Engineering Leader - Healthcare Domain

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.

Experience

• 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

Nice to Have:

• 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.