Head of Engineering, Scribe

Reposted 4 Days Ago
Be an Early Applicant
8 Locations
In-Office or Remote
250K-290K Annually
Senior level
Artificial Intelligence • Healthtech
The Role
Lead the engineering team at Sully.ai to enhance the AI Scribe Agent, improve system observability, and ensure reliability and quality in clinical note generation.
Summary Generated by Built In

About Us
At Sully.ai, We’re Building the Most Impactful Healthcare Company on Earth

We believe that access to a great doctor is a basic human right. Today, that’s not a reality. Delays, misdiagnoses, administrative chaos, and burnout plague the system.

Our Mission: One Human, One Doctor. We build AI teammates that augment clinicians — scribes, nurses, receptionists, translators — all powered by our own world-class models and deployed in real-world care.

Our Traction

  • 450+ organizations signed 16 months

  • AI agents cut admin by ~2.8 hours daily and reduce onboarding 85%.

  • 5M+ Clinical Tasks completed to date, serving 36+ specialties.

  • Raised $25M from YC, Eric Yuan, Amity, Semper Virens

  • Patented AI architecture (MedCon-1) outperforms GPT-4.5, Gemini, Claude on clinical reasoning tasks

Sully requires A-players capable of 4 months = 1 year output.

What You’ll Do:

Lead the engineering team responsible for Sully.ai’s AI Scribe Agent, owning velocity, quality, and reliability across clinical note generation and decision support.

  • Drive major latency reductions (targeting ≥50%) across note generation and decision-support workflows.

  • Build robust observability, metrics, and model-selection systems to ensure flawless performance at scale.

  • Run daily/weekly Scribe standups, manage the Linear board, and ensure consistent execution and cross-functional alignment.

  • Map dependencies, timelines, and deliverables to align engineering priorities.

  • Operationalize continuous note-quality evaluation to improve accuracy and completeness.

  • Enforce engineering best practices, code quality, and operational excellence across the Scribe stack.

What You Must Bring
  • 5+ years of engineering leadership or senior engineering experience with a track record of reducing latency and improving throughput.

  • Deep expertise in observability and metrics instrumentation: dashboards, alerts, tracing, logs, error pipelines, and model-monitoring systems.

  • End-to-end system ownership experience for critical reliability workflows (audio transcription, note output, EHR integrations).

  • Strong prioritization, code review discipline, and commitment to quality guardrails.

  • 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).

First-Month Focus
  • Own observability and operational visibility for the entire Scribe system.

  • Define the core Scribe metrics framework and lead AI model-selection improvements.

  • Launch monitoring and alerting for transcription failures and critical incidents.

  • Reduce average clinician post-visit note-editing time to under 2 minutes.

90 Day OKRs
  1. Achieve 100% reliability across the full note-generation and decision-support workflow.

  2. Increase Decision Support workflow speed by 50%.

  3. Integrate the note-evaluation pipeline into weekly CI/CD, with measurable improvements in completeness and physician-level accuracy.

  4. Modernize legacy EHR integrations by refactoring or wrapping outdated systems, adding FHIR/API interfaces, and ensuring interoperability with current workflows.

If you’ve ever said, “I want to do work that actually matters”, this is it. Let’s build something life-changing, together.

Who Thrives Here

  • Entrepreneurial to your core: You think in outcomes, thrive in chaos, and take ownership without limits

  • Mission-obsessed: You’re here to save lives, not just ship features — patients and doctors are your why.

  • Impact-driven & fast-moving: You sprint toward hard problems and ship with sharp judgment.

  • Elite teammate: You raise the bar through high standards, direct feedback, and craft excellence.

Why Join Sully.ai?
🔥 Revolutionizing the antiquated $800B+ Healthcare market

🧠 50%+ of us are ex-founders. We hire A-players, not passengers

⚡️ Speed matters - we operate with urgency, autonomy, and ownership

🧪 You’ll work on real, first-of-their-kind problems at the edge of AI and medicine

❤️ Your work helps doctors reclaim their time - and patients get better, faster care

Sully.ai is an equal opportunity employer. In addition to EEO being the law, it is a policy that is fully consistent with our principles. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, religion, color, national origin, sex, sexual orientation, gender identity, genetic information, pregnancy or age. Sully.ai prohibits any form of workplace harassment. 

Top Skills

AI
Fhir
Hl7
Am I A Good Fit?
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The Company
HQ: Mountain View, California
60 Employees
Year Founded: 2023

What We Do

Superhuman medical staff that’s 10x better, 20x cheaper, and 100x faster.

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