VP, Engineering

At 1up, our purpose is simple but ambitious: better healthcare for all, through better data. We’re on a mission to deliver a cloud-based data platform that makes it easy for payers, providers, and digital health companies to ingest, normalize, and share healthcare data securely and at scale. Our vision is to power a more efficient and effective healthcare ecosystem, where data flows freely to support better decision-making, care coordination, and member outcomes.

Fulfilling this mission means building a scalable, cloud-native data platform that is purpose-built for healthcare. Our platform enables organizations to ingest, standardize, and access vast amounts of clinical and claims data in real time. It supports critical workflows across the healthcare ecosystem, including interoperability, analytics, care coordination, and member engagement. These demands require solving complex engineering problems, including the design and operation of distributed systems that manage massive data volumes while maintaining data integrity, availability, performance, and compliance.

As our VP of Engineering, you will lead the team that turns platform vision into secure, scalable execution. You will shape the architecture, operations, and engineering culture that powers our core infrastructure. Your leadership will be critical in helping healthcare organizations unlock the full value of their data.

At 1up, we are visionary in how we think about the future of healthcare, bold in the problems we take on, resolute in our execution, and always human in our leadership and collaboration. If you share these values and are ready to lead at the intersection of deep technology and meaningful impact, we invite you to join us.

Key Responsibilities

Engineering Leadership & Execution

• Own and evangelize the company’s technology vision and translate product goals into scalable architecture and robust engineering execution plans.
• Build, lead, and scale a high-performing engineering team across backend, platform, CloudOps, and data engineering functions.
• Support and deliver a cloud-native, distributed system capable of processing and serving massive volumes of healthcare data.
• Champion engineering best practices, including CI/CD, observability, infrastructure as code, and reliability engineering.
• Guide teams in effectively adopting AI-powered tooling and automation to enhance developer productivity, code quality, and system observability.
• Define and track engineering OKRs and metrics to evaluate system performance, scalability, and team productivity.
• Develop and nurture a high-performing engineering team by fostering a culture of excellence, coaching engineers and managers, and creating future technical and organizational leaders.

Cross-Functional Collaboration

• Partner closely with product, services, and compliance teams to develop secure, HIPAA-compliant solutions.
• Work directly with customers and partners to understand performance requirements, data use cases, and system integrations.
• Guide technical decision-making across the company, including data interoperability, API design, and platform extensibility.
• Collaborate with leadership to ensure our platform supports both payer and provider needs in a rapidly evolving healthcare ecosystem.

Product Operations & Optimization

• Lead the development of a modern data platform leveraging FHIR, HL7, and other healthcare standards to ingest, normalize, and serve data at scale.
• Drive innovation in data architecture, distributed processing, and scalable microservices infrastructure.
• Ensure uptime, reliability, and performance of mission-critical systems in production.
• Implement platform governance, security, and observability as foundational elements of our engineering culture.

What We’re Looking For

Must-Have Qualifications:

• 10+ years in software engineering, with 5+ years in a senior leadership role.
• Proven experience scaling distributed systems and data platforms in cloud environments (AWS or GCP).
• Deep technical expertise in modern backend technologies, data pipelines, and distributed architecture.
• Strong track record of building and leading high-performing engineering teams.
• Demonstrated success working in regulated industries or delivering compliant, enterprise-grade systems.
• Excellent communication, collaboration, and strategic execution skills.
• Strong preference for Boston-based candidates.

Nice-to-Have Qualifications:

• Experience with FHIR, HL7, and healthcare interoperability standards.
• Background in real-time data processing, event-driven systems (e.g., Kafka), or large-scale data ingestion and transformation.
• Familiarity with DevSecOps practices and infrastructure automation.
• Experience with platform engineering and developer enablement.
• Prior experience in a high-growth startup or scaling SaaS environment.

Don’t meet every requirement? Studies have shown that women, communities of color and historically underrepresented talent are less likely to apply to jobs unless they meet every single qualification. At 1upHealth we are dedicated to building a diverse, inclusive and authentic workplace. We encourage folks to apply if they meet at least 50% of the qualifications above.

About 1upHealth

At 1upHealth, our mission is to unlock health data and improve industry outcomes. As leaders in FHIR® interoperability, our platform makes it easier for partners to access, integrate, aggregate, and share data across a variety of systems. 1upHealth is building a data ecosystem to promote the digital transformation of the industry and encourage insight-driven healthcare.

Benefits

100% Paid BCBS Medical and Dental Insurance for Employees

Vision Insurance

Unlimited PTO

Equity

401(k)

Home Office Stipend

Lifestyle Savings Account

Parental Leave (16 weeks for birthing parents, 6 weeks for non-birthing parents)

Security Alert: 1upHealth only uses email domains of First Name. Last [email protected] or [email protected] to communicate with prospects. You will never receive an email from a third-party email service such as gmail. In addition, we will never ask a candidate for employment to share personal information (such as banking information, social security numbers, passport, etc), purchase their own equipment, or pay to apply to an open position.

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