Head of Engineering

Sully.ai is focused on revolutionizing healthcare by building AI teammates to support clinicians. They are seeking multiple Heads of Engineering to lead various product domains, ensuring technical execution and operational excellence.

Responsibilities:

• Own end-to-end engineering execution for your domain, from architecture and roadmap through delivery and reliability
• Drive step-function latency reductions, targeting at least 50 percent improvements across note generation and decision-support workflows where applicable
• Design and operate robust observability, metrics, and model-selection systems to ensure consistent performance at scale
• Lead domain-specific execution rituals, including daily and weekly standups, backlog ownership in Linear, and tight cross-functional coordination
• Translate product goals into clear dependencies, timelines, and deliverables to keep teams unblocked and shipping
• Operationalize continuous quality evaluation pipelines to improve accuracy, completeness, and reliability of outputs
• Set and enforce engineering best practices across your stack, including code quality, reviews, on-call standards, and operational rigor

Requirements:

• 7+ years of startup/founding experience in a high-growth early-stage start-up, or founder/co-founder experience bringing SaaS products from ideation to enterprise scale
• Experience in high-intensity environments such as YC-backed startups, early-stage companies, or zero-to-one teams where speed and judgment matter
• Comfort with ambiguity. You turn incomplete product direction into clear technical plans and ship without a heavy process
• Bias toward leverage and simplicity. You choose durable solutions and know when to optimize versus when to ship