About Us
At Sully.ai, We’re Building the Most Impactful Healthcare Company on Earth
We believe that access to a great doctor is a basic human right. Today, that’s not a reality. Delays, misdiagnoses, administrative chaos, and burnout plague the system.
Our Mission: One Human, One Doctor. We build AI teammates that augment clinicians — scribes, nurses, receptionists, translators — all powered by our own world-class models and deployed in real-world care.
About the Role
- We’re hiring a Head of Engineering, Platform to own and scale the Platform domain with full technical and execution ownership for its surface area.
Key Responsibilities
- End-to-end engineering execution: architecture → roadmap → delivery → reliability.
- Step-function performance improvements — targeting 50%+ latency cuts across AI workflows.
- Observability, metrics, and model-selection systems that hold up at scale.
- Engineering rituals that keep teams shipping: standups, backlog ownership (Linear), cross-functional coordination.
- Translating product goals into clear plans, timelines, and unblocked teams.
- Continuous quality pipelines: accuracy, completeness, reliability of every output.
- Engineering bar across the stack: code quality, reviews, on-call, operational rigor.
Hard Requirements
- You've built something from zero and shipped it: founder, founding engineer, or first technical hire at a company that actually mattered to you.
- You've led people (even a small team) and made them better, not just managed them.
- You thrive in high-intensity, early-stage environments, YC, seed-stage, zero-to-one — where speed and judgment are the whole game.
- Ambiguity is your operating system. Incomplete direction → clear technical plan → shipped product. No heavy process needed.
- You default to leverage and simplicity: durable solutions, sharp instinct for when to optimize vs. when to ship.
- You still write code. This is a player-coach role, not a meetings role.
Key Results (First 90 Days)
- Take full ownership of the Platform engineering domain.
- Ensure end-to-end observability and alerting for core workflows.
- Define the domain's key performance, reliability, and quality metrics.
- Identify and ship at least one high-impact improvement.
- Establish execution cadence, priorities, and quality standards.
🔥 Revolutionizing the antiquated $800B+ Healthcare market
🧠 50%+ of us are ex-founders. We hire A-players, not passengers
⚡️ Speed matters - we operate with urgency, autonomy, and ownership
🧪 You’ll work on real, first-of-their-kind problems at the edge of AI and medicine
❤️ Your work helps doctors reclaim their time - and patients get better, faster care
Sully.ai is an equal opportunity employer. In addition to EEO being the law, it is a policy that is fully consistent with our principles. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, religion, color, national origin, sex, sexual orientation, gender identity, genetic information, pregnancy or age. Sully.ai prohibits any form of workplace harassment.
🚀 Y Combinator Company Info
Y Combinator Batch: S21
Team Size: 49 employees
Industry: B2B Software and Services -> Productivity
Company Description: Autonomous team of AI agents that runs the entire hospital operations
💰 Compensation
Salary Range: $280,000 - $400,000
📋 Job Details
Job Type: Full-time
Experience Level: 6+ years
Engineering Type: Full stack