Director of Engineering

Posted 2 Days Ago
Hiring Remotely in USA
Remote
220K-250K Annually
Senior level
Healthtech
The Role
Lead technical execution and people management for multiple engineering pods (18 people). Set goals, shape roadmap with product and design, build scalable engineering processes, provide architectural oversight, drive technical excellence, and champion practical AI tooling adoption to improve developer velocity and product capability.
Summary Generated by Built In

At House Rx, we're driven by something special: making specialty medications more accessible and affordable for patients who need them most. Our product, design, and engineering team, part of our broader 300+ person company, is the backbone of that mission, building the systems, workflows, and data infrastructure that help get life-saving drugs into patients' hands.

Our engineering function is growing and we're bringing on a Director of Engineering. This is a high-impact role for a builder and leader who wants their work to matter. We'd love to connect.

About The Role 

As Director of Engineering, you will own the technical execution and team leadership of several core engineering pods at House Rx. You'll lead a team of 18, including two Engineering Managers and their respective pods, a Staff Engineer, the QA team, and several direct IC engineers.

You'll report to the VP of Engineering and work alongside a peer Director of Engineering. This is a high-visibility leadership role with real technical expectations. You won't be a distant executive. You'll be in the work: reviewing architecture, unblocking teams, making hard calls, and modeling what great looks like.


What You’ll Do

Drive the Team Forward

  • Set the pace and raise the bar. Establish clear goals, cut through ambiguity, and hold the team accountable to shipping meaningful work with high quality.
  • Partner with product and design to shape the roadmap, make smart trade-offs, and keep engineering unblocking the business.
  • Build engineering processes that scale: sprint rhythms, incident response, code review standards.
  • Identify risks early and drive to resolution.

Lead & Develop People

  • Lead and develop your team across all levels, providing coaching, career development, and performance feedback. Hold managers accountable for the output of their pods while investing equally in every direct report's growth. 
  • Build a culture of high standards and continuous growth, where engineers do some of the best work of their careers.
  • Own and maintain a high bar for talent; define what great looks like and hold the standard 
  • Identify and develop future engineering leaders.

Own Technical Excellence

  • Provide architectural oversight across your pods, ensuring systems are scalable, maintainable, and built to last.
  • Champion best practices across code quality, observability, testing, and system design.
  • Stay close to the technical work to earn trust, spot issues early, and give grounded feedback.

Champion AI-Forward Engineering

  • Lead by example with AI development tools and set clear expectations for the team to do the same.
  • Evaluate and introduce AI tooling that improves developer velocity, code quality, and product capability.
  • Build a team culture that treats AI as a genuine productivity multiplier, not a novelty.
  • Help define House Rx's approach to responsible, high-leverage AI use in engineering.

About You

  • 7+ years in software engineering, with 3+ years in engineering management, ideally including experience managing managers or leading multiple teams.
  • You are a driver. You set direction, move with urgency, hold yourself and others accountable, and don't wait for someone else to solve the problem.
  • Proven track record building and retaining high-performing teams in fast-moving, product-focused environments.

Technical Depth

  • Strong full-stack background. You can speak credibly to architecture decisions across the stack (Node.js, TypeScript, React, Postgres, AWS).
  • Comfortable reviewing systems design, giving meaningful feedback, and making architectural calls when needed.
  • Experience leading teams through hard technical challenges: scaling systems, managing debt, navigating platform changes.
  • Bachelor's/Master's in CS/Engineering or equivalent practical experience.

AI-Forward Mindset

  • You actively use AI tools in your own workflow and know where they add real value.
  • You've helped a team adopt AI tooling thoughtfully, not just talked about it.
  • You follow what's happening in the space and bring ideas back to your team.

Collaboration & Communication

  • Exceptional communicator, able to synthesize complexity for engineers, product partners, and executives alike.
  • Comfortable in ambiguity and high-visibility environments; you bring structure without bureaucracy.

In particular, we offer:

  • Flexible work hours and flexible paid time off
  • Work remotely
  • Generous parental leave
  • Comprehensive healthcare, vision and dental benefits
  • Competitive salary and equity stake
  • We’re backed by forward-thinking investors committed to transforming healthcare, including Bessemer Venture Partners, First Round Capital, LRV Health, Khosla Ventures, Maverick Ventures, 1984.vc, and Character

Expected Full-Time Base Salary: $220,000 – $250,000 plus meaningful equity stake

This range represents the low and high end of the anticipated base salary. Actual compensation will depend on experience, knowledge, and skills. Packages also include equity, flexible paid time off, and benefits.

More About House Rx

Together, we build and maintain impactful solutions through our pharmacy management system and data insights platform. These tools enable our internal teams, pharmacists, care coordinators, and clinical operations to streamline medication access, while helping external healthcare providers and clinics deliver better patient care.

Our engineering work presents exciting technical challenges as we balance user-facing features with robust internal systems. We release updates daily, requiring thoughtful prioritization and technical excellence while maintaining high quality. This iterative approach means we're constantly delivering meaningful improvements to our healthcare platform.

We're a fun, thoughtful, supportive, and down-to-earth group focused on doing some of the best work of our lives. We know software is built by people, and we're committed to taking care of both the people we work with and the patients whose lives we touch through our technology.

Skills Required

  • 7+ years in software engineering
  • 3+ years in engineering management
  • Experience managing managers or leading multiple teams
  • Strong full-stack background (Node.js, TypeScript, React, Postgres, AWS)
  • Proven track record building and retaining high-performing teams in product-focused environments
  • Experience providing architectural oversight and leading teams through scaling, technical debt, and platform changes
  • Experience using and helping teams adopt AI development tools
  • Bachelor's or Master's in Computer Science/Engineering or equivalent practical experience
  • Exceptional communication and collaboration skills with product and executive partners
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The Company
San Francisco, , CA
115 Employees
Year Founded: 2021

What We Do

House Rx is a technology-enabled service company focused on making specialty medication more accessible and affordable. We do so by helping clinics dispense specialty medications to their patients in a medically-integrated way using pharmacist expertise and modern technology. By helping physicians and pharmacists collaborate on patient care, we’re able to improve patient outcomes, lower the cost of care, and create a better experience for patients and their caregivers.

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