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Thoughtful AITA

Director of Engineering - Core Platform & Tooling

Thoughtful AI is a pioneer in leveraging AI technology to automate revenue cycle management for healthcare providers, enhancing efficiency and reducing costs.

Thoughtful AI

Employee count: 51-200

Salary: 230k-300k USD

United States only

Join Our Mission to Revolutionize Healthcare

Thoughtful is pioneering a new approach to automation for all healthcare providers! Our AI-powered Revenue Cycle Automation platform enables the healthcare industry to automate and improve its core business operations.

We're looking for an Exceptional Direct of Engineering for our Core Platform and Tooling team.

As the Director of Core Platform and Tooling at Thoughtful AI, you’ll lead the engineering function responsible for building and scaling the infrastructure backbone that powers our AI Agents across the healthcare ecosystem. This is a critical leadership role focused on designing a secure, reliable, and high-velocity platform to support the next phase of our growth.

You will own the vision and execution for our compute, observability, messaging, and internal tooling layers, ensuring we can scale confidently as demand increases. Your team will enable product velocity and platform stability, delivering infrastructure that supports our engineers and systems as we grow from today’s workloads to tomorrow’s ambitions.

This is an ideal role for a hands-on engineering leader who has operated modern cloud platforms in production, scaled teams and systems, and thrives in regulated, high-growth environments.

Learn more about our Warrior culture.

Key Responsibilities

  • Lead the Core Platform and Tooling team, with the expectation of growing the existing team to 12+ Senior and Staff-level ICs across infrastructure and internal tooling.
  • Define and drive the core platform vision, architecture, and roadmap, ensuring it meets evolving scale, performance, and security needs.
  • Own and evolve our Kubernetes platform (EKS) to support highly available and efficient service deployment.
  • Manage messaging infrastructure (including AWS Managed Kafka) to support real-time, event-driven workflows.
  • Improve CI/CD pipelines, observability, and internal tooling to accelerate engineering productivity.
  • Ensure our infrastructure complies with SOC 2 Type II, HIPAA, and other regulatory standards.
  • Collaborate cross-functionally with Product, Engineering, and Security leadership to align infrastructure capabilities with business needs.
  • Build and operationalize clear metrics, SLOs, and reliability practices across core platform systems.

What Success Looks Like

  • A high-performing team with clear ownership, strong technical depth, and platform accountability.
  • A scalable, reliable platform that supports growing product complexity and engineering throughput.
  • Engineers move faster and safer thanks to high-quality tooling, automation, and platform abstractions.
  • Platform infrastructure meets or exceeds targets for reliability, performance, and compliance.
  • Infrastructure is a strategic enabler, not a bottleneck.

Minimum Qualifications

  • 10+ years of experience in software or infrastructure engineering, with 4+ years in technical leadership roles.
  • Proven success running a scaled-out platform.
  • Deep experience with Kubernetes (EKS) and the broader AWS ecosystem.
  • Familiarity with Kafka or managed messaging systems in real-world production use.
  • Proven success managing high-talent engineering teams, including Senior and Staff ICs.
  • Hands-on experience with infrastructure in regulated environments (e.g., SOC 2 Type II, HIPAA).
  • Excellent written and verbal communication skills, with the ability to drive clarity, alignment, and execution.
  • Strong architectural judgment and ability to scale systems pragmatically.

Bonus Points

  • Experience building Developer Experience (DevEx) platforms and internal tooling.
  • Familiarity with Knative and serverless event-driven patterns on Kubernetes.
  • Exposure to data lakehouse tooling (e.g., Athena, Glue, Parquet) or distributed analytical systems.
  • Experience supporting or evolving orchestration frameworks like Robocorp or Temporal.

Why Thoughtful?

  • Competitive compensation
  • Equity participation: Employee Stock Options.
  • Health benefits: Comprehensive medical, dental, and vision insurance.
  • Time off: Generous leave policies and paid company holidays.
California Salary Range $230,000—$300,000 USD

About the job

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Job type

Full Time

Experience level

Director

Salary

Salary: 230k-300k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Thoughtful AI

Learn more about Thoughtful AI and their company culture.

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Thoughtful AI is at the forefront of transforming healthcare through its innovative AI-powered revenue cycle management solutions. Founded in January 2020, the company focuses on automating convoluted processes within healthcare organizations to allow providers to concentrate on delivering quality patient care. Thoughtful AI leverages cutting-edge technologies, including Robotic Process Automation (RPA), Optical Character Recognition (OCR), and Natural Language Processing (NLP), to enhance operational efficiency. This unique blend of technological advancements enables their fully human-capable AI agents to perform complex tasks such as eligibility verification, claims management, and denial resolution with unparalleled accuracy and speed.

The company is dedicated to fixing the U.S. healthcare system by offering services that aim to reduce operational costs and maximize revenues for healthcare providers. With a commitment to performance-based contracting and a focus on ROI, Thoughtful AI stands out in the automation landscape, promising to reduce costs to collect by more than 78%, cut days sales outstanding by over 75%, and improve clean claim rates to an impressive 99%. Their offerings are trusted by executives in healthcare who prioritize efficiency, accuracy, and compliance. By integrating seamlessly with existing healthcare technology stacks, Thoughtful AI eliminates the need for costly system migrations and helps reduce vendor spend through a single-platform solution, making them the partner of choice for many leading healthcare providers.

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Thoughtful AI

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Thoughtful AI hiring Director of Engineering - Core Platform & Tooling • Remote (Work from Home) | Himalayas