Head of Engineering

Rise Technical Recruitment Limited; United States; Remote; USD 250,000 - 350,000; Full time

Benefits offered by this job

Equity

PTO

Benefits

Job summary

Rise Technical Recruitment Limited is assisting an AI-native healthcare startup in the US to hire its first Head of Engineering. You will lead and scale a high-performing engineering team, own the roadmap, and shape architecture for rapid growth, reporting to the President and co-founder.

The role centers on building AI workflows, hiring end-to-end, and delivering auditable savings in a fast-paced environment.

Qualifications

• Has built and scaled engineering teams.
• High-velocity shipping background (Series A+).
• AI-native, has shipped production AI systems with LLMs and agents.
• Strong taste and a clear point of view on engineering direction.
• Has shipped on messy, real-world data, not clean benchmarks.
• Public presence in the engineering community a plus.

Responsibilities

• Own and sequence the roadmap, including build-vs-buy calls
• Own hiring end to end and set the bar
• Build a drug identity layer unifying therapies across NDC and HCPCS/J-codes
• Ship audit-defensible savings attribution
• Build AI workflows for risk prediction, prior auth, and site-of-care optimization
• Set the standard: AI-native, fast, correct by default

Skills

Team leadership

AI-native engineering

Production AI systems

Architecture decisions

Tools

TypeScript

React

Node.js

Python

PostgreSQL

BigQuery

GCP

Job description

Salary: USD250000 - USD350000 per annum + PTO + Benefits + Equity

Head of Engineering (AI-Native Healthcare Start-Up)

$250,000 – $350,000+ (DOE) + Equity + Benefits

Remote, US

Are you an engineering leader who's built and scaled a team from a handful of people into a high-performing org, owning hiring and closing exceptional engineers along the way? Have you shipped at rapid velocity, while defining engineering taste and architecture at scale?

This is an opportunity to join a fast-growing healthcare services startup that redirects expensive, hospital-based specialty infusion therapy (for conditions like Crohn's, MS, and cancer support) into more convenient, lower-cost home or clinic settings. Through dedicated Care Guides and transparent, pass-through pricing, the company cuts employer drug spend by 40-50% while improving the patient experience. It already partners with some of the largest blue-chip employers and serves well over 1 million patients.

Now aiming to 5-10x that volume, the company is hiring its first Head of Engineering. You'll take a high-caliber team and build the org and technical foundation needed to scale, reporting directly to the President and co-founder. The role is roughly 90% management, with enough technical depth to make sharp architecture calls when it counts and to be hands on when needed.

If you want to scale an engineering org as the company grows from 50 to 80 people this year (largely in engineering), this is an outstanding opportunity, with direct progression to become CTO.

The Role

• Own and sequence the roadmap, including build-vs-buy calls
• Own hiring end to end and set the bar
• Build a drug identity layer unifying therapies across NDC and HCPCS/J-codes
• Ship audit-defensible savings attribution
• Build AI workflows for risk prediction, prior auth, and site-of-care optimization
• Set the standard: AI-native, fast, correct by default

The Person

• Has built and scaled engineering teams
• High-velocity shipping background (Series A+, e.g. Palantir, Scale AI)
• AI-native, has shipped production AI systems with LLMs and agents
• Strong taste and a clear point of view on engineering direction
• Has shipped on messy, real-world data, not clean benchmarks
• Public presence in the engineering community a plus
• Bonus: healthcare/claims experience, production ML or causal inference, familiarity with TypeScript, React, Node/Python, PostgreSQL, BigQuery, or GCP

Head of Engineering (BBBH277179) USA

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