VP of Engineering(Austin based)

Autonomize AI; Austin (TX); On-site; USD 180,000 - 250,000; Full time

Benefits offered by this job

Employer-paid health, vision, dental

401k retirement plans (US)

Disability insurance

Employee assistance programs

Job summary

Autonomize AI is hiring a Head of Engineering to lead and scale our engineering teams as we accelerate adoption across health systems, payers, and provider networks. You’ll set the technical vision, drive cross-functional execution, and deliver enterprise-grade AI products with resilience and security.

You will partner with CTO, Product, and Sales to align platform investments with business outcomes, build for scale, and attract top engineering talent in a fast-paced startup environment.

Qualifications

• 10+ years of engineering experience, including 5+ in leadership roles building enterprise Data and AI systems.
• Experience with healthcare payers and/or large provider systems in startups.
• Deep understanding of enterprise healthcare infrastructure, ML/data pipelines, and APIs (HL7, FHIR, EHR integrations).
• Proven track record shipping secure, compliant, production-grade software in health tech.

Responsibilities

• Define and evolve platform roadmap aligned with business priorities and customer expectations.
• Guide architectural decisions across ML pipelines, APIs, and enterprise integrations.
• Own infrastructure scalability and data security/compliance (HIPAA, HITRUST, SOC2).
• Lead and scale engineering organization across geographies and product lines.
• Establish release cadence and ensure quality and stability of deployments.

Skills

Leadership

Enterprise Data AI

ML pipelines

Healthcare payers

EHR integration (HL7/FHIR)

APIs integration

Security & compliance

DevSecOps

Kubernetes

Tools

Kubernetes

Kafka

LangGraph

Langchain

LlamaIndex

Terraform

Pylint

Job description

About Autonomize AI
Autonomize AI is revolutionizing healthcare by streamlining knowledge workflows with AI. We reduce administrative burdens and elevate outcomes, empowering professionals to focus on what truly matters — improving lives. We're growing fast and looking for bold, driven teammates to join us.About Autonomize AI
Autonomize AI is revolutionizing healthcare by streamlining knowledge workflows with AI. We reduce administrative burdens and elevate outcomes, empowering professionals to focus on what truly matters — improving lives. We're growing fast and looking for bold, driven teammates to join us.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