Fractional Vice President, Engineering

The Company is seeking a Vice President of Engineering to lead three engineering teams responsible for patient decisioning, engagement platforms, and care-team tools. The role sets engineering strategy and roadmaps in partnership with Product and clinical leaders, while ensuring technical feasibility, delivery quality, and accountability for business and patient outcomes. Responsibilities include developing directors and managers, shaping team structure and succession plans, setting technical standards, and guiding architecture and build-versus-buy decisions. The VP will also align cross-functional stakeholders, manage tradeoffs, communicate progress to executive leadership, and ensure systems handling protected health information meet applicable compliance requirements. Candidates should have at least 12 years of software engineering experience, including seven or more years leading multi-team organizations through directors or managers. They should demonstrate ownership of measurable business outcomes, a record of developing engineering leaders, and experience delivering reliably against external deadlines while maintaining quality. Strong partnership with Product and experience building structure in a startup or scale-up are required. A bachelor’s degree in computer science, engineering, a related quantitative field, or equivalent demonstrated experience is required; an advanced quantitative degree is a plus. Healthcare, payer, value-based care, regulated systems, contact center platforms, or decisioning and personalization experience is advantageous.