VP of Engineering (up to £200k

This role is with one of Dex's trusted partner companies. We work closely with their teams to truly understand their culture, goals, and what they're looking for, so we can match you with the right opportunity and give you context about the role before you commit to a process.

This company is building a surgical intelligence platform that turns medical imaging into real-time 3D guidance for surgeons. Their technology is already deployed in hospitals, supporting life‑saving procedures and pushing the boundaries of what's possible in complex operations. You'll step in as the technical successor to the founder, a neurosurgeon who built the original stack. This isn't a pure management role;

you'll be the system architect across AI & Perception, Platform Software, Hardware, and QA, defining integration standards and API contracts. You'll balance immediate commercial priorities, like shipping an OEM‑integrated SDK, with long‑term R&D in areas like foundation models and sub‑mm navigation. This is a rare seat: full technical ownership, from strategy to execution, in a regulated, safety‑critical domain.

• Define and own the technical architecture across AI/Perception, Platform Software, Hardware, and QA, setting integration standards and API contracts.
• Drive the immediate commercial priority: deliver an OEM‑integrated SDK for a major scope manufacturer, unlocking critical partnerships.
• Balance short‑term product delivery with long‑term R&D, exploring foundation models and sub‑millimeter navigation for future surgical applications.
• Scale the engineering team from 6 to 10‑12 by year‑end, building out a high‑performing, cross‑functional group.
• Navigate the regulatory landscape (FDA Class I/II, HIPAA, ISO 13485) to ensure product compliance and accelerate market access.

• Direct, hands‑on experience integrating software with real surgical or medical‑grade hardware. Theoretical systems design is not enough.
• Proven ability to lead and scale an engineering team of 10+ across software, AI/ML, and ideally regulatory functions.
• Expertise in edge compute and GPUs (e.g., NVIDIA Jetson/AGX), optimizing real‑time pipelines for ultra‑low latency.
• Working fluency with regulated, safety‑critical product development (FDA, HIPAA, ISO 13485).
• A builder's mindset: comfortable making architectural calls without a playbook, thriving in an early‑stage, high‑ownership environment.

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