Engineering Lead, US (AI Healthcare)

Location: New York, United States; regular trips to pilot hospitals and 2–4 weeks of onboarding in Paris.

Salary: $200K–$300K annually, plus equity, health, dental and vision insurance, 401(k), and paid time off.

Company

hirify.global builds AI agents that automate healthcare administrative work, starting with medical coding, and serves around 100 hospitals and clinics in France while preparing a US launch in 2027.

What you will do

• Own the US technical roadmap and the US layer of the shared product architecture.
• Adapt the coding engine for US standards including ICD-10-CM/PCS, MS-DRG, and APR-DRG; build test sets and measure accuracy.
• Deploy integrations with US EHRs including Meditech, Oracle Health, and Altera using ScreenFlow, and handle 837I, HL7, and C-CDA data.
• Set up and operate the US environment, including hosting, access controls, logging, HIPAA technical safeguards, and the technical side of SOC 2.
• Lead security reviews with hospital IT teams and deploy hirify.global at initial US pilot hospitals.
• Hire and lead the New York engineering team while setting its technical standards, pace, and culture.

Requirements

• 4–8 years of software engineering experience, including at least 2 years leading a small team or working as a tech lead.
• Hands-on software engineering experience with the ability to read and write code and unblock work in the codebase.
• Experience shipping a product handling US patient data, including HIPAA, BAAs, and security reviews with hospital IT.
• Experience building EHR integrations using HL7 and FHIR; experience with Meditech, Oracle Health/Cerner, or Altera is relevant.
• Experience taking a product from zero to production and ownership of product outcomes.
• Ability to collaborate with the Paris team across a six-hour time difference while maintaining one product.
• Willingness to work hands-on across the needs of the US launch.

Nice to have

• Experience putting LLMs or machine learning into production.

Culture & Benefits

• Results-oriented environment with high trust, high standards, and substantial ownership.
• Hands-on, low-ego culture where leaders remain close to execution.
• Health, dental and vision coverage, 401(k), paid time off, and equity.
• Work closely with the Paris engineering organization and AI team while building the New York office.

Hiring process

• Intro call with Paul, followed by a technical deep dive with Chris about a system built and the difficult decisions involved.
• 90-minute design session, in person in New York or by video, to design the first US pilot end to end.
• Meet the Head of Coding, US, and an AI engineer in Paris, followed by reference checks.