Director of Engineering

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Avo is a clinical AI platform built for tomorrow’s challenges, trusted by the clinicians of  today. Our AI-powered platform was built by clinicians, for clinicians, and is being used  at thousands of hospitals, practices, and clinics across the US. 

We build clinical co-pilots integrated into the electronic health record (EHR). Avo  operates as a truly global organization: our commercial and founding teams are  primarily based in the United States,while the majority of our engineering organization is  based in Seoul, supported by growing US engineering and product pods. 

We are seeking a Director of Engineering to lead our global engineering  organization and serve as a critical bridge between our US-based product leadership  and our Seoul-based engineering team. 

The Director of Engineering will report to the CPO/CTO and will be responsible for driving  engineering velocity and quality, building a unified global engineering culture, and  guiding the organization toward greater architectural maturity as we scale an  enterprise-grade platform. 

Location & Travel 

  • US-based, Remote/Flexible 
  • Periodic travel to the Asia-based engineering team 2–3 times per year,  approximately one week per trip. This is not symbolic travel; dedicated  in-person engagement is a core responsibility of the role. 

The Opportunity 

Avo is building the next-generation application layer for clinical decision support. Our AI-powered tools serve as an intelligent “co-pilot” for clinicians, embedded directly within  their clinical workflows to improve decision-making and reduce cognitive burden. 

This role represents an incredible cross-border leadership opportunity. As a US-headquartered company with a high-performing engineering organization based in  Seoul, Avo is seeking a Vice President of Engineering who can serve as the connective  link between regions—bringing US-style product velocity, operational clarity, and

strategic technical leadership to a disciplined and highly capable Korean engineering  team. 

Key Themes 

  1. Velocity Balanced with Quality: Maintain the speed of a startup while  introducing the reliability standards required for enterprise software. 
  2. Global "One Team" Culture: Build a single, unified engineering org across  Seoul and the US: shared ownership, shared context, and shared accountability. 
  3. Architectural Maturity: Guide the team as we evolve from a rapid-growth  startup codebase to a scalable, multi-tenant enterprise platform. 

Responsibilities 

1. Organizational Leadership (US ↔ Korea) 

  • Lead a distributed engineering org (heavily weighted in Seoul). ● Design lightweight processes (RFCs, async standups, written specs) that bridge  time zones without slowing momentum. 
  • Partner with CPO/CTO to translate high-level product vision into actionable  technical roadmaps. 
  • Hire and mentor senior talent in both the US and Korea; create clear career  ladders that work across both regions.

2. Execution & Delivery 

  • Own the SDLC. Move us toward predictable, continuous delivery. ● Instill a culture of "Written-First" communication to minimize language friction  and maximize clarity. 
  • Balance feature velocity with technical debt reduction and infrastructure  investments. 

3. Technical Stewardship

  • Oversee the health of our JS/Python monorepo and AWS infrastructure. ● Set standards for code quality, security, and testing (Unit/E2E). 
  • Ensure our architecture supports strict security/compliance requirements (we will  teach you the specific regulations like HIPAA/SOC2). 

The Stack 

* Front: React, TypeScript, Vite, Tailwind, Jotai. 

* Back: Python, Django, Celery, PostgreSQL, Redis. 

* Infra: AWS (ECS/ECR), GitHub Actions, Terraform. 

* AI: OpenAI/Azure LLMs, RAG pipelines. 

Requirements 

Must-Haves 

  • 8+ years of engineering experience, with 3+ years managing managers or  leading multiple teams. 
  • Technical Gravity: You are not coding daily, but you can confidently review  architecture (System Design, API contracts, Data Models) and call out risks. 
  • Modern Web DNA: Deep familiarity with the modern JavaScript/Python  ecosystem (you know why TypeScript matters and how to manage a monorepo). 
  • Work authorization in the US is required; visa sponsorship is not available for this  role. 

Strongly Preferred 

  • Korean fluency (spoken/written) is strongly preferred but not required. Most  of our engineering team is Seoul-based, and this role is most effective when you  can build trust and handle day-to-day leadership in Korean. If you’re not fluent,  you’ll need exceptional written communication and cross-cultural leadership; we  support translation tools and written-first workflows.
  • High-Reliability Background: Experience in Healthtech, Fintech, AdTech,  Logistics, or Cybersecurity. You understand that "move fast and break things"  doesn't work when user integrity and realiability is mission-critical.. Experience in  healthcare, particularly on the clinical side of health technology, is highly valued. 
  • Proven track record leading distributed teams between the US and Asia  (ideally Korea, but open to strong experience with India, China, or Vietnam). You  understand the nuance of high-context vs. low-context communication. 
  • Comfort with AI-assisted development workflows (e.g., using LLMs to  accelerate prototyping, refactoring, and documentation). 

Nice-to-Haves (Not Required) 

  • Experience with EHR integrations (Epic/Cerner/FHIR). 
  • Experience scaling AI/LLM features in production. 

Why Join Avo? 

  • Impact: This role offers a rare leadership opportunity to shape and design the  technical teams and processes of a company that literally helps clinicians save  lives and reduce burnout. 
  • Best of Both Worlds: You get the product aggression of the US market backed by  the relentless execution and talent density of Seoul. 
  • High Agency: You are not inheriting a massive bureaucracy. You are building the  scalable processes that will define the next stage of the company. 

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