nsight Health, leading the development of AI-driven healthcare technology. Overseeing engineering operations and implementing innovative solutions for chronic care management.

Posted 5/16/2026full-timeRemote • 🇺🇸 United StatesLead💰 $220,000 - $230,000 per yearWebsite

About the role

Key responsibilities & impact

Conduct regular 1:1s with team leads and engineers to track performance, surface blockers, and maintain alignment with engineering direction.
Set and own the operational rhythm of the engineering organization: release cadence, cross-team coordination, and department-level planning cycles.
Monitor KPIs at the department and individual level; hold teams accountable to delivery commitments.
Model and amplify AI-assisted development across the org, embedding those practices into standard workflow.
Build a culture of knowledge sharing: document decisions, cross-train deliberately, and ensure no critical knowledge lives in one person’s head.
Anticipate and communicate engineering org needs to the CTO: forecast hiring demand, identify leveling gaps, surface onboarding friction, and flag cultural drift early.
Collaborate closely with the Principal Engineer, Enterprise Architect, and Principal Data Architect to ensure technical direction translates into execution.
Drive quality standards across every team in the R&D organization, improving consistency and coverage without halting feature delivery.
Set the standard for CI/CD pipelines supporting parallel release streams; define quality benchmarks that enable active development alongside production validation.
Establish and automate CVE detection and remediation workflows, maintaining continuous security posture under HiTrust R2 and SOC 2.
Work within engineering budgets, driving toolchain decisions and vendor relationships in alignment with approved spend.
Partner with the CTO on technical strategy and the path to $1B+.

Requirements

What you’ll need

Proven track record leading engineering organizations, ideally in a healthcare or similarly regulated software environment.
Daily, demonstrated use of AI-assisted development tools – this is a hard requirement, not a preference.
Technical credibility in large-scale legacy modernization: you have taken a high-debt codebase and improved quality metrics without stopping the business.
Hands-on enough to review architecture decisions and call technical debt for what it is; strategic enough to sequence remediation against a revenue roadmap.
Experience operating under HiTrust R2, SOC 2, or equivalent compliance frameworks: you know how to ship fast and stay compliant.
Track record of building, integrating, and retaining engineering teams, including across mergers or org transitions.
Clear, direct communicator who writes and speaks like someone who has run engineering reviews.
Prior experience as a VP of Engineering or equivalent at a healthcare SaaS company (preferred).
Hands-on background as a software engineer or architect: you can read code, review PRs, and contribute credibly in production investigations (preferred).
Experience managing DevOps and security engineering functions alongside product engineering (preferred).
Familiarity with Remote Patient Monitoring (RPM), Chronic Care Management (CCM), or similarly complex clinical platforms (preferred).
Experience building or scaling engineering organizations through M&A or rapid inorganic growth (preferred).

Benefits

Comp & perks

Unlimited PTO
Medical, Dental, Vision, and supplemental insurance options
401(k) Plan with 3.5% Company Match
Company-provided equipment
Remote-first, with travel as needed

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

AI-assisted developmentCI/CD pipelinesCVE detectionlegacy modernizationarchitecture reviewtechnical debt managementDevOps managementsecurity engineeringengineering team buildingKPI monitoring

Soft Skills

clear communicationleadershipcollaborationknowledge sharingstrategic thinkingperformance trackingaccountabilitycultural awarenessproblem-solvingcross-team coordination