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. We don’t care about years of experience, we care about entrepreneurial, high agency, smart, mission aligned, and people who get things done.
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:
We are hiring multiple Heads of Engineering to own and scale core product domains: Scribe, Consultant, Integrations, and Platform. Each role has full technical and execution ownership for its surface area.
Own end-to-end engineering execution for your domain, from architecture and roadmap through delivery and reliability.
Drive step-function latency reductions, targeting at least 50 percent improvements across note generation and decision-support workflows where applicable.
Design and operate robust observability, metrics, and model-selection systems to ensure consistent performance at scale.
Lead domain-specific execution rituals including daily and weekly standups, backlog ownership in Linear, and tight cross-functional coordination.
Translate product goals into clear dependencies, timelines, and deliverables to keep teams unblocked and shipping.
Operationalize continuous quality evaluation pipelines to improve accuracy, completeness, and reliability of outputs.
Set and enforce engineering best practices across your stack, including code quality, reviews, on-call standards, and operational rigor.
What You Must Bring
Founder-level ownership mindset. You operate like the business depends on your decisions and execution.
Senior, hands-on engineering ability. You actively design systems, write and review production code, and set the technical bar by example.
Experience in high-intensity environments such as YC-backed startups, early-stage companies, or zero-to-one teams where speed and judgment matter.
Strong systems thinking with a proven record of improving latency, throughput, and reliability in real production systems.
Comfort with ambiguity. You turn incomplete product direction into clear technical plans and ship without heavy process.
High quality standards. You enforce clean abstractions, disciplined reviews, and operational rigor while moving fast.
Bias toward leverage and simplicity. You choose durable solutions and know when to optimize versus when to ship.
Clear communicator who can align engineering, product, and leadership with minimal overhead.
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
Take full ownership of the assigned engineering domain.
Ensure end to end observability and alerting for core workflows.
Define the domain’s key performance, reliability, and quality metrics.
Identify and ship at least one high impact improvement.
Establish execution cadence, priorities, and quality standards.
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.
🔥 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._
About Sully.ai
Sully.ai is printing labor for health systems by building a team of autonomous AI agents to run the entire hospital operations. The autonomous agents run like ClawdBot in the background (Receptionists, Medical Consultant, Triage Nurse, Scribes, Coders) collaborate to execute entire workflows. Replacing the $800B labor doing all the manual work at hospitals.
