What are the responsibilities and job description for the Head of Engineering position at Sully.ai?
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 enable our customers to staff 30% of their workforce with AI by creating a shared agent architecture for scale and efficiency. All powered by our own patented, world-class models and deployed in real-world care.
About The Role
Sully automates clinical documentation at the point of care. Real-time ambient listening, structured medical notes, and agentic AI workflows that live inside the EHR. We're live in 270 clinics, have processed 2M real physician-patient encounters, and run on custom medical models that outperform GPT, Claude and Gemini on clinical benchmarks. We're not a wrapper company.
We're hiring multiple hands on Heads of Engineering to own core product domains: Consultant, Integrations, Mobile, and Platform.
Each role has full technical and execution ownership: architecture, roadmap, delivery, and reliability, for its surface area.
───
What You'll Own
What We're Looking For
First 90 Days
Why Sully
🔥 Revolutionizing the antiquated $800B Healthcare market
🧠 60% Ex-founders who have built, scaled, exited. We hire A-players
⚡️ 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 directly unlocks doctors to 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.
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 enable our customers to staff 30% of their workforce with AI by creating a shared agent architecture for scale and efficiency. All powered by our own patented, world-class models and deployed in real-world care.
About The Role
Sully automates clinical documentation at the point of care. Real-time ambient listening, structured medical notes, and agentic AI workflows that live inside the EHR. We're live in 270 clinics, have processed 2M real physician-patient encounters, and run on custom medical models that outperform GPT, Claude and Gemini on clinical benchmarks. We're not a wrapper company.
We're hiring multiple hands on Heads of Engineering to own core product domains: Consultant, Integrations, Mobile, and Platform.
Each role has full technical and execution ownership: architecture, roadmap, delivery, and reliability, for its surface area.
───
What You'll Own
- End-to-end engineering execution: architecture, roadmap, delivery, reliability
- Drive function performance improvements: targeting 50% latency cuts across AI inference workflows
- Observability, alerting, and model-selection systems that give you real signal at scale
- The execution cadence your team needs to stay unblocked: OKRs, standups, backlog ownership, cross-functional alignment
- Quality pipelines: for accuracy, completeness, and reliability of every AI output
- Engineering bar across the stack: code quality, reviews, on-call, operational rigor
What We're Looking For
- You've grown an engineering org: 10 direct reports, real headcount growth, real process ownership with a passion for staying hands on and close to the code because you love it.
- You've built production AI/ML systems: agentic pipelines, LLM inference, real-time NLP or speech. Generic RAG experience doesn't cut it here.
- You've done Seed to Series A at least once: You know what scaling eng from 5 to 30 actually looks like.
- You still write code: Player-coach, not meetings-coach.
- Ambiguity is your operating system: Incomplete direction to clear technical plan, to shipped product. No hand-holding needed.
- Healthcare, clinical AI, or voice/speech AI background is a strong signal: Understanding why latency, reliability, and PHI compliance matter differently in this domain is a meaningful edge.
First 90 Days
- Full ownership of your engineering domain, no ramp needed
- End-to-end observability and alerting for core workflows
- Define your domain's key performance, reliability, and quality metrics
- Ship at least one high-impact improvement
- Establish the execution cadence and quality bar your team runs on
Why Sully
- Real Product Market Fit: 270 clinics live, 2M encounters processed, physicians choosing to use it every day
- Custom medical models: we build our own and they win on clinical benchmarks
- You're replacing a genuinely painful workflow (manual documentation = physician burnout), not adding an AI feature
- Small team, direct ownership, full stack responsibility: not a feature team at a big company
- Series A with real revenue and real customers, scaling fast
🔥 Revolutionizing the antiquated $800B Healthcare market
🧠 60% Ex-founders who have built, scaled, exited. We hire A-players
⚡️ 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 directly unlocks doctors to 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.