Head of Engineering

Sully.ai

About the Role

• We re hiring a Head of Engineering to own and scale Sully.ai s core product efforts in the UAE, with full responsibility for architecture, execution, reliability, and performance across region-specific healthcare workflows, integrations, and regulatory requirements.

Key Responsibilities

• Own end-to-end engineering execution for your domain, from architecture and roadmap through delivery and reliability.

• Drive step-function latency reductions, targeting at least 50 percent improvements across note generation and decision-support workflows where applicable.

• Design and operate robust observability, metrics, and model-selection systems to ensure consistent performance at scale.

• Lead domain-specific execution rituals including daily and weekly standups, backlog ownership in Linear, and tight cross-functional coordination.

• Translate product goals into clear dependencies, timelines, and deliverables to keep teams unblocked and shipping.

• Operationalize continuous quality evaluation pipelines to improve accuracy, completeness, and reliability of outputs.

• Set and enforce engineering best practices across your stack, including code quality, reviews, on-call standards, and operational rigor.

Hard Requirements

• Founder-level ownership mindset. You operate like the business depends on your decisions and execution.

• Senior, hands-on engineering ability. You actively design systems, write and review production code, and set the technical bar by example.

• Experience in high-intensity environments such as YC-backed startups, early-stage companies, or zero-to-one teams where speed and judgment matter.

• Comfort with ambiguity. You turn incomplete product direction into clear technical plans and ship without heavy process.

• Bias toward leverage and simplicity. You choose durable solutions and know when to optimize versus when to ship.

Nice-to-have:

• Experience with FHIR/HL7 or EHR systems.

• Background in real-time or near-real-time streaming, diarization, or structured-output pipelines.

• Experience supporting front-end or extension-based integrations (web, mobile, browser extension).

Key Results (First 90 Days)

• Take full ownership of the assigned engineering domain.

• Ensure end-to-end observability and alerting for core workflows.

• Define the domain's key performance, reliability, and quality metrics.

• Identify and ship at least one high-impact improvement.

• Establish execution cadence, priorities, and quality standards.