Head of Clinical Development, Pulse

At Sword, we’re building AI to heal billions and unlock humanity’s full potential. In doing so, we’re pioneering AI Care, a fundamentally new approach to healthcare built for medical reasoning, safety, and real-time treatment, not generic technology applied after the fact. As both a clinical-centric frontier AI lab and an applied AI platform, Sword is reimagining how care is delivered at scale, removing traditional barriers like appointments, waiting rooms, and stigma so more people can access the care they need - and ultimately get back to lives lived in full.

We are seeking a Head of Clinical Development to drive clinical outcomes in Pulse, Sword’s AI cardiometabolic care solution spanning hypertension, pre-diabetes, and GLP-1 support. This is a strategic and tactical role working closely with Product, Go-to-Market, Clinical Ops and, Clinical Affairs & Research team, reporting directly to the General Manager and working closely with the Chief Medical Officer and SVP for Clinical & Regulatory Affairs.

You will partner cross functionally to make sure clinical requirements are reflected accurately in product features, AI behavior, operational workflows, member experiences, and external communications. The role covers real breadth: clinical program architecture, external clinical credibility and thought leadership forgo-to-market, clinical input into product development, clinical governance of Pulse’s AI-driven three-waychat experience, and clinical quality standards for Clinical Operations.

AI fluency is a core expectation at Sword Health. Every candidate is assessed against our three-level framework — be ready to share real examples of how AI is already part of how you work.

• Explorer (Level
  1) — Uses AI daily to boost personal productivity
• Builder (Level
  2) — Creates workflows and tools that elevate the whole team
• Integrator (Level
  3) — Embeds AI into products and processes at scale

Every hire must demonstrate at least Level 1. The expected level will vary depending on the seniority of the role.

• Set clinical validation standards for new features, workflows, interventions, and AI-supported experiences before and after launch.
• Bring the clinical lens to feature assessment alongside Product, calibrating the level of clinical rigor to the actual risk of each feature so the team can move quickly with confidence.
• Provide clinical expertise in the scoping and refinement of PRDs.
• Review and clinically interpret member and clinician feedback, maintaining a tight loop back to roadmap and program decisions.
• Monitor and interpret clinical outcomes to identify drivers of improvement, decline, or variation, and direct program, protocol, product, workflow, or training changes in response.
• Surface clinical constraints early, flagging where a solution will be clinically wrong or difficult before development begins, so the team solves the right problem instead of building the wrong thing well.

• Help define the intended clinical role, therapeutic boundaries, and prohibited behaviors of Pulse’s AI-supported experiences.
• Work with Product and AI on both the prompting layer (guidelines, guardrails) and the harness layer (knowledge base, escalations).
• Co‑develop the clinical components of evaluation rubrics, acceptance criteria, release thresholds, and annotation requirements.
• Define the clinical content needed for annotator training, including example annotations.
• Clinically interpret annotator feedback and help determine, with AI and Product, whether training, evaluation criteria, prompts, guardrails, or product behavior need to change.
• Contribute to post‑launch clinical monitoring, interpret findings…