Director of Engineering, Foundations

The Atria Health Institute is a membership-based primary and specialty health care practice with a focus on prevention and longevity. We bring together a multidisciplinary team of renowned physicians to provide proactive, preventive, and precision-based care for Atria members and their families. All care, including primary care, advanced screening and diagnostics, urgent care, specialty care, 24/7 home visits, and imaging is included in members’ annual fee.

Our mission is to make healthspan and lifespan equal for all by translating science into medicine in real-time, all while bringing humanity back into health care. Delivering such robust, personalized, and preventive health care is complex and requires a team-wide dedication to excellence.

After successfully opening our flagship Institute in New York in 2022 and expanding to South Florida in 2024, we are now bringing the Atria experience to the West Coast with the launch of our Los Angeles Institute in late spring 2026.

Atria is seeking a Director of Engineering to lead our Foundations group — the Platform, Dev Ops, and Data Engineering teams that the rest of the engineering organization is built on. Foundations exists to accelerate overall engineering throughput via the shared services, infrastructure, and data systems that let product teams ship for members and clinicians without reinventing authentication, caching, EMR data sync, pipelines, or deployments every time.

You will own the technical strategy and roadmap across all three teams and be accountable for reliability, security, and delivery across the systems Foundations owns. This role directly manages the 12 member Foundations team, including 3 Tech Leads

• Own the health, technical direction, and output of the Foundations group (Platform, Dev Ops, and Data Engineering), including the shared services, infrastructure, and data systems the rest of engineering depends on.
• Maintain end-to-end accountability for complex, multi-team Foundations initiatives from concept through deployment: EMR integrations, the MySQL-to-Postgres migration, background jobs, feature flags, and data platform enhancements.
• Own the reliability, security, and operational health of platform, data, and cloud infrastructure, including SLOs, capacity planning, on-call rotation management, alerting, and incident response governance.
• Drive initiatives from definition through delivery, maintaining accountability for outcomes.
• Identify problems proactively and propose solutions without waiting to be asked.

• Serve as the primary escalation and request path into Foundations for the rest of the organization.
• Partner proactively with Product Engineering and Data & Analytics leadership to anticipate infrastructure needs early and build scalable solutions ahead of demand.
• Work cross-functionally with product, data, clinical, security, and executive stakeholders to deliver.
• Communicate early when blocked, working with colleagues to unblock the team.
• Drive and contribute to a culture of direct, constructive feedback.

• Own architectural direction across integration patterns, caching infrastructure, shared services, data pipelines, and cloud infrastructure to ensure consistency and reuse across teams.
• Act as the senior technical escalation point for complex engineering challenges, maintaining rigorous design standards for reliability, performance, and security through architecture and design reviews.
• Champion AI-assisted engineering workflows across Foundations; establishing the patterns, tooling, and guardrails that let teams use AI to accelerate delivery safely and consistently.
• Hold a high bar for the work: simple,…