Head of AI Engineering & Enablement

Tebra

$224K — $256K *
US-AnywhereRemote in United States
Enterprise Technology
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years in software engineering, applied AI, or technical product roles, with experience in production environments.
  • Hands-on ability to read and write code and ship production systems.
  • Deep experience with multi-agent systems, RAG pipelines, MCP servers, and API integrations.
  • Experience in a HIPAA-regulated environment, particularly with audit trails and PHI compliance.
  • Track record of operationally focused tech projects that improved business processes.

Responsibilities

  • Lead AI implementation to enhance Tebra's operational efficiency.
  • Perform business process audits and re-engineering prior to automation.
  • Create and prioritize an AI Opportunity roadmap in collaboration with leaders.
  • Design and build complex internal workflows and automations.
  • Establish governance standards for AI tools and data management in partnership with Legal and Security.
  • Facilitate training and support for less-technical teams to enhance AI adoption across functions.
  • Continuously evaluate the latest AI methodologies and tools for organizational advancement.

Benefits

  • Competitive benefits package reflecting commitment to employee well-being.
  • Opportunity for variable pay based on performance and company results.
  • Remote work flexibility with geographical pay adjustments across zones.
Full Job Description
Tebra only initiates contact with candidates via email from an official Tebra email address ([redacted].com, [redacted].com, or [redacted].com) or through our applicant tracking system, Greenhouse. We will only ask you to provide sensitive personal information through our official application portal - not via social media or text message. We do not conduct interviews via instant messaging.

About the Role

We are hiring a hands-on player coach to lead AI across how Tebra runs as a company. You will be building alongside a small team of one to two engineers while simultaneously leading process re-engineering engagements with functional leaders. You will ship code, design agents and re-engineer workflows, while also leading the team around you.
With a small team, this role will focus on our internal operations - not the AI in our product. It covers how every function works, how fast we move, and how much leverage each person has. As we scale toward $300M+ in ARR, the goal is to decouple growth from headcount and build an operation that runs leaner as it gets bigger.

Most of the value comes from re-engineering the work itself, so you will pair deep engineering and applied AI skill with strong business judgment and a relentless focus on outcomes.
Your Area of Focus

AI Strategy & Use Case Discovery
  • Work with the CEO, CFO, and CPO to identify where AI can drive the greatest efficiency and operating leverage across the organization, and prioritize accordingly.
  • Audit and re-engineer business processes before automating them, so we improve how the work is done and not just how fast it runs.
  • Build and maintain an AI Opportunity roadmap that prioritizes use cases by ROI, feasibility and strategic impact in partnership with the functional leaders.

Build the Hardest Workflows
  • Perform deep-dive assessments to identify the highest-impact efficiency opportunities across all operating functions - then build them, don't just document them.
  • Design and build high-value internal agents and automations that address the hardest problems inside our operating functions. Stay hands-on in the build yourself; this is not a role where you commission others and review outputs.
  • Own the shared patterns for retrieval, agent design, and secure system-of-record connectivity - including MCP servers, agent-to-agent orchestration, and API integrations - with permission-aware access across Gong, Salesforce, NetSuite, Snowflake, Slack, and Workato.
  • Design multi-agent systems where specialized agents hand off to each other across workflow steps, not just single agent automation.
  • Build and maintain the organizational context layer, the connective tissue that makes Tebra queryable; meeting capture, knowledge connectors, MCP servers into our core systems and permission aware retrieval so agents and people have a single source of truth.
  • Develop and maintain a library of reusable skills, frameworks, and how to guide, allowing one person's breakthrough workflow scale to the entire organization and the programs compound over time.
  • Own the full lifecycle from rapid prototyping to production-grade deployment, including monitoring, evaluation frameworks, error handling, and iteration based on real usage data.

Governance
  • Define the approved tools, data-handling rules, build standards, and a shared reference architecture for AI across Tebra's operating functions, in partnership with Legal and Security.
  • Own how agents are deployed and monitored once live, ensuring full HIPAA compliance and strict adherence to our data privacy and security policies for PHI, without slowing teams down.
  • Stand up an AI risk register, acceptable use policy, and audit trail standards for all production agents, and maintain them as the tooling landscape evolves.

Enable the Functions
  • Partner with each function to find high-value use cases and help them build and ship the more routine, accessible agents themselves.
  • Coach AI owners inside each function, and run enablement and fluency programs so adoption scales beyond the central team.
  • Build genuine on-ramps for less-technical teams: role-specific training, prompt libraries, office hours, and ready-to-use templates that make AI approachable across every level of the org.
  • Continuously identify emerging AI tooling, methodologies, and agent frameworks - evaluate new models and techniques to keep Tebra ahead of the curve.


Your Professional Qualifications

Technical Foundation
  • 8+ years in software engineering, applied AI, or technical product roles, with a meaningful stretch spent hands-on and building in production - not directing from a distance.
  • An engineering background you still use. You can read and write code and ship production systems, not only manage people who do.
  • Deep applied AI experience designing and deploying multi-agents systems, RAG pipelines, agent-to-agent orchestrations, MCP servers, and API integrations into systems of record, and LLM-based workflows in production.
  • Hands-on experience shipping AI in a HIPAA-regulated or comparable environment - working within BAAs, maintaining audit trails, and keeping PHI out of non-covered tools.

Business & Operational Judgment
  • A track record on operationally focused technology projects - workflow automation, systems integration, internal tooling - that demonstrably changed how a business runs.
  • Strong business acumen. You can sit with a function leader, understand their workflow end-to-end, and translate it into the right automation - including knowing when the right answer is to redesign the process first.
  • A process re-engineering instinct, with the judgment to fix the work before automating it.

Change Leadership & Adoption
  • A proven track record of driving adoption and behavior change within non-technical teams - not just shipping the tools, but building champions, running training, and sustaining usage until it becomes a habit.
  • Experience leading a small team and coaching others to build while staying hands-on yourself.
  • Excellent communication. You can brief the CEO and pair with an engineer on the same day, and those conversations feel equally natural.


(For Recruiter use only) #LI-BG1 #LI-Remote

We are dedicated to attracting and retaining top talent with competitive and fair compensation. For this position, this range reflects our Zone 1 (National Average) pay band. Your specific compensation is thoughtfully determined by your experience, qualifications, the specific requirements of the role, and your Geo Zone. Our geo-zone system ensures your pay is competitive for your location, recognizing varying costs of labor across regions.

Our four geo zones are designed to reflect this:
Zone 1: National Average
Zone 2: Moderately Higher Cost Regions
Zone 3: High-Cost Regions
Zone 4: Lower-Cost Regions

Beyond base compensation, Tebra offers eligible employees the opportunity for variable pay and a robust benefits package, reflecting our commitment to your overall well-being. In compliance with California pay transparency laws, the specific compensation range applicable to your Geo Zone will be shared during your initial talent screen.

Zone 1 (National Average)

$224,000-$256,000 USD

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