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Director of Software Engineering

Nexhealth

San Francisco, California, United States (San Francisco) permanent

Posted: January 14, 2026

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Quick Summary

We're building a modern healthcare platform that connects patients, providers, and developers to accelerate innovation in healthcare.

Job Description

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

About the Role

As our Director of Software Engineering, you will lead and scale the engineering teams responsible for building our customer-facing applications and developer infrastructure. This is a high-impact role for a seasoned engineering leader who balances technical depth, product intuition, organizational leadership, and strong cross-functional collaboration.

You’ll work closely with Product, Design, Operations, and other Engineering leaders to shape and deliver the roadmap, elevate engineering excellence, and ensure our architecture supports NexHealth’s growth and innovation goals. This role gives you the opportunity to influence the direction of the product, scale multiple teams, and help build the engineering organization that powers healthcare’s modern infrastructure.

What You’ll Do

• Drive strategic technical leadership: Own the long-term vision and technical strategy for critical areas of NexHealth’s platform.

• Develop and grow high-performing teams: Hire, mentor, and retain top engineering talent; grow emerging leaders; and foster a culture of excellence, ownership, and innovation.

• Lead execution across teams: Oversee delivery of complex initiatives spanning multiple teams, ensuring strong alignment between product goals and technical execution.

• Collaborate cross-functionally: Partner closely with Product, Design, and Go-to-Market teams to deliver best-in-class customer experiences.

• Provide technical oversight: Guide architecture, scalability, and maintainability across product domains, championing high standards in code quality, testing, reliability, and security.

• Shape org structure and culture: Build organizational structures, career paths, and team processes that enable high performance and a strong engineering culture.

What You’ll Bring

• 10+ years of experience in software engineering with a proven track record of technical excellence and product delivery

• 7+ years of engineering leadership experience, 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

• A builder mindset with a history of scaling teams and systems in fast-paced environments

• Strong ownership and initiative in ambiguous, evolving contexts

• A bias for action and data-driven decision making

• First-principles thinking applied to technical and organizational challenges

• Deep care for people development and long-term team health

• Strong alignment with NexHealth’s core values and mission

• Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field — or equivalent practical experience

Compensation

Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.

NexHealth Compensation Range
$264,000—$310,000 USD

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.

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