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Design • REF: TH-DSN-001

Design Systems Lead

San Francisco, CAHybridFull-time
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Location
San Francisco, CA
Work Mode
Hybrid
Department
Design
Employment Type
Full-time
Reference ID
TH-DSN-001
Date Posted
February 14, 2026

About This Role

A coherent design system is essential when clinicians rely on your software in high-stakes environments. The Design Systems Lead will build and govern a component library, design tokens, and usage guidelines that accelerate product development while upholding accessibility and clinical usability standards. This role partners closely with engineering, product design, and brand to create a system that is both beautiful and trustworthy.

What You'll Do

  • Architect and maintain a comprehensive design system including component specifications, design tokens, and interaction patterns
  • Establish accessibility standards (WCAG 2.2 AA) for all components and conduct regular audits to ensure compliance
  • Collaborate with frontend engineers to align Figma component library with the React component implementation
  • Create detailed contribution guidelines and governance processes that enable other designers to extend the system responsibly
  • Conduct usability reviews of new components in the context of clinical workflows to ensure they meet healthcare UX standards
  • Track adoption metrics and gather designer and developer feedback to prioritize system improvements

What We're Looking For

  • 6+ years of product design experience with at least 2 years dedicated to design systems work
  • Expert proficiency in Figma, including advanced component architecture, auto-layout, and variables
  • Strong understanding of frontend technologies (HTML, CSS, React) sufficient to collaborate deeply with engineers
  • Proven experience shipping and maintaining a design system at scale (50+ components, multiple product teams)
  • Deep knowledge of WCAG accessibility guidelines and inclusive design principles

Nice to Have

  • Experience designing for healthcare or other regulated industries
  • Familiarity with Storybook, Chromatic, or similar component documentation and testing tools
  • Experience with design token systems and multi-brand theming
  • Background in motion design and micro-interaction specification
Design Systems Lead - Tile Health Careers | Tile Health