Head of Engineering, Scribe

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.

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.

• 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).

• 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.

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.