Vice President of Engineering (MedInsight)

Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.

Company Overview:

Leading with our core values of Quality, Integrity, and Opportunity, MedInsight is one of the healthcare industrys most trusted solutions for healthcare intelligence. Our purpose is to empower easy, data-driven decision-making on important healthcare questions. Through our products, education, and services, MedInsight is making an impact on healthcare by helping to drive better outcomes for patients while reducing waste. Over 300 leading healthcare organizations have come to rely on MedInsight analytic solutions for healthcare cost and care management. MedInsight has earned top recognition from clients for Payer Quality Analytics in the Best in KLAS report.

MedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions.

Position Summary

MedInsight is seeking a Vice President of Engineering to lead the next phase of our technology and organizational evolution. Reporting to the Chief Product Officer, this executive will lead an approximately 100-person global engineering organization spanning application development, data engineering, platform engineering, AI, and technical operations.

The VP will shape engineering strategy, strengthen leadership and operating capabilities, modernize core platforms, improve delivery predictability, and accelerate responsible AI-enabled innovation. This is an opportunity to influence product and business strategy while building the engineering organization required to support a market-leading healthcare analytics business.

The successful candidate will combine technical depth, organizational leadership, and business judgment. They will have led meaningful engineering transformation in a complex, data-intensive environment and will know how to translate architecture, talent, and technology investments into measurable client and business outcomes.

Key Responsibilities

- Define and execute a long-term engineering strategy aligned with MedInsight's business and product objectives.

- Improve engineering velocity, delivery predictability, quality, reliability, security, testing, and operational excellence.

- Establish consistent engineering standards, architecture practices, automation, observability, and scalable development processes.

- Accelerate responsible adoption of artificial intelligence and emerging technologies across products, engineering, and operations.

- Partner with Product and business leaders to identify AI opportunities that create measurable client and business value.

- Guide architecture and technology investment decisions, including modernization, technical debt, build-versus-buy decisions, and platform capabilities.

- Build and develop a strong engineering leadership organization, succession pipeline, and technical talent strategy.

- Reduce key-person dependencies through automation, self-service, knowledge transfer, and scalable operating practices.

- Create a culture of accountability, collaboration, innovation, learning, continuous improvement, and high performance.

- Partner closely with Product, Operations, Analytics/Data Science, Security, Client Services, and Executive Leadership.

- Translate complex technical concepts and tradeoffs into clear business outcomes and executive decisions.

- Serve as a trusted technical leader with selected clients, prospects, technology partners, and industry audiences.

Engineering Environment

MedInsight's engineering environment includes Azure and Databricks, with primary development languages and technologies including C#, SQL, Python, and PowerShell. The organization is also adopting AI-enabled engineering and productivity tools, including Claude Code, Genie Code, and GitHub Copilot.

Required Qualifications

- 15+ years of progressive engineering leadership experience, including significant executive-level leadership responsibility.

- Demonstrated success building, scaling, or materially transforming an engineering organization of significant size, including establishing leadership capacity, operating practices, architecture discipline, and sustainable delivery capabilities.

- Extensive experience in data-intensive technology environments, including data warehousing, large-scale data engineering, analytics platforms, and/or Big Data.

- Strong understanding of how engineering organizations supporting data-centric businesses differ from traditional application software organizations.

- Experience leading multiple engineering disciplines, including application development, data engineering, platform engineering/infrastructure, and/or artificial intelligence.

- Proven ability to lead significant technology, organizational, and operational transformation.

- Demonstrated success developing senior engineering leaders and building a strong leadership bench.

- Strong technical credibility across cloud computing, data platforms, software engineering, architecture, and emerging technologies.

- Ability to connect engineering strategy and technology investment decisions to business outcomes.

- Exceptional executive communication, stakeholder management, and cross-functional influence skills.

Preferred Qualifications

- Experience in healthcare, healthcare analytics, health technology, insurance, financial services, or another highly regulated or data-intensive industry.

- Experience leading organizations through significant technology, modernization or transformation.

- Experience with artificial intelligence, machine learning, AI-enabled products, or AI-native engineering practices.

- Experience with Azure, Databricks, or comparable cloud and data platforms.

- Experience modernizing legacy platforms while building next-generation capabilities.

- Experience leading global or distributed engineering organizations.

What Success Looks Like

- Engineering operates as a cohesive strategic capability aligned with business and product priorities.

- Engineering delivery becomes faster and more predictable while quality, security, reliability, and release confidence improve.

- AI investments progress toward measurable client and business value with appropriate technical and governance guardrails.

- A stronger engineering leadership bench reduces key-person dependency and increases sustainable organizational capacity.

- Automation, self-service, testing, and improved engineering practices increase capacity and reduce operational friction.

- Technology and architecture investments increasingly enable MedInsight's product strategy and future growth.

Compensation:

The overall salary range for this role is $208,610 - $354,660. A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

Location and Travel

This role will be in Seattle, Washington and follows a hybrid schedule, requiring at least 2-3 days in office per week. Travel is expected to be modest and likely less than 25%, including approximately one or two trips to India annually, one or two Milliman forums, selected partner meetings, and occasional additional business travel. The expected application deadline for this job is November 1, 2026.

Why Join MedInsight?

This is a rare opportunity to shape the future of a market-leading healthcare technology platform during a period of significant technological change. The VP of Engineering will have meaningful scale, complex problems to solve, executive influence, and the opportunity to build lasting organizational capabilities rather than simply operate an established environment.

The successful leader will help build a world-class engineering organization, accelerate AI-enabled capabilities, influence business strategy and growth, and develop future engineering leaders while contributing to better healthcare outcomes.

Benefits:

We offer a comprehensive benefits package designed to support employees health, financial security, and well-being. Benefits include:

- Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners

- Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges

- 401(k) Plan – Includes a company matching program and profit-sharing contributions.

- Discretionary Bonus Program – Recognizing employee contributions

- Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses

- Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis

- Holidays – A minimum of 10 paid holidays per year

- Family Building Benefits – Includes adoption and fertility assistance

- Paid Parental Leave – Up to 11 weeks of paid leave for employees who meet eligibility criteria

- Life Insurance & AD&D – 100% of premiums covered by Milliman

- Short-Term and Long-Term Disability – Fully paid by Milliman

Equal Opportunity

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.

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