Director of Full Stack Engineering

• We are seeking a seasoned engineering leader to lead our Full Stack Engineering team, responsible for building and scaling our critical Enterprise Clinical workflows platform
• The Butterfly Cloud provides a secure and robust connection to user’s health information — powering tools and services that help doctors and clinicians make informed, intelligent diagnostic decisions with the help of their peers
• As Director, you will lead a distributed team of engineers across both onshore and offshore locations, setting the technical direction for our enterprise platform — including user and organization administration, feature and entitlement management, global search, audit logging, and scalable platform features
• You’ll partner closely with Product, Design, and other engineering leaders to shape roadmap priorities and drive execution across the full stack
• As part of our team, your core responsibilities will be to:
• Lead, grow, and inspire a high-performing full stack engineering team spanning onshore and offshore engineers — fostering a culture of excellence, ownership, and continuous improvement
• Define and drive the technical strategy and architecture for the Enterprise Clinical workflows platform, balancing innovation with reliability, security, and scalability
• Own engineering roadmap execution — partnering with Product and Design to translate business goals into clear, well-scoped plans, and holding the team accountable to delivery
• Recruit, retain, and develop top engineering talent; build a healthy team culture where people grow and do their best work
• Establish and evolve engineering processes — code review standards, on-call practices, incident response, and cross-team ways of working — to maximize team effectiveness across time zones
• Serve as a senior technical voice across the organization, contributing to architectural decisions, evaluating new technologies, and raising the bar on engineering quality
• Build strong cross-functional relationships with Product, Design, Data, Security, and Compliance stakeholders to ensure alignment and unblock the team
• Drive a culture of observability, operational excellence, and HIPAA/PHI compliance across the platform

Benefits

• 100% coverage for medical, dental, and vision (flexible buy-up plans with employee contributions)
• Life insurance and disability coverage for you and your family
• HSA for out-of-pocket expenses, plus other pre-tax savings like the Dependent Care Account (DCA)
• Pre-tax or post-tax 401(k) contributions (company match vests immediately)
• Employee stock purchase plan
• Recognition program and other rewards
• Flexible (reasonable) PTO, along with 10 US holidays observed each year
• Birthday PTO
• Hybrid work model for most positions
• Offices designed for collaboration, with comfortable workspaces, stocked kitchens, and opportunities to connect with peers
• Opportunity to build a revolutionary healthcare product and save millions of lives!
• Parental leave and support for employees during pregnancy loss

• Bachelor’s Degree in Computer Science or equivalent experience
• Proven track record of leading distributed engineering teams, including managing offshore or nearshore teams across multiple time zones
• 6+ years of software engineering experience, with at least 3–5 years in engineering management or a senior technical leadership role
• Strong product sensibility — ability to translate ambiguous business problems into clear engineering plans and drive execution with minimal direction
• Excellent communication and influencing skills; comfortable presenting to senior leadership and partnering across functions
• Deep understanding of distributed systems, cloud architecture, and full stack web development at scale. Experience hiring, developing, and retaining senior engineering talent; track record of building strong, cohesive teams
• Experience leading engineering teams in health tech, medical devices, or other regulated industries
• HIPAA, PHI, and PII compliance
• Designing and building observability solutions utilizing modern monitoring, logging, and metrics tools Frontend experience with React and TypeScript Opensearch or other Lucene-based search engines
• Experience with LLMs and MLOps Containerization and orchestration technologies such as Docker, ECS, EKS Web apps with live updates — pub/sub solutions (such as Redis), WebSockets
• GraphQL and related frameworks (e.g., Relay, Apollo, URQL)