Head of Engineering & AI, Healthcare RCM Platform

The D. E. Shaw Group

• $250K — $350K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years of experience in software development and technical team leadership
  • Proven track record of end-to-end product development and customer insights implementation
  • Experience delivering AI-oriented products and managing complex integrations
  • Strong decision-making skills regarding AI applications and human oversight
  • History of building and nurturing high-performing engineering teams
  • Knowledge of healthcare data and regulatory standards, or experience in similar sectors

Responsibilities

  • Own engineering strategy and define product priorities in collaboration with leadership
  • Analyze complex workflows with RCM operators and customers for technology opportunities
  • Develop an integrated data and orchestration platform for healthcare systems
  • Design and deploy AI agents to enhance revenue cycle processes
  • Set technical standards, recruit engineering talent, and lead technical due diligence for acquisitions

Benefits

  • Equity participation in the company
  • Comprehensive benefits package
  • Annual performance bonus
Full Job Description
What you'll do day-to-day

  • Own the engineering strategy, technical roadmap, and platform architecture, partnering with leadership and stakeholders to define product and AI priorities from prototype through scaled deployment.
  • Engage directly with RCM operators and customers to analyze complex workflows, identify high-value opportunities, and rapidly convert them into production-ready technology.
  • Develop a shared data and orchestration platform that integrates EHRs, practice-management systems, clearinghouses, billing platforms, and payers, enabling AI agents to execute workflows safely and efficiently at scale.
  • Design and deploy AI agents across the revenue cycle, targeting improvements in accuracy, speed, and cost-to-collect for processes such as eligibility, prior authorization, claims, denials, payment posting, and collections.
  • Architect and deliver initial systems, set the technical standard, recruit an exceptional engineering team, and lead technology diligence and modernization for acquisitions.


What we're looking for

  • Eight or more years of experience building software and leading technical teams, with recent hands-on involvement in architecting, prototyping, and shipping production systems; prior experience as a head, VP, or director of engineering, or as a senior technical builder is valued.
  • Demonstrated 0-to-1 product-building expertise, with end-to-end ownership from customer discovery and architecture through launch, adoption, and iteration, and a record of turning customer insights into scalable product capabilities.
  • Proven ability to deliver AI-powered products into production, ideally with agentic workflows, complex integrations, data platforms, or workflow and browser automation.
  • Sound judgment regarding the application of autonomous AI versus human-in-the-loop controls.
  • Track record of recruiting and developing high-performing engineering teams, setting a high technical bar, and fostering a strong engineering culture.
  • Familiarity with healthcare data, privacy, security, and interoperability-or similar experience in fintech, insurance, enterprise workflow software, or other regulated environments-is highly relevant
  • The expected annual base salary for this position is $250,000 to $350,000 plus an annual performance bonus, meaningful equity participation in NewCo, and comprehensive benefits.


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