# Persivia Inc. — VP / Director of Engineering

- Generated: 2026-08-25 04:12:03 PM EDT
- Original/canonical posting: https://www.linkedin.com/jobs/view/4447338106/
- Posted: 2 weeks ago at capture time
- Applicants: 80 applicants
- Work model/location: Marlborough, MA; on-site/hybrid cadence not disclosed
- Employment type: Full-time
- Compensation: Not disclosed; VP/Director title qualifies for review
- Travel: Not disclosed
- Positioning track: Executive leader
- Fit outcome: PASS — 89%

## Direct-match strengths

Engineering-organization leadership, AI-native healthcare SaaS, cloud-native microservices, event-driven architecture, LLM/agent delivery, DevOps, CI/CD, observability, regulated software, and executive partnership are direct strengths.

## Hard or material gaps

Exact current organization size and work cadence are not disclosed. Keith's strongest regulated-health platform example is FDA-regulated dental technology, supplemented by HIPAA and healthcare-software experience; direct CMS platform ownership is not documented.

## Weighted evidence map

1. Large multi-team engineering leadership — 3/3: Manager-of-managers history and teams up to 100.
2. Cloud-native, microservices, and event-driven architecture — 3/3: Direct AWS, APIs, Kafka, and distributed-platform work.
3. Production AI agents and LLM systems — 3/3: Direct AssistX delivery with 70+ automations.
4. DevOps, CI/CD, observability, and reliability — 3/3: Direct production-platform evidence.
5. Healthcare SaaS and regulatory controls — 3/3: Direct health technology, FDA-regulated, HIPAA, privacy, and governance evidence.
6. High-velocity organizational scaling — 3/3: Direct startup, hiring, team building, and rapid releases.

## Full normalized job description

Position Overview
Persivia is seeking an elite engineering leader who thrives in a high-velocity, high-stakes environment. This role is for someone who builds exceptional teams, delivers flawlessly, raises the bar every quarter, and refuses mediocrity. You will own engineering execution across one of the most critical AI-powered healthcare platforms in the country powering care management, population health, real-time analytics, and Persivia’s VisionAI Hub and agentic AI system
The VP/Director of Engineering must be a force multiplier: someone who can scale teams, eliminate blockers, modernize architectures, and push the organization toward operational excellence with urgency and discipline.
This is not a maintenance role.
This is build, scale, transform, deliver; every week, every quarter.
Build a Top-1% Engineering Organization
Recruit, coach, and retain A-players only, no passengers.
Implement a performance-driven culture with clear expectations and accountability.
Build team structures that maximize ownership, autonomy, and velocity.
Remove chronic underperformance quickly and decisively.Drive Relentless Execution & Delivery
Own delivery end-to-end: no delays, no surprises, no excuses.
Ensure 100% Error Free Release
Improve engineering velocity by 20–40% within 6–12 months.
Strengthen planning, release discipline, predictability, and cross-team execution.
Ensure engineering is defined by speed, quality, and reliabilityArchitect and Modernize a Scalable AI-Native Platfor
Lead modernization toward cloud-native, event-driven, microservices-first architecture.
Ensure platforms are built for scale, resilience, observability, and clinical correctness.
Push aggressive timelines for retiring legacy components.
Fully operationalize real-time AI agents across workflows.Accelerate AI Integration & Agentic Automation
Integrate LLMs, multimodal models, and autonomous agents into production at pace.
Ensure engineering and data science are tightly aligned and high-performing.
Build infrastructure for high-availability, auditable, safe agent deployment.
Create AI-first user experiences across modules.Enforce Security, Reliability & Technical Excellence
Zero tolerance for lax security, careless coding, or unobserved systems.
Strengthen DevOps, CI/CD, observability, automated testing, and governance.
Implement strict RCA and ongoing reliability improvements.
Maintain HIPAA, SOC2, CMS compliance at all times.
Strategic Partnership Across the Organization
Partner with Product, Clinical Leadership, Implementation, IT, and Data Science.
Ensure engineering output aligns with clinical and business priorities.
Operate with precision, urgency, and transparency.
Represent engineering with strong executive presence.
Required Qualifications
12+ years engineering experience, including leading large multi-team organizations.
Proven record of building elite, high-output teams.
Deep expertise in cloud-native systems, microservices, AI/ML, and DevOps.
Strong architectural judgment and decision-making discipline.
Experience delivering healthcare SaaS under strict regulatory controls.
Preferred Traits (Culture Fit)
Operates with extreme ownership.
Drives urgency and high tempo across teams.
Thrives under pressure and ambiguity.
Expects excellence — demands it from self and others.
Eliminates silos, blockers, and excuses.
Sets aggressive goals and hits them.Success Indicators
A high-performance engineering team with strong morale and zero tolerance for mediocrity.
Faster delivery cycles, fewer production issues, higher-quality releases.
A modern, scalable, AI-native platform powering Persivia’s next decade of growth.
Reduced technical debt and accelerated modernization.
High confidence from executives, clinicians, and clients.

## Artifact metadata

- Resume: https://bit.ly/4xnD55p
- Cover letter: https://bit.ly/4qM2piP
- Validation: PASS — 3-page resume (927 words), 1-page cover letter (222 words); geometry, annotations, bounds, text extraction, and links verified.
- Google Drive used: No