Head of Engineering – AI-Native Healthcare SaaS

Job not on LinkedIn

🕒 February 25

🇮🇳 India – Remote

💵 ₹4M - ₹6M / year

⏰ Full Time

🔴 Lead

👮‍♀️ Software Engineering Manager

👻 Ghost score 16%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Zenara Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2023

🏥 Healthcare

💼 Consulting

☁️ SaaS

Healthcare • Consulting • SaaS

Zenara Health is a SaaS platform for mental health clinics and providers that uses AI-driven assessments, workflow automation, and monitoring to streamline intake, documentation, care coordination, and billing. It generates clinician-informed, measurement-based care plans, integrates with EHRs (starting with Charm), captures timers and claims-ready artifacts to surface reimbursable work, and supports human-in-the-loop validation and continuous outcome tracking. The product emphasizes security and compliance (HIPAA/BAA, encryption, audit logs) and is targeted at clinicians, psychiatrists, and group practices looking to improve outcomes, reduce clinician burden, and increase revenue.

📋 Description

• Oversee delivery for all products, including scope management, release schedule, quality controls, and alignment with stakeholders. • Directly manage the engineering team, handling hiring, performance assessments, coaching, providing feedback, conflict resolution, and talent retention. • Responsibility for the system architecture across the complete stack: web applications, APIs, infrastructure, and AI integrations. • Establish the release pipeline, including CI/CD practices, environment setups, quality checkpoints, and deployment automation. • Responsible for engineering security measures, including access control, secrets management, audit trails, and SDLC security protocols. • Define AI governance policies, ensuring that AI tools utilized promote speed while preventing vulnerabilities. • Construct the engineering team, delineate roles, maintain hiring standards, conduct technical interviews, and develop the engineering organization.

🎯 Requirements

• 10-18 years in software engineering, including a minimum of 4 years in engineering management, overseeing delivery, managing personnel, and making architectural decisions (beyond just having the title of "team lead"). • Managed teams of 5-20+ engineers - direct oversight, recruitment, performance evaluations, mentorship, and, when necessary, termination. • System architecture - Designed and advanced SaaS systems. Capable of reasoning across front-end, back-end, database, and infrastructure components. Has made significant trade-off decisions while working within real constraints. • CI/CD and release engineering - Created or significantly enhanced release pipelines, quality gates, and environment management. Understands what it means to "ship confidently". • Cloud infrastructure (Azure or AWS) - Managed production systems. Possesses knowledge of security, reliability, and cost trade-offs. • Full-stack technical depth - While not in an IC role, is hands-on enough to review code, debug production issues, and question engineers on design choices. Developers value your technical insights. • Security fundamentals - Proficient in access control, secrets management, audit trails, and basic SDLC security. These are essential in healthcare. • Strong English communication skills - Async-first, produces clear written decision memos, engineering plans, and risk escalations. You document decisions as well as make them. • Startup or high-growth experience - You have successfully delivered in environments characterized by ambiguity, limited resources, and urgent timelines. Backgrounds solely in enterprise settings may find it challenging here. • Experience in healthcare SaaS (EHR, billing, clinical workflows, HIPAA). • Familiarity with the TypeScript/Node/React ecosystem. • Understanding of observability and SRE practices (logging, metrics, tracing, incident response). • Experience with AI/ML productization — delivering AI features safely in production. • Experience in building QA/test automation into the engineering culture. • Familiarity with EOS (Entrepreneurial Operating System) or similar operating frameworks. • Leadership of remote-first teams across multiple time zones.

🏖️ Benefits

• Salary range of ₹40–60 LPA, depending on skills and responsibilities • Equity participation (ESOP) — as you contribute to building the engineering organization, you will have ownership of a part of it • Fully remote work opportunities available across India • Equipment allowance provided • Comprehensive health insurance • Culturally recognized local holidays (India) • Flexible paid time off • Budget for leadership development and coaching • Direct and regular communication with the founder-CEO — you will have direct access without intermediaries • The opportunity to establish an engineering organization from scratch