Director of Engineering
avoMD
United States
Posted on Mar 7, 2026
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
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
Must-Haves
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.
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
- Velocity Balanced with Quality: Maintain the speed of a startup while introducing the reliability standards required for enterprise software.
- Global "One Team" Culture: Build a single, unified engineering org across Seoul and the US: shared ownership, shared context, and shared accountability.
- Architectural Maturity: Guide the team as we evolve from a rapid-growth startup codebase to a scalable, multi-tenant enterprise platform.
- 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.
- 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.
- 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).
- 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.
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.
- 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).
- Experience with EHR integrations (Epic/Cerner/FHIR).
- Experience scaling AI/LLM features in production.
- 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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