Vice President of Clinical Software Engineering

Availity, LLC. is a pioneering company in healthcare technology, focused on delivering revenue cycle and related business solutions. The Vice President of Clinical Software Engineering will define and drive the company's clinical technology direction, establish engineering vision, and lead high-performing teams to ensure impactful delivery and innovation in healthcare solutions.

Responsibilities:

• Defining and driving a clear engineering vision and execution strategy for the Clinical technology organization
• Establishing and owning a focused, outcome‑driven roadmap, prioritizing delivery over process
• Leading high‑velocity execution, ensuring meaningful customer and business outcomes are delivered consistently
• Providing strong architectural leadership, simplifying misaligned systems and eliminating duplicated capabilities
• Owning technical stewardship of cloud‑native (AWS) platforms, ensuring scalability, clarity, and speed
• Building, leading, and developing a high‑performing engineering leadership teams with a strong accountability culture
• Evaluating and evolving organizational structure to improve alignment, collaboration, and delivery
• Partnering closely with Product, Data, and AI leaders to translate strategy into working software
• Setting and reinforcing standards for technical excellence, decision‑making, and ownership
• Leading through trust, credibility, and results—driving execution in complex, ambiguous environments

Requirements:

• Proven engineering leadership at scale, leading complex software organizations through change, ambiguity, and growth
• Demonstrated ability to drive execution at high velocity—moving teams from strategy to delivery without over‑reliance on process
• Strong technical and architectural judgment, with the confidence to challenge teams, reset direction, and simplify overly complex systems
• Experience operating in messy, inherited environments, including fragmented platforms, unclear roadmaps, and duplicated capabilities
• Track record of building and leading high‑performing engineering leaders and teams, while holding a high bar for accountability
• Comfort making decisions with incomplete information and calling clear shots on priorities and outcomes
• Strong cross‑functional partnership skills, especially with Product, Data, and AI leaders, to translate vision into working software
• Outcome‑driven mindset, using metrics and customer impact—not ceremony—to guide decisions
• Experience in healthcare, financial services, or other complex regulated domains
• Background in platform, data, or connectivity‑focused architectures
• Experience leading engineering organizations through complexity, fragmentation, and performance challenges to achieve stronger alignment and delivery
• Experience leading and operating cloud‑native engineering environments (AWS), with the ability to assess, simplify, and realign architectures at scale
• Healthcare or financial services experience is a plus
• Experience in domains where mistakes matter and complexity is real