About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
We are seeking a Director of Software Engineering to lead and scale our engineering teams responsible for building customer-facing applications and developer infrastructure. This is a high-impact role for an experienced engineering leader who excels at balancing technical depth, product intuition, organizational leadership, and cross-functional collaboration.
You will work closely with Product, Design, Operations, and other Engineering leaders to define and execute on our roadmap, while scaling the team and raising the bar on engineering excellence. You’ll be instrumental in influencing the direction of the product and ensuring the architecture supports NexHealth’s growth and innovation goals.
What You’ll Do- Strategic Leadership: Drive the long-term vision and technical strategy for critical areas of NexHealth’s platform.
- Team Development: Hire, grow, and retain top engineering talent; mentor emerging leaders; and foster a culture of excellence, ownership, and innovation.
- Execution Excellence: Own the delivery of complex initiatives across multiple teams, ensuring clear alignment between product goals and technical execution.
- Cross-functional Collaboration: Partner with Product, Design, and Go-to-Market teams to deliver best-in-class customer experiences.
- Technical Oversight: Guide system architecture, scalability, and maintainability across product domains; champion best practices in code quality, testing, reliability, and security.
- Org & Culture Building: Shape organizational structures, career paths, and team processes to promote high performance and strong engineering culture.
- 10+ years of experience in software engineering, with a proven track record of technical excellence and product delivery.
- 7+ years of experience in engineering leadership, including directly managing managers and scaling large teams.
- Demonstrated success in people leadership, including coaching, performance management, and career development.
- Extensive experience building and delivering complex, customer-facing software products at scale.
- Strong strategic and product judgment, with the ability to balance near-term execution with long-term technical investments.
- Proven ability to lead through influence, collaborating cross-functionally with Product, Design, Sales, Customer Success, and Executive stakeholders.
- Track record of defining and driving engineering and organizational roadmaps, with measurable business impact.
- Bachelor’s or Master’s degree in Computer Science, Engineering, or a related technical field, or equivalent practical experience.
- A builder mindset with a history of scaling teams and systems in fast-paced environments.
- Strong ownership and ability to take initiative in ambiguous, evolving contexts.
- Bias for action and data-driven decision making.
- First-principles thinking applied to both technical and organizational challenges.
- Deep care for people development and team health.
- Alignment with NexHealth’s core values and mission.
- Strong ownership: Knows what needs to be done and executes independently.
- Bias for action: Delivers outcomes quickly and effectively.
- Acts with first principles: Reframes challenges and defines clear paths to ideal solutions.
- Growth mindset: Committed to learning, feedback, and continuous improvement.
- Company first: Prioritizes what's best for NexHealth and our customers.
- Salary Range: $264,000 – $310,000 USD per year (based on experience and location)
- Equity: Competitive stock options
- Benefits:
- Full Medical, Dental, Vision (up to 100% covered)
- 401K and commuter benefits
- Unlimited PTO
- Opportunity to work on meaningful problems that impact healthcare innovation
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact [email protected] to request assistance.
Top Skills
What We Do
We connect patients, doctors, and developers to accelerate healthcare innovation. Our customers range from independent doctors offices like Grand Street Dental to public tech companies like SmileDirectClub. We help doctors modernize their businesses, help developers innovate faster, and help patients receive a modern healthcare experience.
We’re pursuing a society-changing goal and the market opportunity is open for the taking. We’ve 5X’d in the last year, and as an early stage employee you will have the chance to make a foundational impact on our company’s continued growth.









