Head of Engineering

Head of Engineering - Healthy Vignettes

Location:

Remote / Hybrid (India-based)

Type:  Full-time

About Healthy Vignettes:
Healthy Vignettes is an innovative healthcare Al company dedicated to transforming how patients, providers, and organizations use data and technology to improve outcomes. We are building cutting-edge Al-driven platforms that power intelligent healthcare solutions, blending strong engineering with advanced machine learning.

Role Overview :
We are a startup building a number of physician facing and patient facing digital health tools. We are hiring a Head of Engineering to own technical architecture, execution, and engineering management.
This is a hands-on, applied role focused on translating product vision into scalable, optimized and maintainable software systems and the Head of Engineering will  the engineering team to deliver reliably. This is not a managerial role alone, since we are a startup in active build mode. We value ownership over titles, execution over presentation, and adaptability over rigid specialization. The role, based on performance, leads to the CTO role.

Compensation is offered as combination of ESOPs and salary.

Responsibilities:
The Head of Engineering will shoulder the following responsibilities:

I. Technical Leadership:
Own system architecture, codebase structure, and technical roadmap
Make and document architectural decisions
Select technologies, frameworks, and infrastructure
Build and integrate agents and agentic workflows into the product.
Establish rigorous testing, validation, and quality evaluation frameworks appropriate for AI-enabled systems.
Manage technical debt pragmatically without unnecessary rewrites
Design systems that are compliance-aware by architecture (e.g., HIPAA, GDPR, SOC
2).
Operate effectively in a hands-on startup environment, combining strategic leadership with direct technical contribution.

II. Platform, Infrastructure and Secure Enablement:
Cloud and infrastructure architecture supporting the product, including environment isolation (development, staging, production) and deployment pipelines.
Design automated, self-service workflows that enable designers and other non-engineering roles to safely contribute (e.g., previews, asset updates, feature toggles) without direct access to production or cloud consoles.
Implement and enforce least-privilege access controls, auditability, and operational guardrails appropriate for a data-sensitive / regulated domain.
Ensure infrastructure and workflows are reproducible, documented, and resilient, reducing reliance on manual intervention.
Partner with the Founder/CEO to balance security, velocity, and cost as the system evolves.

III. Execution and Delivery:
Customer point of contact and post sales support through the team
Ensure predictable delivery and quality
Establish engineering best practices appropriate for stage

IV. People Management:
Hire, mentor, and manage engineers
Conduct code reviews and performance feedback
Build a culture of ownership and accountability

V. Founder

Collaboration:

Advise the Founder/CEO on technical implications of product decisions
Clearly communicate tradeoffs, risks, and constraints
Execute decisively once product direction is finalized

VI. Documentation and Continuity:
Own technical documentation, onboarding guides, and runbooks
Build redundancies and all required documentation to ensure minimal dependence on individual employees.

Our requirements for the role are flexible, are looking for someone who has experience with a wide range of technology stacks. More importantly, since AI is a fast-evolving field, we are looking for fast-learners and highly-adaptable individuals.  The ideal candidate is inquisitive, thinks outside the box, has the ability to ask the right questions, combines execution discipline, and adaptability, and is motivated to grow with the company toward a long-term technical leadership role.