Head of Engineering, Scribe at Sully.ai
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.
What You’ll Do:
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.
What You Must Bring
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).
First-Month Focus
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.
90 Day OKRs
Achieve 100% reliability across the full note-generation and decision-support workflow.
Increase Decision Support workflow speed by 50%.
Integrate the note-evaluation pipeline into weekly CI/CD, with measurable improvements in completeness and physician-level accuracy.
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.