Dyad is seeking a Vice President of Engineering to lead and scale our technical organisation as we move from early traction into sustained delivery at scale.
This is a senior engineering leadership role, focused on organisational effectiveness, execution, and alignment. The VP of Engineering is responsible for building and leading high-performing teams and delivery systems, rather than acting as an individual contributor.
You will be accountable for delivery across Engineering and Applied AI, working in close partnership with product leadership to ensure work is prioritised, sequenced, and executed in line with business reality. You will absorb organisational and technical complexity so that teams can focus on building high-quality products.
This role is offered on a hybrid basis, with a minimum of two days per week from our London office.
Core responsibilities
- Own the reliability and predictability of technical delivery across Engineering and Applied AI.
- Ensure work is prioritised and sequenced in line with business goals, regulatory constraints, and external commitments.
- Improve planning accuracy and delivery confidence without sacrificing innovation or engineering quality.
- Actively manage technical debt and architectural drift to ensure long-term sustainability of the platform.
- Ensure teams understand not just what they are building, but why.
Organisational leadership & cohesion
- Enable Engineering, Applied AI, Product, and Design to operate as a single, integrated system.
- Reduce friction caused by misalignment, unclear ownership, or communication breakdowns.
- Coach and develop engineering managers and technical leads, raising leadership maturity across the organisation.
- Support constructive conflict resolution and prevent siloed or local optimisations that undermine global outcomes.
- Reduce dependency on founders for day-to-day coordination and execution decisions.
Technical leadership & decision-making
- Facilitate high-quality technical decision-making without centralising architectural control.
- Act as an arbiter and synthesiser, helping teams surface trade-offs, assess risk, and reach aligned decisions.
- Lead the formulation of recommendations on delivery- or business-impacting technical decisions for senior leadership.
- Participate meaningfully in architectural and design discussions through judgment, questioning, and pattern recognition rather than hands on implementation.
Product & regulatory partnership
- Partner closely with product leadership to establish a healthy, sustainable product-engineering cadence.
- Treat regulatory and compliance requirements as first-class design constraints in a medical device context.
- Work constructively with Quality and Regulatory teams to embed compliance into everyday engineering practice.
- Help teams balance innovation with regulatory intent, minimising unnecessary process while preserving rigour.
Requirements Experience & background
- Significant experience in senior engineering leadership roles (VP Engineering, Director of Engineering, or equivalent) within product led technology organisations.
- Strong professional software engineering background, with the credibility to engage deeply on technical and architectural topics.
- Experience leading multidisciplinary technical teams, ideally including applied AI or data intensive systems.
- Track record of improving delivery reliability, organisational maturity, and cross team alignment in complex environments.
- Experience operating in regulated or high assurance domains (e.g. healthcare, fintech, safety critical systems) is strongly preferred.
- Leadership first mindset, with comfort influencing through alignment, clarity, and judgment rather than direct control.
- Proven ability to coach and develop engineering managers and technical leaders.
- Comfortable managing up: surfacing risk, challenging assumptions, and framing trade offs clearly with senior stakeholders.
- Able to operate effectively in environments with ambiguity, competing priorities, and evolving organisational structures.
Technical judgment
- Broad and deep understanding of modern software engineering practices, architectures, and delivery models.
- Ability to recognise over complexity, hidden risk, and long term maintainability issues.
- Not expected to write production code, but expected to engage meaningfully in technical decision making.
- Personal attributes
- Calm, structured, and systems oriented approach to leadership.
- Pragmatic and outcome focused, without sacrificing engineering quality.
- Comfortable operating in tension between speed, quality, innovation, and compliance.
- Motivated by building environments where strong engineers can do their best work.
Our hiring process
- Introductory screening interview (30 minutes)
- Interviews with senior leadership and cross functional partners
- Final interview and offer
- Company pension
- 25 days of paid annual leave (pro rata)
- Flexible hybrid working environment
- Employee Assistance Programme
- Modern, dog friendly office near Chancery Lane with free drinks
Dyad's mission
Dyad's mission is to improve the delivery and efficiency of healthcare.
We are building a platform to model and manage the flow of information within healthcare organisations, improving outcomes for patients, payers, and healthcare providers. We believe data handling in current healthcare systems is needlessly complex and disconnected, leading to isolated and inefficient decision making. To showcase how this technology can advance the delivery of healthcare and improve lives, we build and deploy products for healthcare providers and payers into the UK and US markets.
Dyad is an energetic, health tech startup, currently around forty employees. Our team is growing as we explore new markets and opportunities. We are passionate about technology and its applications in worthwhile ventures. New joiners will have a significant impact on the direction of the company, as well as our culture.
Our products
Dyad's products are founded upon our Semantic AI platform, which enables payers and providers to access cutting edge AI capabilities for their own use cases and applications. Our partners either use the platform APIs directly or work with us to develop applications for their use cases. For more information, please see our Platform page.
Primary care operations
Dyad develops a suite of products for healthcare operations, including:
- BetterLetter, our AI tool helping practices decrease their admin burden in processing clinical letters. We use this to reduce staff time spent identifying codes to be applied to the record as well as suggesting follow up tasks and workflow optimisations. BetterLetter helps providers save time, save cost, improve performance under audit and build staffing resilience.