Lead Engineer / VP R&D

You are joining a small engineering team that is already shipping a live platform, and you will lead it. You own the architecture and set the technical direction as we scale from a working product to the system hospitals run their AI operations on: the connectors that read from the AI a hospital has deployed, the auditable record on top, and the monitoring the platform is growing into.

What you'll own

• The architecture and hands-on build across the full stack, and the technical direction as the platform scales.
• The connectors that read from hospital environments, the auditable AI record on top, and the roadmap into drift and performance monitoring.
• The engineering foundations: code review, testing, CI/CD, and the security posture a hospital will interrogate.
• Leading and growing the team, and owning the hiring bar.

What we're looking for

• 8+ years shipping production software, including leading engineers and setting technical direction.
• Deep full-stack skill in a modern stack (TypeScript and React, Node, a major cloud, PostgreSQL at query-optimization depth), plus CI/CD and containers.
• You are AI-native: you build and ship with AI coding and multi-agent tooling, and you direct it rather than let it drive. You lead by still building. You raise a team's bar without leaving the code.
• On-site in Tel Aviv, five days a week.

Nice to have

• LLM integration and evaluation-framework design. Drift and degradation monitoring is an evaluation problem, and you understand it.
• Healthcare data (HL7, FHIR, Epic) or another regulated, high-trust domain.
• ML and MLOps, observability tooling, or model-monitoring experience.
• You reach for AI coding and agents as a force multiplier and have sharp views on where they speed engineering up and where they need a human in the loop.