Description
Head of Engineering — Agentic AI Healthcare SaaS | Zenara Health
Role Title: Head of Engineering
Location: Remote across India (~6 hours overlap with US Pacific time)
Type: Full-time Reports to: Founder-CEO
Compensation: Well above market for Indian startups at this level. We pay for the caliber we're hiring.

About the Company
Zenara Health builds GenAI-powered clinical decision support and workflow tools for mental health clinics. We integrate AI-driven platforms with professional clinical care to offer personalized and effective mental health solutions — from AI-enhanced evaluations to care coordination — creating a seamless digital experience for both patients and providers.
We are an AI-native organization. That's not a marketing label. Our engineering model is fundamentally built around AI agents participating in the software development lifecycle. We are a startup, not a department.

About the Role
Pay close attention here. If you are an engineering manager who primarily conducts standups and writes status reports, this role may not suit you.




We are transitioning from the product stage to the commercial stage — multiple products, real customers, sensitive clinical data. Our engineers are already delivering, and now we need cohesive engineering leadership to transform exceptional individual contributions into collective organizational success.
What makes this role different from every other Head of Engineering posting: Our engineering team is small by design. A handful of high-caliber engineers orchestrate AI agents that handle significant portions of the SDLC — from code generation to testing to documentation. Your job is not to manage 20 engineers writing code. Your job is to design, implement, and continuously refine the human-agent engineering model — including maker-checker workflows, quality gates for AI-generated output, and escalation protocols that ensure AI speed doesn't come at the cost of AI sloppiness.
This is a relatively recent way of w

📌 Head of Engineering (India)
🏢 Zenara Health
📍 India