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        Head of Engineering & AI, Healthcare RCM Platform

        Various
        New York

        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.

        What you’ll do day-to-day

        • 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.

        What we’re looking for

        • 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
        • The expected annual base salary for this position is $250,000 to $350,000 plus an annual performance bonus, meaningful equity participation in NewCo, and comprehensive benefits.

        The D. E. Shaw group is an equal opportunity employer.

        The applicable annual base salary or hourly rate paid to a successful applicant will be determined based on multiple factors, including without limitation the nature and extent of prior experience and educational background.

        European Union (EU), United Kingdom (UK), California, Hong Kong, Singapore, or Shanghai candidates should refer to the corresponding linked privacy notice.

        The D. E. Shaw group may collect, use, hold, transfer, and process candidates’ resumes and associated information (including personal information contained therein) for purposes reasonably related to their application, including without limitation: review and management of employment applications and supporting materials; administration and management of offers to and communication with candidates; and administration, management, and improvement of the recruiting operations of the D. E. Shaw group; and/or where reasonably required in connection with a proposed sale, spin-out, reorganization, or outsourcing of all or some of the business of the D. E. Shaw group. The D. E. Shaw group will not use such information for purposes unrelated to the foregoing, such as direct marketing of third-party products to candidates, without candidate consent. As used herein, the term “personal information” is meant to broadly describe information identifying or relating to a specific individual; it is intended to encompass “personal data,” “sensitive personal data,” and “personally identifiable information” and similar terms, as those terms are defined by law in the jurisdictions in which the D. E. Shaw group operates.

        The D. E. Shaw group may transfer such personal information within and outside the country and jurisdiction of the locations where the D. E. Shaw group maintains offices, to other D. E. Shaw group affiliates, to government and regulatory authorities, and to third parties which provide or may provide support and/or services to the D. E. Shaw group and for the purposes set forth above. The persons who may have access to this personal information are other employees of the D. E. Shaw group, in connection with the performance of their duties of employment, and the other parties listed above, in connection with the business of the D. E. Shaw group. (Of course, candidates will be considered for employment opportunities only in those countries in which they express interest.)

        The D. E. Shaw group will use reasonable care to maintain the confidentiality of personal information (including appropriate technical measures against unauthorized or unlawful processing and against accidental loss or destruction of, or damage to, such information) and will retain such data as required by applicable law or regulation. Candidates have the right to request access to, and correction of, their personal information in accordance with applicable law; any such request should be submitted to recruiting-inquiries@deshaw.com. Candidates who have submitted a resume to the D. E. Shaw group and do not wish to proceed with their applications should email cvwithdraw@deshaw.com. Personal information of candidates who have been the subject of background checks may have been transferred in accordance with applicable regulations, and any concerns with such transfers should be submitted to backgroundcheck-inquiries@deshaw.com.

        The D. E. Shaw group may retain candidates’ information for prospective recruiting activities, including sourcing candidates for employment opportunities and for organizing events with prospective candidates, in accordance with our internal data retention procedures. Candidates who do not agree to such future use should email recruiting-inquiries@deshaw.com.