---
title: 'Vice President, Engineering at Flagler Health'
canonical: 'https://feeny.ai/job/vice-president-engineering-flagler-health-new-york-tpv2akgp8qg8'
type: 'job'
last_seen: '2026-09-10'
---

# Vice President, Engineering at Flagler Health

- **Company:** Flagler Health
- **Location:** New York, NY
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-07-06
- **Last confirmed live:** 2026-09-10
- **Apply:** https://jobs.ashbyhq.com/flaglerhealth/6a17d368-45ec-46b5-bebf-1c2378702128

## Job description

Flagler Health is building the clinical operating system for modern musculoskeletal care. We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle. We’ve recently raised our [Series B](https://www.businesswire.com/news/home/20260810011327/en/Flagler-Health-Raises-%2450-Million-Series-B-to-Build-the-AI-Operating-System-for-Musculoskeletal-Care) and are entering our next phase of growth. The Role: This is a foundational executive leadership role responsible for scaling the engineering organization, the technical infrastructure, and the company's operational maturity. As VP of Engineering, you will lead a distributed engineering team across NYC and Vancouver while shaping the systems, processes, and architecture required to support a rapidly growing healthcare platform operating in a regulated environment. Success in this role means building a high-performing engineering culture, delivering reliable, scalable systems, and laying the technical foundation for long-term business growth. What You’ll Do:

- Lead, mentor, and scale a distributed engineering organization across NYC and Vancouver
- Own engineering recruiting strategy, hiring standards, organizational design, and headcount planning
- Define and drive technical strategy across backend services, infrastructure, integrations, and platform architecture
- Guide scalability and reliability initiatives for systems supporting real-time patient communications (audio and SMS) and asynchronous workflow processing
- Own infrastructure strategy, including cloud architecture, CI/CD, observability, deployment automation, and operational excellence
- Establish engineering best practices for security, compliance, resiliency, and performance in a HIPAA-compliant environment
- Partner closely with Product and Operations leadership to align engineering priorities with company goals and roadmap execution
- Improve engineering velocity, system reliability, and cross-functional collaboration as the organization scales

Required Qualifications:

- Proven experience leading, managing, and scaling a distributed engineering organization, including direct ownership of recruiting, hiring, and headcount planning.
- Expertise in setting technical direction, architectural standards, and driving large-scale infrastructure decisions across backend services and complex integrations.
- Deep experience establishing and enforcing engineering standards and operating compliant, fault-tolerant production environments, preferably in a HIPAA or other regulated industry.
- Track record of driving and implementing reliability and scalability solutions, particularly for platforms handling real-time (audio/SMS) and long-running asynchronous data workflows.
- Demonstrated ability to partner effectively with Product and Operations leadership to translate business priorities into a clear, actionable engineering roadmap.

Preferred Qualifications:

- Experience in healthcare technology or SaaS platforms at a medium-sized startup
- Familiarity with HL7, FHIR, or EHR integrations
- Experience with cloud platforms such as AWS, Azure, or GCP
- Hands-on experience with CI/CD pipelines, infrastructure automation, and version control systems (e.g., Git)
- Experience working in a monorepo setup (e.g., Turborepo, Nx)
- Nice to have: Experience with distributed data or batch processing frameworks (e.g., Apache Spark, Databricks, or similar)
- Nice to have: Exposure to DevOps practices, including containerization, observability, and deployment automation

Work Environment:

- Distributed remote team with hybrid offices in NYC and Vancouver
- This role requires regular and consistent in-person collaboration
- We maintain a highly collaborative culture with video-on team meetings and technical discussions

Our Values: This is what you can expect of your teammates at Flagler:

- Owner: We own our work like founders. We don't wait to be asked, and we pick up the problem nobody else has.
- Builder: We like making things from scratch. We don't need a playbook to start, and we'd rather ship a rough first version than wait on a perfect spec.
- Fast: We make quick decisions. We favor progress and respect process.
- Transparent: We communicate directly. We value merit and honesty, and we challenge assumptions, including our own.
- Curious: We explore new approaches and ask "why" often.

## About Flagler Health

## Company Overview
- **One-liner**: Flagler Health provides an AI-native orchestration platform that automates clinical and back-office workflows for healthcare providers to improve patient outcomes, grow revenue, and lower costs.
- **Entity Type**: Private (Seed Stage)
- **Headquarters**: New York City, New York, United States
- **Founded**: 2023
- **Founders**: Albert Katz (Co-Founder & CEO), Will Hu (Co-Founder & CTO), Leon Anijar (Co-Founder & Chief Medical Officer)

## Core Business
- **Primary industry**: Healthcare IT / Health Tech
- **Target customers**: B2B — Musculoskeletal (MSK) clinics, health systems, and physician practices across 36+ states
- **Mission or purpose**: To help providers improve patient outcomes, grow revenue, and lower costs without disrupting existing workflows

## Products & Services
- **Prior Authorization**: AI-powered matching of clinical notes to payer requirements, reducing human error and driving higher approval rates with minimal clinic effort.
- **Remote Care Management**: AI-driven care managers provide continuity of care through patient follow-ups on care plan adherence, pain, and scheduling.
- **Recommendation AI**: Identifies patients with gaps in care or eligibility for high-value treatments and automatically schedules them.
- **AI Call Center**: 24/7 intelligent call handling with smart triaging, scheduling, and automated follow-ups.
- **Triage AI**: Scans EMRs to match patients with appropriate clinical experts and suggests relevant care services.
- **Revenue Cycle Management**: End-to-end billing delivering 99% clean claims and 5-8% increases in collection rates.

## Market Standing
- **Valuation**: Not publicly disclosed
- **Key Metric**: Estimated revenue in the range of $25M–$50M (per LeadIQ); Total funding includes a Seed round (2025) with 1 investor and a Non-Equity Assistance round (2023) led by MassChallenge
- **Notable Investors/Partners**: MassChallenge (non-equity assistance); integrations with major EMR systems including Kareo, AdvancedMD
- **Growth Signals**: 75.7% headcount growth YoY (46 employees, up from ~18); operating in 5 countries (US, Canada, Kosovo, UK, Philippines); 18 active job postings with 800% YoY increase in listings; 123.6% YoY traffic growth to website

## Competitive Advantages
- **EMR-native integration**: Seamlessly embeds into existing workflows without requiring extra buttons, IT burdens, or learning curves
- **Full-stack healthcare OS**: Combines software, operational expertise, and financial infrastructure in one platform — from prior auth to RCM to call center
- **Compliance-first**: HIPAA compliant, SOC 2 and ISO 27001 certified, continuously monitored by Secureframe
- **AI-first approach**: Uses proprietary AI across all product lines to automate tasks that typically require human intervention

## Strategic Focus
- Scaling the AI platform across more healthcare verticals beyond MSK
- Expanding geographic footprint (already in 36+ states and 5 countries)
- Deepening AI capabilities for proactive care delivery vs. reactive workflows
- Building out sales and engineering teams to support rapid growth

## Why Work Here
- **High-growth environment**: 75.7% YoY headcount growth with aggressive hiring across engineering, sales, and clinical roles
- **Remote-friendly**: Multiple remote positions listed (e.g., remote nurse, prior authorization specialist); offices in NYC and Vancouver
- **Meaningful mission**: Directly improving patient outcomes and reducing administrative burden for physicians
- **Strong engineering culture**: Modern tech stack (Python, TypeScript, React, Node.js, Django, Kubernetes, Docker, MongoDB, PostgreSQL, Databricks, OpenAI, etc.)
- **Recent recognition**: Named a 2023 Most Disruptive MBA Startup by Poets&Quants (Wharton School); Digital Health Awards honoree
- **Diverse team**: Operations across US, Canada, Kosovo, UK, and Philippines with 18% technical staff and growing

## Sources
1. [flaglerhealth.io](https://www.flaglerhealth.io/)
2. [LinkedIn - Flagler Health](https://www.linkedin.com/company/flagler-health)
3. [Flagler Health Jobs](https://jobs.ashbyhq.com/flaglerhealth)
4. [LeadIQ - Flagler Health](https://leadiq.com/c/flagler-health/63580f3ad4454f2aa3dc33c8)
5. [Flagler Health Trust Center](https://trust.flaglerhealth.io/)

## Other roles at Flagler Health

- [Executive Assistant](https://feeny.ai/job/executive-assistant-flagler-health-new-york-tkb5rgtvcaer) — New York, NY
- [Senior Fullstack Engineer - RCM](https://feeny.ai/job/senior-fullstack-engineer-rcm-flagler-health-new-york-zyaycqd2pmap) — New York, NY
- [Senior Data Engineer Backend](https://feeny.ai/job/senior-data-engineer-backend-flagler-health-vancouver-07nhmsg05913) — Vancouver, Canada
- [Business Development Representative](https://feeny.ai/job/business-development-representative-flagler-health-remote-m1kmar4qpm9p)
- [Senior Fullstack Engineer](https://feeny.ai/job/senior-fullstack-engineer-flagler-health-new-york-asygfve26g2b) — New York, NY
- [AI Operations Associate](https://feeny.ai/job/ai-operations-associate-flagler-health-new-york-vzq1gjdsccgx) — New York, NY
- [Technical Product Manager - RCM](https://feeny.ai/job/technical-product-manager-rcm-flagler-health-remote-x6f4bma4y57p)
- [Forward Deployed Engineer](https://feeny.ai/job/forward-deployed-engineer-flagler-health-new-york-x733map13q3a) — New York, NY
- [Senior Data Scientist](https://feeny.ai/job/senior-data-scientist-flagler-health-new-york-xfvmmk7sk72e) — New York, NY
- [Customer Success Representative](https://feeny.ai/job/customer-success-representative-flagler-health-us-west-coast-qqcf7ph6zmme) — US West Coast