Head of Engineering & AI, Healthcare RCM Platform

About the role

The D. E. Shaw group seeks an accomplished and hands-on head of engineering & AI to join Cove’s new 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 architect and launch a leading, AI-native RCM platform from inception, collaborating directly with the CEO, RCM operators and customers, and the Cove team to shape the platform’s technology and product direction.

Responsibilities

• 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.

Requirements

• 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.

Benefits

• Meaningful equity participation in NewCo
• Comprehensive benefits

Pay

The expected annual base salary for this position is $250,000 to $350,000 plus an annual performance bonus.