Director/Sr. Director Engineering- Clinical AI + Care Delivery
Midi Health · Palo Alto, California, United States, San Francisco, California, United States
About this role
**Director/Sr. Director Engineering — Clinical AI + Care Delivery** **Location:** San Francisco Bay Area | Hybrid (2 days/week in our San Francisco or Palo Alto office) **About Midi Health** Midi Health is transforming healthcare for women in midlife, delivering expert, personalized care through a virtual-first platform built around the needs of women in perimenopause and menopause. Technology is central to both the patient experience and how clinicians deliver exceptional care at scale. Midi believes AI will fundamentally reshape care delivery—reducing administrative burden, improving clinical workflows, and giving providers better tools to focus on what matters most: patients. **The Role** Midi is looking for a **Director of Engineering, Clinical AI & Care Delivery** to lead the engineering teams behind the systems and tools that power Midi’s clinicians, medical assistants, and care workflows. This is a **player-coach** role at the intersection of **AI, healthcare, and software engineering**. You’ll lead and develop a high-performing engineering team while staying close to the technology—shaping architecture, reviewing code, experimenting with AI and agentic systems, and helping your team solve complex problems. You’ll also partner closely with **Product, Clinical, Operations, Data Science**, and other leaders to help shape how technology and AI can transform care delivery as Midi scales. **What You’ll Own** - Lead the engineering roadmap and execution for clinician-facing tools, care delivery systems, clinical workflows, and AI-powered automation - Identify opportunities to use AI and agentic systems to automate workflows, augment clinicians, and improve efficiency and quality of care - Build and lead high-performing engineering teams with a culture of ownership, accountability, speed, and high technical standards - Stay hands-on through architecture decisions, code reviews, prototyping, and AI-assisted development - Partner with Product, Clinical, Operations, and Data Science to translate complex care delivery problems into scalable technical solutions - Drive engineering quality, velocity, reliability, and operational health across your area - Hire, mentor, and develop engineers and engineering leaders as the organization grows - Collaborate with engineering leaders across Midi on architecture, technical strategy, and company-wide engineering priorities - Help define how Midi uses AI and modern development tools to rethink how healthcare is delivered **What We’re Looking For** - **Deep software engineering foundation:** meaningful time as a senior individual contributor building sophisticated applications and systems - **Proven engineering leadership:** 5+ years of engineering management experience; led organizations of 10+ engineers - **Player-coach mindset:** comfortable operating at the leadership level while remaining technically credible and close enough to the work to improve decisions - **Applied AI experience:** recently used AI coding agents or AI/LLM technologies to build something meaningful; practical understanding of capabilities and limitations - **Strong systems thinking:** ability to take complex, multi-step human workflows and improve them with technology and AI - **Executive-level communication and judgment:** can partner with senior technical, clinical, and operational leaders and communicate tradeoffs clearly - **Exceptional cross-functional instincts:** builds trust with stakeholders who may approach pro
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