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Pennant Group

Home health, hospice, senior living services

Director of Engineering

Engineering LeadershipConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • At least 8 years of software engineering experience, including at least 3 years leading engineers as a people manager, with experience in one-on-ones, performance reviews, hiring, and difficult staffing decisions.
  • Have led engineering at a startup or growth-stage company through adoption of AI-assisted development, with measurable before-and-after results such as cycle time, release frequency, defect rate, or output at flat headcount.
  • Have personally built and shipped production software with AI coding agents such as Claude Code, Cursor, or Codex, or equivalent, within the past 6 months.
  • Have designed and operated a multi-service, cloud-hosted system with a production data layer and third-party integrations.
  • Have established a quality system involving CI/CD, automated testing, code review standards, and incident response rather than inheriting one.
  • Have experience working under HIPAA, SOC 2, or comparable controls, or a credible plan for establishing PHI handling, audit logging, and access control in new and existing platforms.
  • Have strong written and verbal communication skills and be able to explain technical tradeoffs to clinical, operational, and finance leaders.
  • Have a Bachelor's degree in Computer Science, Engineering, or a related field, or equivalent practical experience.

Responsibilities

  • Own the technical direction of all digital products, including service boundaries, data model, integration patterns, and the platform roadmap.
  • Support build, buy, or defer decisions and document technical tradeoffs and reversal costs.
  • Set and enforce standards for HIPAA-grade engineering, including PHI handling, audit logging, least-privilege access, and environment promotion from sandbox through production.
  • Keep the platform operable through observability, on-call, incident response, and cost management.
  • Make AI coding agents the default for design, implementation, testing, and review, and remove barriers that prevent engineers from using them effectively.
  • Build harnesses that make agent output trustworthy, including evaluation suites, automated test generation, CI gates, and review standards.
  • Measure delivery using cycle time, change failure rate, defects reaching the field, and cost per release, and report where AI helps and where it hurts.
  • Partner with the Data Science team on safely shipping predictive models and LLM features into clinical workflows.
  • Lead, mentor, and develop the development team through weekly one-on-ones, clear expectations, performance reviews, career paths, and early action on underperformance.
  • Recruit, hire, and retain strong engineers; own the interview loop and raise the bar with every hire.
  • Grow output per engineer through tooling and automation before growing headcount.
  • Represent Application Development with clinical, operations, finance, and IT leaders; translate business priorities into engineering plans and engineering constraints into business terms.
  • Partner with Product Management, Data, Infrastructure, and others to ensure the success of Digital's products.
  • Participate in pilot and rollout conversations with field agencies and operational partners.
  • Partner with IT on shared environments, security review, identity, and the boundary between the application platform and enterprise infrastructure.
  • Contribute to technical strategy and investment cases, including measuring the team's impact on Pennant outcomes.

Desired Qualifications

  • Have healthcare operations or EHR integration experience, including HCHB, Epic, eCW, WellSky, FHIR, or HL7.
  • Have built or run an AI harness layer, such as evaluation suites, agent skills, validation frameworks, or an internal AI developer platform.
  • Have shipped LLM-backed features to end users and evaluated their accuracy and safety in production.
  • Have migrated a product from a low-code or rapid-prototyping platform such as Retool to a durable stack without stopping delivery.
  • Have experience with Go, TypeScript, SvelteKit, Kubernetes (AKS), Snowflake, Temporal, Azure, or Microsoft Entra ID.
  • Have experience working alongside data scientists and data engineers on a shared platform such as Dataiku, Snowflake, or dbt.
  • Have experience inside a larger company's internal product group after working at a startup.

About the Company

Pennant Group

Home health, hospice, senior living services

Pennant Group provides home health, hospice, and senior living services through independent subsidiaries across 15+ states, organized into Home Health & Hospice and Senior Living segments, with geriatric primary and palliative care. Each subsidiary is independently managed, tailoring in-home and facility-based care to local communities, and growth comes from disciplined acquisitions and organic expansion with private-pay driving a large share of senior living revenue. The company differentiates itself through radical decentralization and hospital system partnerships, enabling location-specific staffing and services in underserved areas. Its goal is to expand post-acute and senior living services across a broad geographic footprint by combining autonomous subsidiaries under one public company.

Company size
501-1,000
Company stage
IPO
Headquarters
Eagle, ID
Founded
2019

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