Job Description
Our healthcare system is the leading cause of personal bankruptcy in the U.S. Every year over 50 million Americans suffer adverse financial consequences as a result of seeking care from lower credit scores to garnished wages. The challenge is only getting worse as high deductible health plans are the fastest growing plan design in the U.S.
Cedar’s mission is to leverage data science smart product design and personalization to make healthcare more affordable and accessible. Today healthcare providers still engage with its consumers in a “one-size-fits-all” approach; and Cedar is excited to leverage consumer best practices to deliver a superior experience.
Cedar is at a meaningful inflection point. We're building a new enterprise data foundation to power the next generation of AI-driven products and client-facing analytics while simultaneously expanding our integration footprint to support new product lines and go-to-market motions. The complexity is real the stakes are high and the environment is dynamic.
Transparently this role comes with challenges to navigate. These teams sit at the intersection of client delivery platform evolution and operational reliability which means ad-hoc demands land here regularly and the roadmap can evolve mid-flight. You're not walking into a well-oiled machine; you're walking into an opportunity to build one. A big part of this role is establishing the processes relationships and stakeholder alignment that reduce that thrash over time working closely with internal partners and customers to create more predictability for your teams. The right person for this role doesn't just tolerate the current environment. They see it clearly stay steady within it and consistently work to improve it.
As Sr. Director of Data & Integrations Engineering you'll report directly to the CTO and head an organization of ~35 engineers across three teams (Data Engineering Integration Engineering and Integration Support Engineering) through three experienced engineering managers. You'll also be backed by Principal Engineers who own the deep technical vision and architecture for the org. Your job isn't to be the smartest technical person in the room; your principals have that covered. Your job is to make the whole machine run: deliver with consistency develop your people reduce the organizational thrash that slows everyone down and ensure the operational quality that our clients partners and internal teams depend on.
Who You'll LeadIntegration Engineering is accountable for bi-directional data integrations between Cedar and healthcare provider EHR systems: Epic Cerner Athena and more. The team services healthcare provider clients delivers new implementations enhances live integrations and is building scalable integration frameworks to reduce go-live timelines and enable an expanding product surface. They are the technical engine behind Cedar's ability to grow.
Integration Support Engineering is Cedar's integration reliability team: on-call response incident management root cause analysis and escalation resolution. They own the SLAs that matter most to our clients and are evolving from a reactive response function toward a proactive systems-thinking discipline driving down incident volume through better observability tooling and upstream framework improvements.
Data Engineering builds and evolves Cedar's enterprise data platform: ELT/ETL pipelines data governance Medallion architecture and the real-time data foundations that power Cedar's AI-driven products. The team is mid-transformation migrating from legacy infrastructure to a modern stack while simultaneously building net-new foundations for a next-generation analytics and intelligence platform that will drive all future product offerings. The stakes are high and the work is consequential.
What You'll OwnDelivery predictability. Establish and maintain the processes rituals and accountability structures that keep three parallel workstreams (greenfield platform work client-facing implementations and live production operations) shipping on time and with high quality. You know how to right-size agile practices for the work at hand. Process pays rent; you believe that.
People and manager development. Grow an effective layer of engineering managers and help them build high-performing engaged teams. This is your primary lever. Your principals own the technical roadmap; your teams' health growth and culture live with you. You have a track record of developing first-time and experienced managers alike.
Operational excellence. Own the reliability and SLA performance of Cedar's integration systems. Reduce MTTI MTTR and systemic incident rates. Build a culture where operational quality (observability on-call discipline postmortem rigor) is a first-class engineering value not an afterthought.
Data platform evolution. Partner with the Principal Data Architect to keep Cedar's data platform transition on track: migration from legacy systems adoption of new architecture across the organization and ensuring that downstream consumers (product engineering data science analytics and AI/ML) have trusted accessible data when they need it.
Integration scalability. Reduce the time and cost of onboarding new clients and enabling new product lines. Advance the integration frameworks and patterns that let your teams scale their impact without scaling headcount proportionally.
Organizational clarity and thrash reduction. Build the structures (intake processes prioritization frameworks escalation paths) that protect your teams from the constant pull of ad-hoc requests and shifting priorities. You'll also coach your managers to run their teams with increasing autonomy: to hold a line uphold a roadmap and absorb pressure without needing escalation assistance. You'll build an org that operates with discipline even when the environment around it is noisy.
Cross-functional partnership. Build effective relationships with Product Data Science Commercial and Delivery Engineering. Represent your teams' capacity and priorities clearly; negotiate trade-offs constructively; keep issues surfaced and resolved before they become crises. You're a peer other leaders want to work with.
What You Bring- 12+ years in software engineering or technical implementation with meaningful time in data-intensive integration-heavy or platform domains.
- 8+ years in engineering leadership including 4+ years managing managers ideally with direct experience overseeing an org of 30+ engineers.
- Solid technical grounding in integration systems and data. You engage credibly with principals and managers on architecture trade-offs operational risk and build-vs-buy decisions. You don't need to be the deepest expert but you need to know when to push back and when to trust.
- High tolerance for ambiguity with a demonstrated talent for reducing it. Cedar moves fast and the environment is genuinely noisy. You don't need a clean brief to start moving. You've thrived in orgs where priorities shift asks are imperfect and the path forward requires synthesis rather than instruction. You create structure from chaos without waiting for someone else to hand it to you.
- Operational instincts. You've owned SLAs on-call programs incident management or client-facing reliability commitments and you've built the systems and culture to sustain them.
- Effective cross-functional stakeholder management including executive presence. You can translate between engineering realities and business priorities without losing either side. You've navigated trade-off conversations with product finance and executive audiences and you're comfortable representing your teams' work priorities and risks clearly in front of C-suite leadership.
- Healthcare domain experience particularly in revenue cycle management EHR data models or healthcare interoperability (HL7/FHIR). The integration complexity at Cedar is significant and domain context accelerates both credibility and impact.
- AI-forward mindset. You believe agentic developer tooling is a genuine force accelerator not a passing trend and you set expectations from the front on adoption. You actively model AI-native workflows for your managers and teams and you create the space and expectation for engineers to integrate these tools into how they build debug and ship. You've seen what happens when a team gets this right and you want to make it happen again.
Compensation Range and Benefits
- Salary/Hourly Rate Range*: $280500 - $330000
- This role is equity eligible
- This role offers a competitive benefits and wellness package
*Subject to location experience and education
What do we offer to the ideal candidate?
- A chance to improve the U.S. healthcare system at a high-growth company! Our leading healthcare financial platform is scaling rapidly helping millions of patients per year
- Unless stated otherwise most roles have flexibility to work from home or in the office depending on what works best for you
- For exempt employees: Unlimited PTO for vacation sick and mental health days–we encourage everyone to take at least 20 days of vacation per year to ensure dedicated time to spend with loved ones explore rest and recharge
- 16 weeks paid parental leave with health benefits for all parents plus flexible re-entry schedules for returning to work
- Diversity initiatives that encourage Cedarians to bring their whole selves to work including three employee resource groups: be@cedar (for BIPOC-identifying Cedarians and their allies) Pridecones (for LGBTQIA+ Cedarians and their allies) and Cedar Women+ (for female-identifying Cedarians)
- Competitive pay equity (for qualifying roles) and health benefits including fertility & adoption assistance that start on the first of the month following your start date (or on your start date if your start date coincides with the first of the month)
- Cedar matches 100% of your 401(k) contributions up to 3% of your annual compensation
- Access to hands-on mentorship employee and management coaching and a team discretionary budget for learning and development resources to help you grow both professionally and personally
About us
Cedar was co-founded by Florian Otto and Arel Lidow in 2016 after a negative medical billing experience inspired them to help improve our healthcare system. With a commitment to solving billing and patient experience issues Cedar has become a leading healthcare technology company fueled by remarkable growth. "Over the past several years we've raised more than $350 million in funding & have the active support of Thrive and Andreessen Horowitz (a16z).
As of November 2024 Cedar is engaging with 26 million patients annually and is on target to process $3.5 billion in patient payments annually. Cedar partners with more than 55 leading healthcare providers and payers including Highmark Inc. Allegheny Health Network Novant Health Allina Health and Providence.
Skills Required
- 12+ years in software engineering or technical implementation
- 8+ years in engineering leadership
- 4+ years managing managers
- Solid technical grounding in integration systems and data
- Experience in operational instincts managing SLAs
What the Team is Saying
Cedar Compensation & Benefits Highlights
- Parental & Family Support—Paid parental leave fertility and family-forming support and guided family medical leave signal strong support for diverse family needs. Onsite accommodations such as a Mother’s Room further reinforce this focus.
- Leave & Time Off Breadth—Unlimited PTO covering vacation sickness and mental health is highlighted with clear encouragement to take meaningful time away. Flexibility to work remotely or from the NYC HQ expands practical access to rest and recharge.
- Healthcare Strength—Multiple medical dental and vision plan options paired with mental health resources and 24/7 EAP access indicate robust core coverage. Additional wellbeing resources extend support beyond standard insurance.
Cedar Insights
What We Do
Cedar is the AI-powered healthcare financial experience platform built for the rising cost and complexity of healthcare payments. We help millions of people every year understand and resolve their medical bills with clarity and compassion while helping healthcare organizations operate more efficiently. We’re combining AI smart design and empathy to fix one of healthcare’s most urgent crises.
Why Work With Us
Built on over a billion patient interactions our platform unifies billing payments coverage and support into one intelligent solution that learns and adapts delivering stronger results for providers and more empathetic affordable experiences for patients. We co-innovate with healthcare leaders to make care more accessible and affordable.
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Remote Workspace
Employees work remotely.
Cedar has adopted a hybrid work model that enables all Cedarians to work in a way that best serves them. For some that means working from our NYC HQ. Most (two-thirds) of our employees work remotely and only come to our office for team on-sites
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