Engineering Leader - Healthcare Domain

Requirements

• 8-15 years of software engineering experience
• Minimum 4 years in senior technical or delivery leadership roles
• Experience delivering healthcare or enterprise-grade solutions
• Knowledge, Skills, and Abilities
• Deep, hands-on expertise in healthcare interoperability and common standards
• Demonstrated experience integrating with EHR/EMR platforms and onboarding EHR sandboxes.
• Strong backend development skills in one or more languages/platforms: Python, Java, JavaScript, Node.js / TypeScript. Comfortable reviewing and debugging full-stack systems.
• Demonstrated deep architecture ability: system-level design, data modelling, identity and consent, multi-tenant design, scalability and high-availability patterns.
• Experience building scalable, secure health systems with operational readiness, disaster recovery and monitoring.
• Cloud experience with one or more popular public cloud platforms, such as AWS and Azure, is required.
• Strong security and privacy knowledge of common frameworks and practices in the healthcare domain
• Proven track record leading implementations and professional-services-style delivery for healthcare projects, including SOW scoping, estimation and governance.Prior delivery experience within the US healthcare ecosystems and programs
• Experience integrating clinical AI/ML or LLM-based features into production health workflows.
• Familiarity with automation platforms and BPMN engines.
• Cloud or security certifications (AWS / Azure, CISSP, CCSK).
• Experience working across primary, secondary and tertiary care providers and an understanding of differences in workflows, data sources and integration patterns
• Why Join Us
• Opportunity to lead impactful healthcare technology solutions
• Work with global teams across India and North America
• Exposure to advanced cloud, AI, and healthcare systems
• Collaborative and innovation-driven work culture
• Working Conditions
• Work Arrangement: Onsite (AOT Trivandrum Office)
• Reporting Structure: Co-Founders
• Work Hours: overlap required with Pacific Standard Time (PST) to facilitate collaboration with North American teams and leadership.
• Collaboration: Regular interaction with cross-functional teams across Canada and India.
• Living AOT's Values
• Our values guide how we work, collaborate, and grow as a team. Every role at AOT is expected to embody and promote these values:
• Innovation: We pursue true innovation by solving problems and meeting unarticulated needs.
• Integrity: We hold ourselves to high ethical standards and never compromise.
• Ownership: We are all responsible for our shared long-term success.
• Agility: We stay ready to adapt to change and deliver results.
• Collaboration: We believe collaboration and knowledge-sharing fuel innovation and success.
• Empowerment: We support our people so they can bring the best of themselves to work every day.

Benefits

Additional Information

Job Purpose We are looking for a senior, delivery-focused Engineering Manager to lead end-to-end health technology project delivery. This role requires strong technical leadership, hands-on development expertise, and deep healthcare domain knowledge. The ideal candidate will drive architecture, execution, and client success while ensuring secure, scalable, and high-quality solutions. Job Duties and Responsibilities Lead end-to-end delivery of multiple health technology projects, including scoping, SOW creation, estimation, planning, governance, and successful go-live and handover. Manage delivery execution across schedules, milestones, risks, dependencies, escalations, budgets, SLAs, and client satisfaction outcomes. Work hands-on in development using AI-assisted tools and modern IDEs by writing production-grade code, reviewing code, building prototypes, and using AI-assisted development tools to improve speed, quality, testing, and documentation. Design, provision, and operate secure, scalable, high-availability health systems on AWS or Azure using modern cloud, container, infrastructure-as-code, and CI/CD practices. Define architecture direction through system design, architecture decision records, technical roadmaps, and security-by-design and privacy-by-design practices. Lead interoperability and integration work across health interoperability and messaging standards, including integrations with EHR/EMR platforms and health information exchanges. Bring strong healthcare domain understanding across primary, secondary, and tertiary care workflows, and act as the senior technical lead for clients, vendors, and health system stakeholders. Mentor engineers, lead design and delivery reviews, and strengthen delivery quality through reusable playbooks, templates, and implementation practices. Required Qualifications Education Bachelor's degree in Computer Science, Engineering, MCA, or equivalent.

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