About this role
Job Purpose
We are looking for a senior, delivery-focused Engineering Manager to lead end-to-end health technology project delivery. This role requires strong technical leadership, hands-on development expertise, and deep healthcare domain knowledge. The ideal candidate will drive architecture, execution, and client success while ensuring secure, scalable, and high-quality solutions.
Job Duties and Responsibilities
• Lead end-to-end delivery of multiple health technology projects, including scoping, SOW creation, estimation, planning, governance, and successful go-live and handover.
• Manage delivery execution across schedules, milestones, risks, dependencies, escalations, budgets, SLAs, and client satisfaction outcomes.
• Work hands-on in development using AI-assisted tools and modern IDEs by writing production-grade code, reviewing code, building prototypes, and using AI-assisted development tools to improve speed, quality, testing, and documentation.
• Design, provision, and operate secure, scalable, high-availability health systems on AWS or Azure using modern cloud, container, infrastructure-as-code, and CI/CD practices.
• Define architecture direction through system design, architecture decision records, technical roadmaps, and security-by-design and privacy-by-design practices.
• Lead interoperability and integration work across health interoperability and messaging standards, including integrations with EHR/EMR platforms and health information exchanges.
• Bring strong healthcare domain understanding across primary, secondary, and tertiary care workflows, and act as the senior technical lead for clients, vendors, and health system stakeholders.
• Mentor engineers, lead design and delivery reviews, and strengthen delivery quality through reusable playbooks, templates, and implementation practices.
Required Qualifications
Education
• Bachelor’s degree in Computer Science, Engineering, MCA, or equivalent.
Experience
• 8–15 years of software engineering experience
• Minimum 4 years in senior technical or delivery leadership roles
• Experience delivering healthcare or enterprise-grade solutions
Knowledge, Skills, and Abilities
• Deep, hands-on expertise in healthcare interoperability and common standards
• Demonstrated experience integrating with EHR/EMR platforms and onboarding EHR sandboxes.
• Strong backend development skills in one or more languages/platforms: Python, Java, JavaScript, Node.js / TypeScript. Comfortable reviewing and debugging full-stack systems.
• Demonstrated deep architecture ability: system-level design, data modelling, identity and consent, multi-tenant design, scalability and high-availability patterns.
• Experience building scalable, secure health systems with operational readiness, disaster recovery and monitoring.
• Cloud experience with one or more popular public cloud platforms, such as AWS and Azure, is required.
• Strong security and privacy knowledge of common frameworks and practices in the healthcare domain
Nice to Have:
• Proven track record leading implementations and professional-services-style delivery for healthcare projects, including SOW scoping, estimation and governance.Prior delivery experience within the US healthcare ecosystems and programs
• Experience integrating clinical AI/ML or LLM-based features into production health workflows.
• Familiarity with automation platforms and BPMN engines.
• Cloud or security certifications (AWS / Azure, CISSP, CCSK).
• Experience working across primary, secondary and tertiary care providers and an understanding of differences in workflows, data sources and integration patterns
Why Join Us
• Opportunity to lead impactful healthcare technology solutions
• Work with global teams across India and North America
• Exposure to advanced cloud, AI, and healthcare systems
• Collaborative and innovation-driven work culture
Working Conditions
• Work Arrangement: Onsite (AOT Trivandrum Office)
• Reporting Structure: Co-Founders
• Work Hours: overlap required with Pacific Standard Time (PST) to facilitate collaboration with North American teams and leadership.
• Collaboration: Regular interaction with cross-functional teams across Canada and India.
Living AOT’s Values
Our values guide how we work, collaborate, and grow as a team. Every role at AOT is expected to embody and promote these values:
• Innovation: We pursue true innovation by solving problems and meeting unarticulated needs.
• Integrity: We hold ourselves to high ethical standards and never compromise.
• Ownership: We are all responsible for our shared long-term success.
• Agility: We stay ready to adapt to change and deliver results.
• Collaboration: We believe collaboration and knowledge-sharing fuel innovation and success.
• Empowerment: We support our people so they can bring the best of themselves to work every day.
We are looking for a senior, delivery-focused Engineering Manager to lead end-to-end health technology project delivery. This role requires strong technical leadership, hands-on development expertise, and deep healthcare domain knowledge. The ideal candidate will drive architecture, execution, and client success while ensuring secure, scalable, and high-quality solutions.
Job Duties and Responsibilities
• Lead end-to-end delivery of multiple health technology projects, including scoping, SOW creation, estimation, planning, governance, and successful go-live and handover.
• Manage delivery execution across schedules, milestones, risks, dependencies, escalations, budgets, SLAs, and client satisfaction outcomes.
• Work hands-on in development using AI-assisted tools and modern IDEs by writing production-grade code, reviewing code, building prototypes, and using AI-assisted development tools to improve speed, quality, testing, and documentation.
• Design, provision, and operate secure, scalable, high-availability health systems on AWS or Azure using modern cloud, container, infrastructure-as-code, and CI/CD practices.
• Define architecture direction through system design, architecture decision records, technical roadmaps, and security-by-design and privacy-by-design practices.
• Lead interoperability and integration work across health interoperability and messaging standards, including integrations with EHR/EMR platforms and health information exchanges.
• Bring strong healthcare domain understanding across primary, secondary, and tertiary care workflows, and act as the senior technical lead for clients, vendors, and health system stakeholders.
• Mentor engineers, lead design and delivery reviews, and strengthen delivery quality through reusable playbooks, templates, and implementation practices.
Required Qualifications
Education
• Bachelor’s degree in Computer Science, Engineering, MCA, or equivalent.
Experience
• 8–15 years of software engineering experience
• Minimum 4 years in senior technical or delivery leadership roles
• Experience delivering healthcare or enterprise-grade solutions
Knowledge, Skills, and Abilities
• Deep, hands-on expertise in healthcare interoperability and common standards
• Demonstrated experience integrating with EHR/EMR platforms and onboarding EHR sandboxes.
• Strong backend development skills in one or more languages/platforms: Python, Java, JavaScript, Node.js / TypeScript. Comfortable reviewing and debugging full-stack systems.
• Demonstrated deep architecture ability: system-level design, data modelling, identity and consent, multi-tenant design, scalability and high-availability patterns.
• Experience building scalable, secure health systems with operational readiness, disaster recovery and monitoring.
• Cloud experience with one or more popular public cloud platforms, such as AWS and Azure, is required.
• Strong security and privacy knowledge of common frameworks and practices in the healthcare domain
Nice to Have:
• Proven track record leading implementations and professional-services-style delivery for healthcare projects, including SOW scoping, estimation and governance.Prior delivery experience within the US healthcare ecosystems and programs
• Experience integrating clinical AI/ML or LLM-based features into production health workflows.
• Familiarity with automation platforms and BPMN engines.
• Cloud or security certifications (AWS / Azure, CISSP, CCSK).
• Experience working across primary, secondary and tertiary care providers and an understanding of differences in workflows, data sources and integration patterns
Why Join Us
• Opportunity to lead impactful healthcare technology solutions
• Work with global teams across India and North America
• Exposure to advanced cloud, AI, and healthcare systems
• Collaborative and innovation-driven work culture
Working Conditions
• Work Arrangement: Onsite (AOT Trivandrum Office)
• Reporting Structure: Co-Founders
• Work Hours: overlap required with Pacific Standard Time (PST) to facilitate collaboration with North American teams and leadership.
• Collaboration: Regular interaction with cross-functional teams across Canada and India.
Living AOT’s Values
Our values guide how we work, collaborate, and grow as a team. Every role at AOT is expected to embody and promote these values:
• Innovation: We pursue true innovation by solving problems and meeting unarticulated needs.
• Integrity: We hold ourselves to high ethical standards and never compromise.
• Ownership: We are all responsible for our shared long-term success.
• Agility: We stay ready to adapt to change and deliver results.
• Collaboration: We believe collaboration and knowledge-sharing fuel innovation and success.
• Empowerment: We support our people so they can bring the best of themselves to work every day.
Tech stack
AWSAzurePythonJavaJavaScriptNode.js
About AOT Technologies
AOT Technologies is hiring for the engineering leader - healthcare domain role. NewJob aggregates active openings directly from AOT Technologies's applicant tracking system, so this listing is current.
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