{"id":2316825,"url":"https://alion.io/job/altera-digital-health-director-development","title":"Director Development","company":{"id":1992,"name":"Altera Digital Health","domain":"alterahealth.com","url":"https://alion.io/company/altera-digital-health","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":100,"open_postings":4,"ghost_share":0,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":43,"computed_at":"2026-10-22T06:10:10Z"}},"role":"Leadership","role_family":"Leadership","seniority":"head","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":150000,"max":165000,"currency":"USD","period":"year","gross":null,"usd_annual":165000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Agile","optional":false},{"name":"AI Agents","optional":false},{"name":"Claude Code","optional":false},{"name":"Copilot","optional":false},{"name":"HIPAA","optional":false},{"name":"Human-in-the-Loop","optional":false}],"status":"live","first_seen_at":"2026-08-18T00:00:00Z","employer_posted_date":"2026-08-18","last_verified_at":"2026-10-22T14:07:49Z","board_verified":true,"closed_at":null,"days_open":66,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":66},"description":"Director, Development\nLocation: Remote - U.S.\nAltera TouchWorks is seeking a high-impact Director, Development to lead multiple engineering teams responsible for building, modernizing, and sustaining software solutions for our ambulatory healthcare EHR business. Reporting directly to the Vice President, R&D, this role will be part of and leading our engineering organization focused on AI-directed development practices while sustaining delivery excellence across an active product portfolio.\nThe successful candidate will bring strong Healthcare IT product engineering experience with a proven ability to scale teams, improve velocity, elevate quality, and operationalize AI-directed software development as a core engineering discipline - not merely a productivity add-on. This means governing the quality and correctness of AI-generated code output, enforcing architecture as the authoritative source of truth for all engineering decisions, and building the organizational capability to develop and deploy specialized clinical AI agents.\nThis leader will partner closely with Product Management, Architecture, QA, Cloud Operations, Support, Client Services, and executive leadership to align roadmap priorities, deliver customer value, improve operational efficiency, and position TouchWorks for long-term growth.\nThe ideal candidate combines deep Healthcare IT domain expertise, strong people leadership, operational discipline, and technical credibility. They must be comfortable leading geographically distributed teams - managing multi-timezone delivery cadences and multiple consulting vendor relationships - while building a high-performance culture centered on accountability, urgency, innovation, collaboration, and customer value.\nThis role sits at the intersection of strategy and execution. The right candidate leads teams and drives results, while also rolling up their sleeves when the work demands it. If you are energized by transformation, comfortable operating in ambiguity, and motivated by building something new, this is the role for you.\nKey Responsibilities\nEngineering Leadership & Delivery\nLead multiple software engineering teams delivering healthcare product enhancements, cloud-native modernization programs, regulatory initiatives, and client commitments across two parallel delivery tracks.\n\nOwn end-to-end software delivery across planning, execution, quality, release readiness, production stability, and continuous improvement.\n\nDrive predictable execution through Agile delivery models, effective planning, clear priorities, and disciplined operating cadences.\n\nEnsure timely, high-quality delivery of roadmap commitments, compliance requirements, customer escalations, and strategic business priorities.\n\nAI-Directed Software Development\nChampion and operationalize AI-directed engineering practices as a core organizational capability - not a supplemental tool. This includes governing AI-generated code quality and correctness, enforcing architecture as the authoritative source of truth for all implementations, and building the team's ability to direct rather than simply write code.\n\nOperationalize AI engineering tools such as Claude Code, GitHub Copilot, and related platforms to improve engineering throughput, quality, and delivery speed.\n\nEstablish metrics to track AI adoption, developer productivity, cycle time reduction, code quality, and ROI - including AI-specific measures such as AI contribution rate, architecture conformance rate, and agent output velocity.\n\nBuild governance models to ensure secure, compliant, and responsible use of AI in software engineering, with specific attention to HIPAA obligations around AI-generated code in clinical contexts and the handling of protected health information in AI workflows.\n\nBuild and govern an emerging clinical AI agents capability - including ambient documentation, clinical decision support, and intelligent ordering agents - establishing safety controls, evaluation frameworks, and human-in-the-loop review standards for AI agents operating in clinical workflows.\n\nWe are looking for someone who has lived inside AI-directed development, not observed it from a distance. The expectation is practical command: the ability to guide, evaluate, and drive AI-generated code and workflows at scale across the teams you lead.\n\nTechnical Leadership\nProvide architectural and technical guidance for modern healthcare platforms including cloud-native services, APIs, interoperability, and data platforms.\n\nEnforce architecture-as-source-of-truth discipline across all engineering teams: every implementation must trace to a documented architecture artifact.\n\nDrive modernization of legacy systems toward scalable cloud-native architectures and modern engineering patterns.\n\nPartner with Architecture, Product Management, Security, DevOps, and Support leaders on strategic priorities.\n\nAct as executive escalation point for critical technical risks, delivery issues, and customer-impacting events.\n\nPeople Leadership\nRecruit, develop, coach, and retain high-performing engineering managers, architects, and senior engineers.\n\nEstablish clear goals, accountability models, career development plans, and succession planning.\n\nFoster a high-performance culture centered on ownership, collaboration, urgency, and continuous improvement.\n\nLead a geographically distributed organization across U.S., Costa Rica, and India, managing multiple consulting vendor relationships and multi-timezone delivery cadences effectively.\n\nThe Director leads through people and stays close to the work. We expect this leader to understand what the teams are building at every level and to step in when the moment calls for it. The standard here is ownership, not delegation.\n\nOperational Excellence\nManage budgets, headcount planning, vendor utilization, and cost optimization across a mixed workforce of direct employees and consulting resources.\n\nImprove engineering goals including sprint predictability, defect escape rate, employee engagement, and release quality - alongside AI-specific metrics including AI contribution rate, architecture conformance, and agent output quality.\n\nStandardize engineering processes, tooling, scorecards, and governance mechanisms across both sustaining and greenfield delivery tracks.\n\nJob Requirements\nEducation\nBachelor's degree in Computer Science, Engineering, or related field required.\n\nMaster's degree preferred.\n\nSalary Range:\n$150,000 - $165,000","description_format":"text","description_chars":6469,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Primary Care & Medical Centers","EHR & Clinical Software","Health Data & Interoperability"],"lifecycle":[{"event":"open","at":"2026-10-12T04:55:15Z"}],"visa":[],"liveness":{"score":27,"band":"fade","label":"Fading","p_open":1,"p_active":0.748,"p_room":0.36,"age_days":65,"expected_fill_days":43,"reasons":["conf:22","velocity","win:tail","crowd:"],"computed_at":"2026-10-22T06:10:10Z"},"pay":{"stated_usd_annual":165000,"is_top_pay":false},"html_url":"https://alion.io/job/altera-digital-health-director-development","json_url":"https://alion.io/job/altera-digital-health-director-development.json","meta":{"generated_at":"2026-10-23T05:55:46Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":9615,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-24T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1992},"rest":"https://alion.io/mcp/rest/get_company?id=1992"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Faltera-digital-health-director-development"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Faltera-digital-health-director-development"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Faltera-digital-health-director-development"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/altera-digital-health-director-development\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Faltera-digital-health-director-development"}]}