Remote Director of Engineering, Care Domain AI-First Leader

Ladders; United States; Remote; USD 166,000 - 200,000; Full time

Benefits offered by this job

Unlimited PTO, company holidays, and q

Comprehensive health benefits

Employee Stock Purchase Program (ESPP)

401k benefits with employer matching

Offsite team retreats

Job summary

Ladders is seeking a Director of Engineering for a patient-facing care domain in healthcare. This remote role shapes the engineering direction from intake to pharmacy handoff, balancing product innovation with reliability and regulatory rigor.

You will partner with product, clinical, operations, and executives to define architecture, drive roadmaps, and lead a growing team of managers in a fast-moving environment. Remote within the United States.

Qualifications

• 12+ years in software engineering, with 5+ years managing managers or multiple teams in high-growth environments.
• Experience with clinical or regulated health data systems, including knowledge of HIPAA compliance.
• Proven track record in owning end-to-end user experiences with cross-functional teams.
• Strong grounding in modern service architectures like Spring Boot and Kotlin.
• Experience integrating third-party health and pharmacy systems.
• Ability to define and execute technical roadmaps aligned with product vision.
• Strong communication skills with the ability to engage technical and non-technical stakeholders.

Responsibilities

• Own technical vision and delivery for the care domain, covering all aspects from intake to pharmacy handoff
• Define and deliver the engineering roadmap, balancing innovation and reliability
• Lead the transition to a durable domain model with clear boundaries and API-driven architecture
• Ensure compliance with patient safety, security, and regulatory requirements
• Set reliability standards for patient-critical workflows
• Drive an AI-first engineering culture with measurable goals
• Build and mentor engineering managers, focusing on succession planning
• Manage staffing and organizational strategy as the domain evolves
• Represent engineering in executive forums, translating strategy and risk for stakeholders

Skills

Managing managers

HIPAA compliance

End-to-end user experiences

Cross-functional communication

Regulated health data systems

Roadmap definition

Tools

Spring Boot

Kotlin

Third-party health systems integration

Job description

Ladders is seeking a Director of Engineering for a patient-facing care domain in healthcare. This remote role shapes the engineering direction from intake to pharmacy handoff, balancing product innovation with reliability and regulatory rigor.

You will partner with product, clinical, operations, and executives to define architecture, drive roadmaps, and lead a growing team of managers in a fast-moving environment. Remote within the United States.