Director, Full Stack Engineering

Posted 7 Days Ago
Be an Early Applicant
New York, NY, USA
In-Office
250K-250K Annually
Senior level
eCommerce • Hardware • Healthtech • Software
Our mission is to democratize medical imaging and improve healthcare access to support global health equity.
The Role
Leads and grows a distributed full stack engineering team building Butterfly’s enterprise clinical workflows platform. Sets technical strategy and architecture, owns roadmap execution, develops engineering talent, improves development and incident-response processes, and partners with Product, Design, Data, Security, and Compliance. The role emphasizes scalable cloud systems, operational excellence, observability, security, and HIPAA/PHI compliance while delivering reliable healthcare software.
Summary Generated by Built In
Director, Full Stack EngineeringCompany Description

Butterfly Network, Inc. (NYSE: BFLY) is driving a digital revolution in ultrasound imaging and sensing with its proprietary Ultrasound-on-Chip™ semiconductor technology and software solutions. Butterfly first proved its technology in the point-of-care ultrasound market – commercializing the world’s first single-probe, whole-body portable ultrasound device, which is now on its best-selling, third-generation: Butterfly iQ3™. The Company combines its advanced hardware with cloud software and AI, an enterprise workflow solution (Compass AI™) and other offerings to drive adoption of affordable, accessible ultrasound. Butterfly also enables third-party development of imaging AI apps through Butterfly Garden™, its software development kit and AI partnership initiative. 

In addition to its medical imaging products, Butterfly Embedded™ is the Company’s Ultrasound-on-Chip™ licensing and co-development program designed to enable a new wave of ultrasound-enabled technologies across non-competitive healthcare markets and beyond. Through Butterfly Embedded™, partners can build and scale novel ultrasound applications powered by Butterfly’s proprietary semiconductor chip and software platform. Butterfly’s innovations have been recognized by Prix Galien USA, Fierce 50, TIME’s Best Inventions and Fast Company’s World Changing Ideas, among other achievements.

We’re a team of bold thinkers, problem-solvers, and innovators ready to shape the future of medical imaging. Let’s build something extraordinary together!

Job Description

We are seeking a seasoned engineering leader to lead our Full Stack Engineering team, responsible for building and scaling our critical Enterprise Clinical workflows platform. The Butterfly Cloud provides a secure and robust connection to user's health information — powering tools and services that help doctors and clinicians make informed, intelligent diagnostic decisions with the help of their peers.

As Director, you will lead a distributed team of engineers across both onshore and offshore locations, setting the technical direction for our enterprise platform — including user and organization administration, feature and entitlement management, global search, audit logging, and scalable platform features. You'll partner closely with Product, Design, and other engineering leaders to shape roadmap priorities and drive execution across the full stack.

As part of our team, your core responsibilities will be to:

  • Lead, grow, and inspire a high-performing full stack engineering team spanning onshore and offshore engineers — fostering a culture of excellence, ownership, and continuous improvement.
  • Define and drive the technical strategy and architecture for the Enterprise Clinical workflows platform, balancing innovation with reliability, security, and scalability.
  • Own engineering roadmap execution — partnering with Product and Design to translate business goals into clear, well-scoped plans, and holding the team accountable to delivery.
  • Recruit, retain, and develop top engineering talent; build a healthy team culture where people grow and do their best work.
  • Establish and evolve engineering processes — code review standards, on-call practices, incident response, and cross-team ways of working — to maximize team effectiveness across time zones.
  • Serve as a senior technical voice across the organization, contributing to architectural decisions, evaluating new technologies, and raising the bar on engineering quality.
  • Build strong cross-functional relationships with Product, Design, Data, Security, and Compliance stakeholders to ensure alignment and unblock the team.
  • Drive a culture of observability, operational excellence, and HIPAA/PHI compliance across the platform.
Qualifications

Baseline skills/experiences/attributes:

  • 6+ years of software engineering experience, with at least 3–5 years in engineering management or a senior technical leadership role. 
  • Proven track record of leading distributed engineering teams, including managing offshore or nearshore teams across multiple time zones.  
  • Deep understanding of distributed systems, cloud architecture, and full stack web development at scale.  Experience hiring, developing, and retaining senior engineering talent; track record of building strong, cohesive teams.  
  • Strong product sensibility — ability to translate ambiguous business problems into clear engineering plans and drive execution with minimal direction.  
  • Excellent communication and influencing skills; comfortable presenting to senior leadership and partnering across functions.  
  • Bachelor's Degree in Computer Science or equivalent experience. 

Ideally, you also have these skills/experiences/attributes (but it’s ok if you don’t!):

  • GraphQL and related frameworks (e.g., Relay, Apollo, URQL)  
  • Experience with LLMs and MLOps  Containerization and orchestration technologies such as Docker, ECS, EKS  Web apps with live updates — pub/sub solutions (such as Redis), WebSockets  
  • Designing and building observability solutions utilizing modern monitoring, logging, and metrics tools  Frontend experience with React and TypeScript  Opensearch or other Lucene-based search engines  
  • HIPAA, PHI, and PII compliance  
  • Experience leading engineering teams in health tech, medical devices, or other regulated industries
Values

Innovation is what we do. Our values are how we make it happen. Butterflies are and believe in…

  • Patient-Centric Innovators: Our mission is THE mission.
  • Empowered to Impact: Every voice matters.
  • One Team, One Goal: Unity fuels progress.
  • Growth Champions: We embrace challenges.
  • Action-Oriented Achievers: We follow through, every time.
Location

Butterfly offers a hybrid work model for most positions, with team members spending two or more days a week in the office. While flexibility is key, we value in-person connections that spark creativity and teamwork. Our offices are designed for collaboration, with comfortable workspaces, stocked kitchens, and opportunities to connect with peers.

Our preference for this role is that this is a hybrid position and will be based out of our office in New York City, NY. 

Benefits and Perks
  • Comprehensive health insurance, encompassing dental and vision coverage, is provided to all our employees. As a health-tech company, we prioritize the well-being of our teams. We also contribute to Health Savings Account (HSA) accounts for all enrolled employees on an annual basis.
  • Comprehensive Employee Assistance Program - we provide access to tools and resources to support your emotional health and day-to-day needs.
  • 401k plan and match - we facilitate your retirement goals.
  • Eligible employees will have the opportunity to participate in Employee Stock Purchase Plan (ESPP)
  • Unlimited Paid Time Off + 10 Holiday Days a Year - recharge and come back ready to make an impact
  • Parental Leave - we aim to provide our employees with time to bond with their growing family, along with additional support for primary caregivers to help transition back to work 
  • Competitive salaried compensation - we value our employees and show it 
  • Equity - we want every employee to be a stakeholder
  • The opportunity to build a revolutionary healthcare product and save millions of lives! 
Compensation 

Our estimated salary for this role is around $250,000 + bonus + equity + benefits. Actual pay is determined by multiple factors such as skills, qualifications, experience and market demand.

Candidates must be authorized to work in the United States. Butterfly Network will not provide immigration sponsorship of any kind for this position, including but not limited to H-1B, TN, O-1, L-1, or green card sponsorship (this includes applicants that are in the process of obtaining a greencard), now or in the future.

Butterfly Network does not accept agency resumes.

Butterfly Network is an E-Verify Company. 

Butterfly Network is an equal opportunity employer.  Regardless of race, traits associated with race, color, ancestry, religion, gender, national origin, sexual orientation, age, citizenship, marital status, disability or Veteran status. All your information will be kept confidential according to EEO guidelines.

Butterfly requires security adherence responsibilities from all employees. These include:  adhering to all company security policies and procedures, utilize provided company assets securely, and complete all required security awareness training programs. Safeguarding company data and systems from unauthorized access, modification, or destruction, contributing to the overall security posture of the organization. Immediately reporting any suspected or actual security incidents, including phishing attempts, malware infections, or unauthorized access, following the established incident response procedure

#LI-KG

#KG-LI

Skills Required

  • 6+ years of software engineering experience
  • 3–5 years of engineering management or senior technical leadership experience
  • Experience leading distributed engineering teams across multiple time zones, including offshore or nearshore teams
  • Deep understanding of distributed systems, cloud architecture, and full stack web development at scale
  • Experience hiring, developing, and retaining senior engineering talent
  • Ability to translate ambiguous business problems into clear engineering plans and drive execution
  • Excellent communication and influencing skills, including presenting to senior leadership and cross-functional partnering
  • Bachelor’s degree in Computer Science or equivalent experience
  • Experience with GraphQL and related frameworks such as Relay, Apollo, or URQL
  • Experience with LLMs and MLOps
  • Experience with Docker and container orchestration technologies such as ECS or EKS
  • Experience with live-updating web applications, pub/sub solutions such as Redis, or WebSockets
  • Experience designing observability solutions using monitoring, logging, and metrics tools
  • Frontend experience with React and TypeScript
  • Experience with OpenSearch or other Lucene-based search engines
  • Knowledge of HIPAA, PHI, and PII compliance
  • Experience leading engineering teams in health tech, medical devices, or regulated industries
  • Authorization to work in the United States without employer immigration sponsorship
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The Company
HQ: Burlington, MA
443 Employees
Year Founded: 2011

What We Do

We created the world’s first handheld, whole-body ultrasound probe: the Butterfly iQ. This innovative device reduces the cost of the traditional ultrasound system by miniaturizing it onto a single semiconductor silicon chip with our patented Ultrasound-on-Chip™ technology. We’ve paired our handheld probe with cloud-based software to create a true imaging solution—one that delivers vital information, in a variety of use cases, across multiple care settings. This information supports timely clinical decision-making and creates workflow improvements that help clinicians achieve better outcomes for the people in their care. Our Butterfly iQ and next-generation Butterfly iQ+ have received CE Mark and FDA clearance, and are being sold in hospitals and clinics in 20 countries around the world. In 2021, Butterfly began trading publicly on the NYSE. By joining Butterfly Network, you will be helping to transform the future of healthcare. Our team helps us maximize global impact, motivated by the idea that our products will impact the lives of millions, including the people they love.

Why Work With Us

Butterfly Network is made up of dreamers and visionaries who are actively building towards a world where everyone has access to state of the art healthcare without the burden of overwhelming cost. We believe moonshots are reality and strive every day to get a step closer to our mission of democratizing healthcare for all.

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