Vice President, Engineering

FLAGLER HEALTH IS BUILDING THE CLINICAL OPERATING SYSTEM FOR MODERN MUSCULOSKELETAL CARE.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

THE ROLE:

This is a foundational executive leadership role responsible for scaling the engineering organization, the technical infrastructure, and the company's operational maturity.

As VP of Engineering, you will lead a distributed engineering team across NYC and Vancouver while shaping the systems, processes, and architecture required to support a rapidly growing healthcare platform operating in a regulated environment.

Success in this role means building a high-performing engineering culture, delivering reliable, scalable systems, and laying the technical foundation for long-term business growth.

WHAT YOU’LL DO:

- Lead, mentor, and scale a distributed engineering organization across NYC and Vancouver

- Own engineering recruiting strategy, hiring standards, organizational design, and headcount planning

- Define and drive technical strategy across backend services, infrastructure, integrations, and platform architecture

- Guide scalability and reliability initiatives for systems supporting real-time patient communications (audio and SMS) and asynchronous workflow processing

- Own infrastructure strategy, including cloud architecture, CI/CD, observability, deployment automation, and operational excellence

- Establish engineering best practices for security, compliance, resiliency, and performance in a HIPAA-compliant environment

- Partner closely with Product and Operations leadership to align engineering priorit...