Healthcare Jobs in Sacramento, CA (Now Hiring) — 1,468 open — Page 26

Remote, Nationwide – Seeking Senior Director, Platform Engineering

Everybody Has A Role To Play In Transforming Healthcare

At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.

Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 900 practices across the country, serving 14.5+ million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Manage staff engineers owning hiring, performance, growth, retention, leave cover, and the day to day technical direction of their work.
• Hold the technical bar across the applications the staff engineers support, and arbitrate architecture disagreements between senior technical staff.
• Manage the offshore relationship through the Offshore Engineering Manager, which covers the AVPL India delivery team, its vendor relationship, and vendor performance & quality.
• Lead a blended onshore and offshore organization as a single engineering capability.
• Design and develop the platform engineer team.
• Manage platform engineers owning hiring, performance, growth, retention, leave cover, and the day to day technical direction of their work.
• Determine which platforms survive and what is retired; consolidate overlapping internal tools to one or two platforms; absorb VIA work.
• Build and establish the shared tools, standards, controls, governance, shared capabilities, security model and observability that other teams build on without needing engineering’s direct involvement.
• Manage team ownership of production AI systems: oversee the team design and delivery of the retrieval pipelines, model orchestration, evaluation harnesses and data infrastructure that carry live patient, claims and operational data; enforce evaluation and monitoring as a required part of the definition of done, including accuracy, hallucination and safety testing, drift detection, human in the loop review, and clinically meaningful quality metrics.
• Oversee model sourcing: build verses buy across foundation models, hosted interfaces, open weight models anything trained in house, with a clear eye view of cost, latency, privacy and vendor risk.
• Judge against throughput and quality change from agentic workflows, and support team development of the platform underneath them: orchestration, context management, permissions, observability.
• Manage team development in and of agent-augmented development lifecycle as a platform capability: agentic coding, automated test generation, code review, migration, refactoring, documentation and incident triage, with the provenance, review gates, security scanning and the intellectual property and compliance controls a healthcare environment requires.
• Instill team accountability for correctness, safety and security within the engineering organization; it is never delegated to AI/Models.
• Ensure products are developed correctly in a regulated environment, including HIPAA, protected health information handling, auditability, access controls and applicable clinical and payer requirements.
• Implement governance as guardrails within the system, with policy as code, permissions and audit built into the platform and observability enabled by default.
• Partner with Revenue Cycle, Information Security, IT Architecture and Application Operations.
• Represent Engineering to Clinical and Executive Leadership.

Required Experience and Competencies

• Bachelor’s degree in Computer Engineering, Computer Science, or related discipline required.
• 10+ years in software engineering, including 5+ years leading engineering leaders, with responsibility for organization level delivery and technical strategy required.
• Experience as a direct line manager of senior and staff level engineers required.
• Experience building a platform or internal developer capability and growing it on evidence rather than on demand required.
• Experience consolidating overlapping internal tools required.
• Direct experience applying AI agentic harnesses/frameworks within the software development process, with a defensible view on scaling that responsibly required.
• Current ongoing expertise in modern AI engineering, including large language models and agentic systems, retrieval, evaluation and observability, and the supporting data infrastructure required.
• Experience running a blended onshore and offshore organization, including a vendor relationship at scale required.
• Experience delivering software in a regulated or high trust domain required.
• Master’s degree in Computer Engineering, Computer Science, Business Administration, or related discipline preferred.
• Healthcare, revenue cycle management, or clinical systems background strongly preferred, adjacent regulated industries considered preferred.
• Knowledge of healthcare data standards and interoperability: FHIR, HL7, X12, and electronic data interchange, claims and clinical data preferred.
• Experience implementing governance as guardrails rather than review boards preferred.
• Experience defining and implementing platform scope preferred.
• Working knowledge of HIPAA, protected health information handling, auditability, access controls, and applicable clinical and payer requirements.
• Hands-on technical depth in Engineering, Architecture, Security background vs. Business expertise only.
• Technical leadership and architectural judgement at organizational scale.
• Ability to build and defend team size, team shape, and platform investment.
• Ability to manage vendors and offshore delivery.
• Ability to decline scope that belongs elsewhere.
• Skilled at leadership, conflict resolution, and team building.
• Ability to effectively lead and constructively communicate to all levels of the organization.
• Ability to influence senior leaders and Executives in matters of significance.
• Demonstrated cross functional team leadership and development.
• Ability to work in a fast-paced environment with increasing support demands and complexity.
• Ability to anticipate the needs of a changing landscape.
• Strong analytical and critical thinking skills.
• Excellent written and oral communication, and presentation skills.
• Well-developed relationship management capabilities.
• Ability to articulate, drive, and ensure process standardization and adoption of best practices.
• Excellent oral and written communication skills to effectively interact with internal and external customers and department staff.
• Consumer- and results-oriented.

The Community

Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

• Monthly wellness events and programs such as yoga, HIIT classes, and more
• Trainings to help support and advance your professional growth
• Team building activities such as virtual scavenger hunts and holiday celebrations
• Flexible work hours
• Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more

Benefits & Beyond

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25 plus discretionary profit-sharing contributions (eligible January following 18 months of service)
• Generous paid time off starting 3-4 weeks’ annually
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP and travel assistance included
• Wellness program
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

We are excited to share the base salary range for this position is $178,890 - $232,555, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants only. No agencies please.