Chief Executive Officer, AI-Native Healthcare RCM Platform

About the role

The D. E. Shaw group seeks an accomplished and hands-on chief executive officer to lead Cove’s new AI-native healthcare revenue cycle management (RCM) platform. Cove, the firm’s buy-and-build private equity strategy, builds and scales category-leading businesses by combining strategic acquisitions, operational rigor, and purpose-built AI to transform how they operate. This role offers the unique opportunity to lead the company from formation through scaled growth, leveraging the firm’s resources in capital formation, M&A, technology, and talent development.

Responsibilities

• Refine and own the platform’s strategic vision, setting priorities across target specialties, service offerings, customer segments, technology investments, and acquisition criteria.
• Develop and manage a proprietary acquisition pipeline, building trusted relationships with founder-owners and articulating a compelling, differentiated platform proposition.
• Oversee the commercial and operational evaluation of acquisition targets, making data-driven decisions about integration and platform fit.
• Own company-wide P&L and value-creation plan, translating strategy into clear operating plans, KPIs, capital allocation, and accountable execution.
• Design the organization and operating model, lead post-close integration and value-creation initiatives, and recruit and develop an exceptional leadership team in partnership with the Cove team.

Requirements

• Ten or more years of operating experience, including significant leadership as a CEO, president, COO, or divisional general manager with full P&L responsibility and a record of scaling businesses and transforming complex operations through technology, automation, and AI.
• Experience in the RCM sector is highly preferred, but proven leaders from healthcare technology and services, financial services, business process management, or related tech-enabled services with complex workflows are strongly encouraged to apply.
• Demonstrated entrepreneurial approach and ability to operate effectively in a formation-stage environment, moving between high-level strategy and hands-on execution.
• Proven track record of evaluating, closing, and integrating acquisitions, with sound judgment on standardization, preservation, and integration pace—ideally in a PE-backed or acquisition-led platform context.
• Expertise in building and scaling distributed or global service-delivery operations, recruiting top executive talent, and aligning stakeholders around a shared vision, with solid commercial instincts and the ability to credibly partner with technology leaders to drive AI-powered transformation.

Benefits

Comprehensive benefits.

Pay

The expected annual base salary for this position is $300,000 to $400,000, plus an annual performance bonus, meaningful equity participation in NewCo.