Engineering Leader - Healthcare Domain

<p><strong>Job Purpose</strong></p> <p>We are looking for a senior, delivery-focused Engineering Manager to lead end-to-end health technology project delivery. This role requires strong technical leadership, hands-on development expertise, and deep healthcare domain knowledge. The ideal candidate will drive architecture, execution, and client success while ensuring secure, scalable, and high-quality solutions.</p> <p>&nbsp;</p> <p><strong>Job Duties and Responsibilities</strong></p> <ul> <li>Lead end-to-end delivery of multiple health technology projects, including scoping, SOW creation, estimation, planning, governance, and successful go-live and handover.</li> <li>Manage delivery execution across schedules, milestones, risks, dependencies, escalations, budgets, SLAs, and client satisfaction outcomes.</li> <li>Work hands-on in development using AI-assisted tools and modern IDEs by writing production-grade code, reviewing code, building prototypes, and using AI-assisted development tools to improve speed, quality, testing, and documentation.</li> <li>Design, provision, and operate secure, scalable, high-availability health systems on AWS or Azure using modern cloud, container, infrastructure-as-code, and CI/CD practices.</li> <li>Define architecture direction through system design, architecture decision records, technical roadmaps, and security-by-design and privacy-by-design practices.</li> <li>Lead interoperability and integration work across health interoperability and messaging standards, including integrations with EHR/EMR platforms and health information exchanges.</li> <li>Bring strong healthcare domain understanding across primary, secondary, and tertiary care workflows, and act as the senior technical lead for clients, vendors, and health system stakeholders.</li> <li>Mentor engineers, lead design and delivery reviews, and strengthen delivery quality through reusable playbooks, templates, and implementation practices.</li> </ul> <p><strong>Required Qualifications</strong></p> <p><strong>Education</strong></p> <ul> <li>Bachelor’s degree in Computer Science, Engineering, MCA, or equivalent.</li> </ul> <p><strong>Experience</strong></p> <ul> <li>8–15 years of software engineering experience</li> <li>Minimum 4 years in senior technical or delivery leadership roles</li> <li>Experience delivering healthcare or enterprise-grade solutions</li> </ul> <p><strong>Knowledge, Skills, and Abilities</strong></p> <ul> <li>Deep, hands-on expertise in healthcare interoperability and common standards</li> <li>Demonstrated experience integrating with EHR/EMR platforms and onboarding EHR sandboxes.</li> <li>Strong backend development skills in one or more languages/platforms: Python, Java, JavaScript, Node.js / TypeScript. Comfortable reviewing and debugging full-stack systems.</li> <li>Demonstrated deep architecture ability: system-level design, data modelling, identity and consent, multi-tenant design, scalability and high-availability patterns.</li> <li>Experience building scalable, secure health systems with operational readiness, disaster recovery and monitoring.</li> <li>Cloud experience with one or more popular public cloud platforms, such as AWS and Azure, is required.&nbsp;</li> <li>Strong security and privacy knowledge of common frameworks and practices in the healthcare domain</li> </ul> <p><strong>Nice to Have:</strong></p> <ul> <li>Proven track record leading implementations and professional-services-style delivery for healthcare projects, including SOW scoping, estimation and governance.Prior delivery experience within the US healthcare ecosystems and programs</li> <li>Experience integrating clinical AI/ML or LLM-based features into production health workflows.</li> <li>Familiarity with automation platforms and BPMN engines.</li> <li>Cloud or security certifications (AWS / Azure, CISSP, CCSK).</li> <li>Experience working across primary, secondary and tertiary care providers and an understanding of differences in workflows, data sources and integration patterns</li> </ul> <p><strong>Why Join Us</strong><strong> </strong></p> <ul> <li>Opportunity to lead impactful healthcare technology solutions</li> <li>Work with global teams across India and North America</li> <li>Exposure to advanced cloud, AI, and healthcare systems</li> <li>Collaborative and innovation-driven work culture</li> </ul> <p><strong>Working Conditions</strong></p> <ul> <li>&nbsp; &nbsp; Work Arrangement:&nbsp; Onsite (AOT Trivandrum Office)</li> <li>&nbsp; &nbsp; Reporting Structure: Co-Founders&nbsp;</li> <li>Work Hours: overlap required with Pacific Standard Time (PST) to facilitate collaboration with North American teams and leadership.</li> <li>Collaboration: Regular interaction with cross-functional teams across Canada and India.</li> </ul> <p>&nbsp;</p> <p><strong>Living AOT’s Values</strong></p> <p>Our values guide how we work, collaborate, and grow as a team. Every role at AOT is expected to embody and promote these values:</p> <ul> <li>Innovation: We pursue true innovation by solving problems and meeting unarticulated needs.</li> <li>Integrity: We hold ourselves to high ethical standards and never compromise.</li> <li>Ownership: We are all responsible for our shared long-term success.</li> <li>Agility: We stay ready to adapt to change and deliver results.</li> <li>Collaboration: We believe collaboration and knowledge-sharing fuel innovation and success.</li> </ul> <ul> <li>Empowerment: We support our people so they can bring the best of themselves to work every day.</li> </ul>