VP of Engineering(Austin based)

Autonomize Inc

$175K — $210K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years of experience in engineering, with at least 5 years in leadership roles within enterprise Data and AI systems
  • Experience building and leading teams with healthcare payers or large provider systems in a fast-paced environment
  • Deep understanding of healthcare infrastructure, ML and data pipelines, and key API standards
  • Proven track record of delivering secure, compliant software in the health tech domain
  • Knowledge of AI/ML infrastructure and familiarity with Generative AI frameworks and best practices

Responsibilities

  • Define and evolve the platform and product roadmap according to business priorities and customer expectations
  • Guide architectural decisions related to ML pipelines and API integrations
  • Collaborate closely with leadership to execute on the product vision
  • Align platform investments with business outcomes alongside Product and sales leaders
  • Manage infrastructure scalability and ensure data security and compliance in partnership with the CISO
  • Build and scale an efficient engineering organizational structure across geographies
  • Implement processes to ensure high quality and timely releases of products

Benefits

  • Opportunity to make a meaningful impact in healthcare innovation
  • Autonomy and ownership in your role and growth path
  • Comprehensive health, vision, and dental insurance fully covered by employer
  • Retirement plans including 401k and additional employee benefits
  • Support programs including disability insurance and employee assistance programs
Full Job Description
The Opportunity

We're seeking a transformative Head of Engineering to lead and scale our engineering teams as we accelerate adoption across major health systems, payers, and provider networks. This is an extremely mission-critical role for someone who's equal parts builder and a technology leader - ready to execute vision laid out by the leadership and product teams, get hands dirty to help expand, secure our scalable Agentic AI platform, grow a high-performing team, and ship enterprise-ready AI products that reshape how healthcare works. Working with the CTO office, you'll set the technical vision, lead cross-functional execution, and ensure we deliver with speed, quality, and resilience. If you've worked at the intersection of AI, healthcare infrastructure, and mission-critical systems - and you're ready to go deep and lead from the front.

Key Responsibilities

Technical Leadership & Strategy

  • Define and evolve our platform and product roadmap aligned with business priorities and customer expectations


  • Guide architectural decisions across ML pipelines, APIs, and enterprise integrations


  • Work closely with leaders to collaborate and execute on the product vision


  • Be a partner to Product and sales/go-to-market leaders to align platform investments with business outcomes.


  • Own infrastructure scalability (Kubernetes on various clouds), data security, and compliance (HIPAA, HITRUST, SOC2) working with CISO


Team Building & Execution

  • Own and evolve a high-leverage engineering org structure that scales across geographies and product lines.


  • Oversee best-in-class processes across CI/CD, code quality, information security, and observability to realize AgentOps lifecycle


  • Establish a release cadence by shipping product releases on a regular basis


  • Identify and grow technical leaders, create pathways for autonomy, and eliminate process friction.


  • Partner with customer solutions and forward deployment teams to accelerate delivery of product capabilities without sacrificing quality and stability


  • Build for resiliency and scale in mind - not just speed. You reduce toil through automation and uplift long-term system health.


Collaboration & Representation

  • Act as the face of Engineering with strategic customers, demonstrating deep platform knowledge and inspiring confidence


  • Understand customer infrastructure needs into scalable product capabilities that can be easily configured for customer deployments


  • Ensure our platform can support high-volume clinical workflows, interoperability, and analytics by creating and testing capabilities


  • Align GTM, Product, and Customer Ops to ensure delivery excellence and rapid iteration on feedback


Must-Have Qualifications

  • 10+ years of engineering experience, including 5+ in leadership roles building enterprise Data and AI systems


  • Built and led teams working with healthcare payers and/or large provider systems in a fast-paced setting like startups


  • Deep understanding of enterprise healthcare infrastructure, ML and data pipelines, and APIs (e.g. HL7, FHIR, EHR integrations), Application integration such as QNXT, Pega, Salesforce


  • Strong track record of shipping secure, compliant, production-grade software in health tech


Technical Knowledge & Deep Expertise

  • Prior experience in AI/ML infrastructure or knowledge automation using Agentic AI and Generative AI technologies and frameworks


  • Working knowledge of Generative AI patterns such as RAG, GraphRAG as well as prompt engineering best practices


  • Familiar with tools Kubernetes, Keda, Kafka, Agentic AI frameworks like LangGraph, Langchain, LlamaIndex, database technologies including fitment of product needs, and modern DevSecOps stacks


  • Help with navigating enterprise security, info sec. audits and vulnerabilities by automating common DevSecOps processes within the toolchain


  • Deep expertise is setting up scalable workload configurations in Kubernetes using common best practices such as pod and node autoscaling


Efficiency & Streamlined Processes

  • Review and optimize costs on infrastructure spend by creating dashboards with visibility into real-time spend metrics across SaaS and internal environments.


  • Optimize spend by evaluating instance types, GPU instances, execution patterns such as batch jobs for long running processes


  • Ensure faster installation of our platforms using IaC best practices such as Helm, Terraform automation resulting to a one-click deployment option or developing Agents


  • Streamline environments from creation to de-commissioning them across internal and customer environments


  • Establish quality gates from developer workstations to build systems using known tools such as Pylint, Pytest, SonarCube, Snyk


Culture Fit

  • Own it end-to-end: You take full responsibility, drive outcomes, and ship with excellence


  • Move with purpose: You prioritize speed, clarity, and impact over perfection


  • Elevate the team: You mentor others, simplify complexity, and build trust through action


  • Think bold, act bold: You challenge assumptions, raise the bar, and take smart risks


What We Offer

  • A chance to make a real impact in the future of healthcare


  • Autonomy, ownership, and the ability to chart your own growth path


  • Competitive compensation and benefits


  • 100% employer-paid health, vision, and dental insurance


  • Retirement plans (401k for US), disability insurance, employee assistance programs


To Apply

Send your resume and a short note about why you're excited about this role and how your financial leadership will shape the future of Autonomize AI to [email protected] . We can't wait to hear your story!

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