About the Role
As a senior engineering leader, you will play a pivotal role in shaping and executing the quality strategy for everything we ship. You will define what "high quality" means for an AI-native healthcare company — building the testing frameworks, agentic quality systems, and evaluation infrastructure that let us release faster with more confidence, and that earn clinical and enterprise trust in AI-driven features. Reporting to the SVP of Engineering, you will lead the Quality Engineering organization responsible for driving org-wide testing strategy, intelligent automation, and AI-powered quality practices across the software development lifecycle. You will partner closely with Engineering, Product, Design, Infrastructure, Security, and Data Science leaders to embed quality throughout the development process, not simply validate software before release. You will help redefine software quality through agentic AI by deploying autonomous testing agents, intelligent regression systems, and AI-driven quality insights that accelerate delivery while improving confidence in every release. This leader will establish modern testing frameworks for AI-native products, large language model (LLM) powered features, and intelligent workflows, ensuring they meet the highest standards for accuracy, robustness, security, trust, and responsible AI.
Responsibilities
- Contribute to company-wide leadership initiatives including workforce planning, org design, and build-vs-buy decisions on quality tooling and vendors.
- Define, instrument, and report the quality metrics that leadership and the Board use to assess engineering health.
- Define and execute the enterprise Quality Engineering strategy, embedding quality across the AI-native SDLC through automation, measurable quality standards, and release governance.
- Build modern testing frameworks for AI-powered products, LLM applications, and agentic workflows, including automated evaluation, model validation, and continuous quality monitoring.
- Drive adoption of AI agents to automate test generation, regression testing, defect analysis, release readiness, and engineering productivity.
- Establish scalable testing practices across functional, integration, regression, performance, security, accessibility, and end-to-end testing to improve release confidence and reduce production defects.
- Build reusable testing platforms, automation frameworks, and CI/CD quality tooling that enable engineering teams to own quality and accelerate delivery.
- Define validation frameworks that ensure AI systems are reliable, safe, compliant, and trustworthy while partnering with Security, Privacy, Clinical, and AI teams.
- Ensure testing practices satisfy HIPAA, SOC 2, and applicable clinical and regulatory requirements, validation evidence, auditability, traceability, and PHI-safe test data management.
- Lead and scale a high-performing, distributed Quality Engineering organization while driving cross-functional alignment and fostering a culture of quality, ownership, and continuous improvement.
Requirements
- Proven experience leading and scaling quality engineering organizations (multiple teams across products) in high-growth & fast paced environments, including distributed and globally sourced teams.
- Deep technical expertise in test automation architecture at scale & modern frameworks (e.g., Playwright, Cypress, pytest, Jest), CI/CD integration, contract and API testing, performance and resilience testing.
- Hands-on experience building evaluation and testing systems for AI/ML or LLM-powered products: eval harnesses, golden datasets, LLM-as-judge, regression testing across model and prompt changes, red-teaming, and guardrail validation.
- Demonstrated experience deploying AI agents or AI-assisted tooling into the SDLC, test generation, triage, maintenance, or code review with measurable productivity gains.
- Strong track record of shift-left transformation: moving organizations from manual QA gatekeeping to engineer-owned quality with platform support.
- Experience with quality in regulated or high-consequence domains (healthcare, fintech, or similar), including HIPAA/SOC 2, PHI-safe test data, and audit and traceability requirements.
- Strategic mindset with the ability to balance long-term vision and hands-on execution; credible in deep technical design reviews.
- Strong cross-functional leadership and communication skills, with the ability to influence at executive levels and make quality trade-offs legible to non-engineering stakeholders.
- Demonstrated ability to drive measurable outcomes (e.g., escaped defect rate, change failure rate, test cycle time, automation coverage, eval pass rates, cost per release).
Skills
- AI tools
- AI fluency
- Testing frameworks
- Agentic quality systems
- Evaluation infrastructure
- Intelligent automation
- AI-powered quality practices
- AI-native products
- Large language model (LLM) powered features
- Intelligent workflows
- Autonomous testing agents
- Intelligent regression systems
- AI-driven quality insights
- Playwright
- Cypress
- pytest
- Jest
- CI/CD integration
- Contract testing
- API testing
- Performance testing
- Resilience testing
- AI/ML
- LLM
- Eval harnesses
- Golden datasets
- LLM-as-judge
- Red-teaming
- Guardrail validation
- AI agents
- AI-assisted tooling
- Test generation
- Triage
- Maintenance
- Code review
- Shift-left transformation
- HIPAA
- SOC 2
- PHI-safe test data management
- Audit requirements
- Traceability requirements
- Professional Development
Location
- San Francisco
Work Type
- Hybrid
Experience Level
- Senior
Salary/Compensations
- $230,000 - $250,000
Benefits
- Equity
- Health, Dental, Vision benefits start on your first day
- Access to One Medical accounts
- HSA and FSA plans available
- Spring contributing up to $1K for HSAs
- Employer sponsored 401(k) match of up to 2%
- Yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
- Competitive paid time off policies including vacation, sick leave and company holidays
- 18 weeks parental leave for birthing parents (at 6 months tenure)
- 16 weeks parental leave for non-birthing parents (at 6 months tenure)
- Access to Noom, a weight management program
- Access to fertility care support through Carrot
- $4,000 reimbursement for related fertility expenses
- Access to Wellhub
- Access to BrightHorizons for sponsored child care, back-up care, and elder care
- Up to $1,000 Professional Development Reimbursement a year
- $200 per year donation matching
About the Company
- Spring Health is a global mental health company on a mission to eliminate every barrier to mental health.
- We're building a world where getting support is simple, personal, and built around the person, so care can continue through every job, move, health plan, and life stage.
- Our AI-native platform helps us deliver personalized support across self-guided tools, coaching, therapy, medication management, and specialty care.
- With outcomes independently validated by JAMA Network Open and the Validation Institute, Spring Health reaches more than 170 million people worldwide through leading employers, health plans, and partners.
- As an AI-native company, we believe technology should expand the reach, quality, and humanity of care.
- Every Spring Health team member is expected to use AI tools thoughtfully, apply human judgment to AI outputs, and keep building AI fluency in ways that support their role and our mission.
Equal Opportunity
- Spring Health is proud to be an equal opportunity employer.
- We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, pregnancy, or other applicable legally protected characteristic.
- We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements.
- Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans.
- If you have a disability or special need that requires accommodation, please let us know.
