Sully.ai

Head of Engineering, Decision Support

Sully.ai

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Salary

💰 $230,000 - $280,000 per year

Job Level

Lead

About the role

  • Lead the productization of ML/LLM-powered decision support systems with strict quality, safety, and latency benchmarks.
  • Build and scale engineering teams with a strong observability and reliability culture.
  • Design and launch inference pipelines with fallbacks, caching, A/B evaluation, and rollback capabilities.
  • Collaborate with clinicians, compliance experts, and cross-functional leaders to ensure interpretability, auditability, and clinical trust in deployed systems.
  • Drive innovation in agentic workflows (recommendations, triage, treatment support) that balance automation with safety.
  • Audit existing decision support infrastructure and identify reliability/latency bottlenecks (first-month focus).
  • Establish engineering standards for observability, fallbacks, and A/B evaluation pipelines (first-month focus).
  • Partner with the EHR Integrations team on upcoming FHIR-driven workflows (Q4 2025).
  • Launch and monitor production inference pipelines with measurable improvements in latency and throughput (90-day OKR).
  • Deliver a decision support use case with clinical interpretability and audit features enabled and hire core engineering talent (90-day OKRs).

Requirements

  • Proven leadership in shipping ML/LLM systems with measurable quality, latency, and reliability outcomes.
  • Deep experience in decision support contexts, including agentic or recommendation systems.
  • Expertise building production-grade inference pipelines with safety, caching, and evaluation frameworks.
  • Exceptional communicator able to align technical and clinical stakeholders.
  • Team builder with a track record of establishing observability-first engineering practices.
  • Familiarity with healthcare data standards (FHIR, HL7) and clinical reasoning patterns (nice-to-have).
  • Experience working with EHR integrations and compliance-sensitive systems (nice-to-have).
  • Background in explainable AI, interpretability, or audit trails for clinician-facing tools (nice-to-have).
  • Willingness/ability to work up to 80 hours/week (application question).
  • Must not require visa sponsorship (posting notes they are unable to sponsor new visas).
Benefits
  • Shape the Future of Healthcare: Build category-defining partnerships that enable doctors to focus on saving lives.
  • Early-Stage Impact: Join early and play a critical role in shaping our partnership roadmap and overall company growth.
  • Remote-First Culture: Work with a talented, mission-driven team in a flexible, remote environment.
  • Competitive Compensation: Enjoy a competitive salary, equity, and the opportunity to make a real difference.
  • Offers Equity

Applicant Tracking System Keywords

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

Hard skills
ML systemsLLM systemsinference pipelinescaching frameworksA/B evaluationdecision support systemsagentic workflowsreliability outcomesquality benchmarkslatency benchmarks
Soft skills
leadershipcommunicationteam buildingcollaborationinnovationalignmentestablishing practicesexceptional communicatorclinical trustauditability
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