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Building a Strong Engineering Culture at Kyruus Health
Building a Strong Engineering Culture at Kyruus Health
Kyruus Health’s CTO, Harshit Shah, shares how listening, focus, and psychological safety have helped scale the company’s 300-person engineering team. By emphasizing culture over constant change, Kyruus continues to grow with clarity, accountability, and a shared sense of purpose.
Nov 30, 2025
Featured
Kyruus Health has long been recognized for its mission-driven approach to simplifying access to care for patients, providers, and health systems. As the industry’s largest care-access platform, Kyruus connects people with the right care choices and helps organizations manage that process efficiently and intelligently. When Harshit Shah joined as Chief Technology Officer, he found a team with strong values, impressive technical depth, and a clear sense of purpose. His goal was not to reinvent that success but to strengthen it, helping the engineering organization scale sustainably as Kyruus continued to grow.
“If I could only do one thing in my role, it would be building the culture,” he said.
That mindset has helped the company’s engineering team build momentum, clarity, and confidence while staying grounded in its mission.
Listening Before Leading
Harshit’s first few months at Kyruus were defined not by directives but by discovery. He met with teams across the organization to understand how they worked, what energized them, and where small improvements could create a significant impact.
He explained that his early learnings shaped a framework for the engineering organization built around three simple pillars: how the team builds, how it operates, and how it collaborates.
That structure gave every leader and engineer a shared foundation for growth, helping to channel the creativity already flourishing across the company.
Focused Growth, Not Endless Change
Today, Kyruus’ engineering organization includes nearly 300 people across Boston, Portland, and distributed locations. Managing that kind of scale takes focus, not speed.
“I don’t try to boil the ocean,” he said. “I focus on a few important things, do them well, and then move to the next few priorities.”
Leaders across the company began to notice how quickly the engineering organization was delivering value, a visible shift that reflected the team’s growing alignment and clarity.
Behind that progress is a culture that prizes accountability, craftsmanship, and steady improvement over quick wins.
Mission, Momentum, and Safety
Three themes consistently define Kyruus’ engineering culture: shared mission, steady momentum, and psychological safety.
Mission
Every engineer understands the impact of their work. Harshit said the company’s focus on simplifying care access helps people feel pride in the difference they make, and that sense of purpose becomes a motivator for performance.
Momentum
Progress beats perfection.
“We didn’t wait for 100 percent adoption,” he said. “We started small, proved the value, and the groundswell happened on its own.”
That mindset has shaped how Kyruus adopts new tools and technologies, especially in AI, approaching innovation with curiosity rather than pressure.
Safety
The company has built a no-blame culture where transparency drives improvement. Drawing inspiration from his time at AWS, Harshit helped establish a weekly “Quality of Service” session, an open forum for reviewing incidents, sharing lessons, and celebrating problem-solving.
He noted that psychological safety is essential for any thriving culture and that engineers are encouraged to talk openly about issues so the entire team can learn from them.
Investing in People and What Comes Next
As Kyruus continues to grow, including its upcoming integration with RevSpring, the focus remains firmly on people. Every engineer is encouraged to think about development with the same intentionality they bring to designing software.
“Just like we have product roadmaps, every engineer should have a career roadmap,” he said.
That investment extends beyond career growth to the future of technology itself.
“AI will change how software is built and what it means to be an engineer,” he said. “If you’re not helping your teams build AI literacy, you’re doing them an injustice.”
By approaching innovation as both a learning opportunity and a shared responsibility, Kyruus continues to strengthen its culture of adaptability and empowerment.
A Culture That Scales
For Kyruus Health, success is not defined only by features shipped or systems scaled. It is reflected in how people feel about their work, their team, and their shared impact.
Through clear leadership and collective ownership, the company has built a culture where engineers can do meaningful work, learn fearlessly, and grow together.
Harshit often emphasizes that building culture is central to the work of leadership, not an afterthought.
Build Culture Takeaway:
Kyruus Health offers a glimpse into what modern engineering organizations can become when people and purpose lead the way. Through thoughtful leadership and an emphasis on listening, the company continues to prove that the strongest technical advantage any team can have is culture itself.
Kyruus Health has long been recognized for its mission-driven approach to simplifying access to care for patients, providers, and health systems. As the industry’s largest care-access platform, Kyruus connects people with the right care choices and helps organizations manage that process efficiently and intelligently. When Harshit Shah joined as Chief Technology Officer, he found a team with strong values, impressive technical depth, and a clear sense of purpose. His goal was not to reinvent that success but to strengthen it, helping the engineering organization scale sustainably as Kyruus continued to grow.
“If I could only do one thing in my role, it would be building the culture,” he said.
That mindset has helped the company’s engineering team build momentum, clarity, and confidence while staying grounded in its mission.
Listening Before Leading
Harshit’s first few months at Kyruus were defined not by directives but by discovery. He met with teams across the organization to understand how they worked, what energized them, and where small improvements could create a significant impact.
He explained that his early learnings shaped a framework for the engineering organization built around three simple pillars: how the team builds, how it operates, and how it collaborates.
That structure gave every leader and engineer a shared foundation for growth, helping to channel the creativity already flourishing across the company.
Focused Growth, Not Endless Change
Today, Kyruus’ engineering organization includes nearly 300 people across Boston, Portland, and distributed locations. Managing that kind of scale takes focus, not speed.
“I don’t try to boil the ocean,” he said. “I focus on a few important things, do them well, and then move to the next few priorities.”
Leaders across the company began to notice how quickly the engineering organization was delivering value, a visible shift that reflected the team’s growing alignment and clarity.
Behind that progress is a culture that prizes accountability, craftsmanship, and steady improvement over quick wins.
Mission, Momentum, and Safety
Three themes consistently define Kyruus’ engineering culture: shared mission, steady momentum, and psychological safety.
Mission
Every engineer understands the impact of their work. Harshit said the company’s focus on simplifying care access helps people feel pride in the difference they make, and that sense of purpose becomes a motivator for performance.
Momentum
Progress beats perfection.
“We didn’t wait for 100 percent adoption,” he said. “We started small, proved the value, and the groundswell happened on its own.”
That mindset has shaped how Kyruus adopts new tools and technologies, especially in AI, approaching innovation with curiosity rather than pressure.
Safety
The company has built a no-blame culture where transparency drives improvement. Drawing inspiration from his time at AWS, Harshit helped establish a weekly “Quality of Service” session, an open forum for reviewing incidents, sharing lessons, and celebrating problem-solving.
He noted that psychological safety is essential for any thriving culture and that engineers are encouraged to talk openly about issues so the entire team can learn from them.
Investing in People and What Comes Next
As Kyruus continues to grow, including its upcoming integration with RevSpring, the focus remains firmly on people. Every engineer is encouraged to think about development with the same intentionality they bring to designing software.
“Just like we have product roadmaps, every engineer should have a career roadmap,” he said.
That investment extends beyond career growth to the future of technology itself.
“AI will change how software is built and what it means to be an engineer,” he said. “If you’re not helping your teams build AI literacy, you’re doing them an injustice.”
By approaching innovation as both a learning opportunity and a shared responsibility, Kyruus continues to strengthen its culture of adaptability and empowerment.
A Culture That Scales
For Kyruus Health, success is not defined only by features shipped or systems scaled. It is reflected in how people feel about their work, their team, and their shared impact.
Through clear leadership and collective ownership, the company has built a culture where engineers can do meaningful work, learn fearlessly, and grow together.
Harshit often emphasizes that building culture is central to the work of leadership, not an afterthought.
Build Culture Takeaway:
Kyruus Health offers a glimpse into what modern engineering organizations can become when people and purpose lead the way. Through thoughtful leadership and an emphasis on listening, the company continues to prove that the strongest technical advantage any team can have is culture itself.