Head of Engineering

Axmed; United States; Remote; USD 180,000 - 260,000; Full time

Benefits offered by this job

Unlimited PTO

Monthly wellness allowance

Paid parental leave

Flexible working hours

Off-site retreats

Make a difference (mission-driven)

Job summary

Axmed is actively seeking a Head of Engineering to translate our AI-driven product vision into the way the team works daily. You will lead engineers and QA, shape engineering workflows, and stay hands-on to explore what is possible and demonstrate it to the team.

You will partner with the CTO and Product Lead to decide what to build next, own architecture, ensure security guardrails, and drive delivery speed while maintaining quality in a remote-first environment.

Qualifications

• People leadership: at least 4 years as an engineering manager.
• AI in your workflow: you build with AI tools and agents day to day and can explain how you ensure output is right.
• Leading change: you have reshaped an engineering org or introduced new engineering practices, and can show how it played out.

Responsibilities

• You will lead the engineering team and QA, shaping reporting lines, hiring, and performance.
• Define and implement how we build with AI, from agent-driven development to PR workflows and guardrails.
• Ensure upstream quality by guiding the team to teach the machine to execute well, not just execute.
• Steer architecture decisions to evolve our workflow-based platform.
• Remain hands-on to prototype and ship, identifying new opportunities and better ways of working.
• Set engineering strategy with the CTO and Product Lead and manage relationships with technology partners.

Skills

People leadership

AI workflow

Leading change

Job description

Our Vision

We believe in a world where everyone, regardless of their country’s wealth or frontiers, enjoys access to medicines and healthcare when they need it.

Our Mission

We work tirelessly to remove access barriers faced by patients and caregivers across Low and Middle-Income Countries (LMICs) when seeking quality medicines and quality healthcare.

Who We Are: Accelerating access to medicines for all

Imagine a world where critical medicines are within reach, affordable, and synonymous with quality, no matter where you are. That is the world we're building with our unique, demand-aggregation model that unites healthcare providers across LMICs. At the heart of our identity is a single, resolute commitment: to build a future where geography and income never stand between any individual and life-saving medicines. Our platform isn't merely a space for transactions, we unlock affordable access to medicines by aggregating demand across healthcare providers. We also help manufacturers build a sustainable and reliable global access strategy.

Our business focuses on low- and middle-income countries and strengthens the purchasing power of these markets to ensure the supply of cost-effective, high-quality medicines.
We partner exclusively with authorized, high-quality pharmaceutical companies and certified caregivers to accelerate sustainable access to medicines.

About the Position

Axmed is a B2B marketplace for medicines, removing the barriers patients and caregivers across low and middle income countries (LMICs) face when seeking quality medicines. Our engineering team already works at the leading edge of AI-assisted development, and we intend to stay there. We are hiring a Head of Engineering to turn a clear vision for how Engineers work with AI into the way the whole team works, every day.

This is a hands-on leadership role. You will lead our engineers and QA, set the standard for how we build with AI agents, and keep coding yourself to uncover what's possible and show the team how it's done. You will form a leadership triad with our Chief Technology Officer and our Product Lead, deciding what we build next and what needs rethinking. We want someone with the experience and authority to tell us when we are wrong, and to back it up.

What you'll own

• The engineering team, including QA: all engineering reporting lines, team structure, hiring and performance

• How we build with AI: the workflows, from agent-driven development to stacked pull requests, and the guardrails that keep output secure and reliable

• Quality upstream: making sure the team spends its time teaching the machine to execute well, not just executing

• Architecture: facilitating the big technical discussions and making the calls on how our workflow-based platform evolves

• Hands-on code: prototyping and shipping to uncover new opportunities and better ways of working

• Engineering strategy alongside the CTO and product lead, and our relationships with technology partners such as Google and AWS

What success looks like in your first 6 months

• The full engineering team, including QA, reports into you, and day-to-day engineering execution runs through you

• A defined AI engineering workflow is live across the team, with clear guardrails and usage and quality metrics reviewed monthly

• At least one change to team structure or engineering practice led end-to-end, with a measurable improvement in delivery speed or quality

What we're looking for:

Skills

• People leadership: at least 4 years as an engineering manager

• AI in your own workflow: you build with AI tools and agents day to day and can explain exactly how you make sure the output is right

• Leading change: you have reshaped an engineering org or introduced new engineering practices yourself, and can show how it played out

Experience

• Engineering leadership in a marketplace or SaaS platform business

• Building workflow-based platforms with complex state management, such as approval flows or order lifecycles

• Familiarity with business process modelling, such as BPMN

• Changing how an existing team works, not only building a new team from scratch

Traits

• Confident enough to challenge senior leaders, with the experience to back it up

• Hands-on: you show rather than tell

• Drives change and stays steady when not everyone welcomes it

What is in it for you?

At Axmed, we believe in creating a supportive and rewarding environment where our team can thrive. Here’s what we offer:

Location and right to work:

This role is remote-first, and we’re building our team in Spain, so we’re prioritising candidates based there. As an early‑stage company, we can’t currently offer visa sponsorship or relocation support, so you’ll need the existing legal right to work in the country where you’re based. Please mention your current location in your application.

• Unlimited PTO: Take the time you need to recharge and maintain work-life balance.

• Monthly wellness allowance: Prioritize your health and well-being with extra support.

• Paid parental leave: Time off to bond with your new family member without any added stress.

• Flexible working hours: Enjoy the freedom to structure your workday in a way that suits your lifestyle.

• Off-site retreats: Connect with the team and build lasting relationships during our company retreats.

• The opportunity to make a difference: Be part of a mission‑driven company working to improve healthcare equity.

• Competitive salaries: We offer a compensation package that reflects your skills and experience.

• Plenty of room for growth: We believe in nurturing talent and offering opportunities for professional development and advancement.

applicantLocationRequirements: Switzerland