Director of Engineering
Harnham
Boston, MA · Posted October 22, 2026
More in Massachusetts job market · Technology & Software · Engineering jobs
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About the job
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Director of Engineering Location: Cambridge, MA (Hybrid, 4 days onsite) Compensation: $250,000 to $270,000 base + 20% bonus + equity
This is an opportunity to join a well-funded HealthTech startup at a pivotal stage of growth. As Director of Engineering, you will play a key role in building the engineering organisation, shaping technical strategy, and scaling products that have the potential to improve healthcare outcomes through the application of machine learning and clinical data.
The Company They are a venture-backed technology company operating at the intersection of healthcare, machine learning, and real-world data. Their mission is to improve how complex diseases are detected, monitored, and understood through innovative technology and data-driven insights.
Having secured significant early-stage funding, they are now scaling their platform, team, and engineering capabilities. This is a rare opportunity to join at a formative stage and directly influence the company’s technical foundations, culture, and long-term success.
The Role As Director of Engineering, you will combine hands-on technical leadership with people management and delivery ownership. Working closely with senior leadership, Product, and Engineering teams, you will help create the processes, systems, and culture needed to support continued growth. Key responsibilities include:
Lead, mentor, and develop a high-performing engineering team
Manage engineering delivery, sprint planning, backlog prioritisation, and execution
Partner with Product and technical stakeholders to deliver scalable solutions
Contribute directly to production code and complex engineering initiatives
Architect and evolve backend systems, cloud infrastructure, and application platforms
Establish best practices across CI/CD, testing, observability, and engineering operations
Drive engineering standards, technical quality, and continuous improvement
Support hiring, team growth, and organisational scaling initiatives
Champion pragmatic adoption of AI-assisted development workflows
Help build a collaborative and high-performing engineering culture
Your Skills & Experience
Strong commercial experience leading software engineering teams
Proven people management and coaching experience within engineering environments
Excellent hands-on software development capabilities
Strong Python development experience
Experience building scalable backend systems and distributed applications
Expertise with cloud platforms such as AWS or GCP
Experience implementing and improving CI/CD pipelines and deployment practices
Background working in startup or high-growth technology environments
Strong understanding of engineering execution, delivery management, and technical decision making
Ability to collaborate effectively across Engineering, Product, and leadership teams
Desirable experience:
Healthcare, HealthTech, biotech, or regulated industry experience
Experience with HIPAA, SOC2, or similar compliance frameworks
Exposure to clinical data platforms or healthcare data systems
React or React Native development experience
Experience with AI products, AI agents, or AI-assisted software development
Infrastructure or platform engineering expertise
What They Offer
Opportunity to build and scale an engineering organisation from an early stage
Direct access to executive leadership and strategic decision making
Significant technical ownership and influence
Clear progression opportunities as the company grows
Hybrid working model based in Cambridge, MA
How to Apply If you’re an experienced engineering leader who enjoys combining hands-on technical contribution with team leadership in a high-growth environment, apply today to learn more about this opportunity.
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