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Head of Engineering (VP)

Rezilient Health

Rezilient Health

St. Louis, MO, USA
Posted on Oct 19, 2025

At Rezilient, we’re reimagining how primary and specialty care are delivered, making them more accessible, connected, and patient-centered than ever before. Through our hybrid CloudClinic model, we bring together in-person Medics and Care Teams with virtual Providers to deliver timely, tech-enabled care. By removing barriers to access and creating seamless integration between physical and digital care, we’re building a healthcare experience that’s as modern and data-driven as it is personal and human.

We’re seeking an experienced, mission-driven Vice President of Engineering to lead and scale Rezilient’s technical organization. This is a pivotal role for a seasoned engineering leader who has grown high-performing teams within health-tech, digital health, or care delivery technology environments, and who thrives at the intersection of technology, clinical operations, and organizational growth.

As VP of Engineering, you’ll guide the continued evolution of Rezilient’s core technology platform, which powers care delivery across our expanding CloudClinic network. You’ll oversee all facets of engineering, from cloud architecture, feature shipment, and data engineering to interoperability, infrastructure, and security, ensuring the systems we build deeply align with the clinical workflows, data models, and people that define our care experience.

This role sits on Rezilient’s senior leadership team and will be instrumental in shaping not only the company’s technical direction but also the culture, structure, and standards that enable innovation, velocity, and scalable impact.

Key Responsibilities:

Engineering Strategy & Delivery

  • Define and execute a technical roadmap aligned with Rezilient’s business and clinical strategy, ensuring priorities directly advance company goals, patient experience, and partner outcomes.
  • Architect and evolve scalable systems supporting our Rezilient platform, balancing rapid iteration and feature delivery velocity with long-term reliability, security, and data integrity.
  • Translate business needs into actionable engineering plans with clear milestones, KPIs, and accountability.
  • Drive execution excellence across sprints and releases, enabling high velocity without compromising quality.
  • Partner with Product and Clinical leaders to deliver features that meaningfully enhance care delivery and patient experience across care management, direct primary care, and specialty network integration.

Technical Leadership & Innovation

  • Serve as Rezilient’s top engineering authority, setting standards for architecture, infrastructure, and software craftsmanship.
  • Drive continued iteration, feature growth and scalability of Rezilient’s production application with React and Node.js
  • Lead design of systems that enable data interoperability and clinical integration, including EHR connectivity (FHIR/HL7).
  • Oversee DevOps, cloud infrastructure, and maintenance, ensuring uptime, scalability, and performance across environments.
  • Build Rezilient’s Data Engineering and Warehousing capabilities to power analytics, insights, and future AI applications.
  • Introduce emerging technologies, from AI to automation and data intelligence, to strengthen reliability, speed, and clinical impact.
  • Stay hands-on when needed through architecture reviews, complex debugging, and deep technical mentorship.

Team Development

  • Build and scale an engineering organization, growing from a small, high-impact team to a structured, scalable function.
  • Mentor and develop leaders across Software, DevOps, and Data disciplines, fostering ownership, clarity, and accountability.
  • Foster a collaborative, team-based approach where Product Managers, Clinicians, Engineers, and Operations partner to deliver whole-person care.
  • Create a culture of curiosity and excellence where engineers move fast, build well, and stay connected to the mission.
  • Implement transparent frameworks for performance, growth, and feedback that promote both technical and professional development.

Cross-Functional & Business Alignment

  • Partner with Product, Clinical Operations, and Finance to align engineering initiatives with company and operational goals.
  • Act as a key strategic partner to the executive team, guiding decisions through technical feasibility, scalability, and impact.
  • Translate technical trade-offs into clear business terms and align teams around shared outcomes.
  • Collaborate with Product on launch planning and iteration to ensure seamless rollouts and continuous improvement.
  • Serve as the bridge between technical and non-technical teams, making complex systems understandable and actionable.

Infrastructure, Data, & Compliance

  • Ensure system reliability, uptime, and performance that meet enterprise-grade expectations.
  • Build scalable DevOps pipelines, CI/CD frameworks, and cloud systems for efficient, secure deployment.
  • Balance innovation with stability through proactive management of technical debt and infrastructure investments.
  • Maintain compliance across HIPAA, SOC 2, HITRUST and healthcare security standards, embedding privacy and reliability into every layer.

Communication & Thought Leadership

  • Evolve Rezilient’s engineering operating model as the team and company scale.
  • Communicate clearly across Engineers, Clinicians, Executives, and Investors, blending technical depth with strategic vision.
  • Represent Rezilient externally as a technology-driven healthcare leader, strengthening our reputation with partners, investors, and industry peers.
  • Reinforce a mission-driven mindset across the team, connecting every system and feature to its real-world impact on patient care.
  • 10–15+ years of progressive software engineering experience, including 3+ years in senior leadership roles (Director, VP, or equivalent).
  • Proven success scaling teams in high-growth, Series A–C environments.
  • Expertise with the Agile Development Framework and ideally, with the Atlassian set of tools (Jira and Confluence).
  • Expertise in the use of Javascript/Typescript to develop and scale production level applications using React.
  • Expertise in developing and scaling production level applications using Node.js and Express, with experience implementing RESTful APIs.
  • Strong technical foundation in scaling AWS cloud architecture and DevOps for production level applications.
  • Deep familiarity with healthcare technology, including EHR/EMR integrations, interoperability standards (FHIR/HL7), and compliance frameworks (HIPAA, SOC2, HITRUST).
  • Deep familiarity with implementing and scaling integrations for labs, imaging and prescriptions
  • Deep familiarity with architecting, implementing, integrating with, and scaling databases (SQL) and data warehouses (Snowflake, Databricks, etc) to support production applications, drive downstream operational analytics, and enable production ML/AI use-cases.
  • Expertise in leveraging code versioning tools, such as Git, to scale development in production level applications.
  • Experience incorporating AI tools into software development workflows to improve efficiency and quality while maintaining security and intellectual property.
  • Strategic yet hands-on, combining high-level vision with tactical execution and a builder’s mindset rooted in clarity, collaboration, and impact.
  • An excellent communicator and mentor who builds strong, inclusive, and mission-driven teams.

This opportunity offers the chance to shape the future of healthcare in a culture where your ideas and contributions have a meaningful impact on the organization's future. You’ll be part of a supportive, collaborative, and diverse team, with competitive compensation and benefits that include generous PTO, paid family leave, comprehensive medical, dental, vision, and life insurance, as well as stock options.