Director of Engineering, Foundations

About Atria: The Atria Health Institute is a membership-based primary and specialty health care practice with a focus on prevention and longevity. We bring together a multidisciplinary team of renowned physicians to provide proactive, preventive, and precision-based care for Atria members and their families. All care, including primary care, advanced screening and diagnostics, urgent care, specialty care, 24/7 home visits, and imaging is included in members' annual fee.Our mission is to make healthspan and lifespan equal for all by translating science into medicine in real-time, all while bringing humanity back into health care. Delivering such robust, personalized, and preventive health care is complex and requires a team-wide dedication to excellence.After successfully opening our flagship Institute in New York in 2022 and expanding to South Florida in 2024, we are now bringing the Atria experience to the West Coast with the launch of our Los Angeles Institute in late spring 2026.About this role:Atria is seeking a Director of Engineering to lead our Foundations group — the Platform, DevOps, and Data Engineering teams that the rest of the engineering organization is built on. Foundations exists to accelerate overall engineering throughput via the shared services, infrastructure, and data systems that let product teams ship for members and clinicians without reinventing authentication, caching, EMR data sync, pipelines, or deployments every time. You will own the technical strategy and roadmap across all three teams and be accountable for reliability, security, and delivery across the systems Foundations owns. This role directly manages the 12 member Foundations team, including 3 Tech LeadsKey ResponsibilitiesOwnership & Execution:Own the health, technical direction, and output of the Foundations group (Platform, DevOps, and Data Engineering), including the shared services, infrastructure, and data systems the rest of engineering depends onMaintain end-to-end accountability for complex, multi-team Foundations initiatives from concept through deployment: EMR integrations, the MySQL-to-Postgres migration, background jobs, feature flags, and data platform enhancementsOwn the reliability, security, and operational health of platform, data, and cloud infrastructure, including SLOs, capacity planning, on-call rotation management, alerting, and incident response governanceDrive initiatives from definition through delivery, maintaining accountability for outcomesIdentify problems proactively and propose solutions without waiting to be askedCollaboration & Communication:Serve as the primary escalation and request path into Foundations for the rest of the organizationPartner proactively with Product Engineering and Data & Analytics leadership to anticipate infrastructure needs early and build scalable solutions ahead of demandWork cross-functionally with product, data, clinical, security, and executive stakeholders to deliverCommunicate early when blocked, working with colleagues to unblock the team. Drive and contribute to a culture of direct, constructive feedbackCraft & Quality:Own architectural direction across integration patterns, caching infrastructure, shared services, data pipelines, and cloud infrastructure to ensure consistency and reuse across teamsAct as the senior technical escalation point for complex engineering challenges, maintaining rigorous design standards for reliability, performance, and security through architecture and design reviewsChampion AI-assisted engineering workflows across Foundations; establishing the patterns, tooling, and guardrails that let teams use AI to accelerate delivery safely and consistentlyHold a high bar for the work: simple, maintainable, and built to lastUse AI tools actively to amplify output and accelerate delivery, and teach others how to do soContinuous ImprovementEstablish and promote engineering standards across the group, including architectural patterns, code conventions, and documentation best practicesOwn hiring, onboarding, performance management, and career development across Foundations, mentoring engineers and Tech Leads to a rising barChampion observability and telemetry standards (Datadog, Sentry, Mixpanel), and drive post-incident reviews and systemic improvements when things breakCreate structures to enable the team to easily measure what we buildShare learnings, workflows, and effective patterns with the team and promote them sharing with one anotherRaise the standard of the work over timeCompensation: $230,000 - $290,000RequirementsMust-Have:10+ years of software engineering experience, including significant leadership experience managing engineering teams and Tech Leads/managersTrack record of developing talent and raising team performance over timeDemonstrated track record leading multiple teams across platform, infrastructure, or data domains in production, and driving technical strategy, architecture, and execution for complex, cross-functional initiativesStrong systems-design background spanning backend infrastructure, platform reliability, data architecture, security/compliance, and cost optimization. Deep enough to lead architecture reviews and earn the technical respect of senior and staff engineersHands-on familiarity with our stack: TypeScript/Node.js, Google Cloud Platform and Terraform, and enterprise data warehousing and pipelines (Snowflake, dbt)Active, fluent use of AI tools in your own workflow, with a clear point of view on how an engineering organization should adopt them responsiblyDemonstrated ability to own outcomes end-to-end in ambiguous, fast-moving environmentsStrong systems thinking - ability to see how decisions ripple across users, teams, and productsEvidence of developing and supporting a robust culture of feedback - including giving and receiving itAbility to make decisions with incomplete information and bring teams alongNice-to-Have:Prior experience in digital health or other regulated technology sectors (HIPAA, PHI, SOC 2, HITRUST)Direct experience integrating Electronic Health Record (EHR) platforms (e.g., Athena), health data infrastructure, or wearable API ecosystemsExperience establishing AI-assisted engineering workflows at a team or organization levelBenefitsAt Atria, we are proud to offer every member of the Atria team:Excellent health and wellness benefits, fully covered by Atria, effective date of hireOneMedical membership for employees & dependents, giving access to 24/7 virtual careFertility & family planningCompany-covered preventive health screenings through partner hospitals (calcium score)Fitness Perks, including Wellhub +401k contributions and 4% match starting after 6 monthsFlexible Time Off Continuing medical education (CME) and CEU support for professional licensure