Engineering Lead, US
About The Position
Parallel builds AI agents that automate administrative processes for healthcare organizations, beginning with medical coding. Its technology combines large language models with system-level automation to work inside existing hospital tools. The first agent reviews patient records before billing, identifies documented items that have not been coded, and provides suggestions for coders to validate. Parallel launched in 2024, serves more than 800 customers, and works with around 100 hospitals and clinics in France. It plans to launch in the US in 2027. The Engineering Lead for the US market will own Parallel's US technical roadmap, make the product ready for US hospitals, deploy it at initial pilot hospitals, and establish the engineering team in the New York office. The role owns the US layer built on top of a core engine and architecture shared with Paris. It involves adapting the engine to US coding standards, building test sets and measuring accuracy, implementing integrations and handling US healthcare data formats, and setting up and operating US infrastructure and security safeguards. The lead will work closely with the Head of Coding, US, a Forward Deployed Engineer, AI engineers in Paris, and the founders. The position is based in New York, includes regular trips to pilot hospitals, and requires two to four weeks of onboarding in Paris. It reports to Chris Rydhal, CTO and co-founder. The 2027 mission is to prepare the product for US hospitals, launch the first pilots, and build a New York engineering team.
Requirements
- 4 to 8 years of software engineering experience.
- At least 2 years leading a small team or working as a tech lead.
- Hands-on coding experience, including willingness to read and write code and work directly in the codebase.
- Experience shipping a product that handles US patient data, including HIPAA, BAAs, and security reviews with hospital IT.
- Experience building EHR integrations using HL7 or FHIR.
Nice To Haves
- Experience with Meditech, Oracle Health (Cerner), or Altera integrations.
- Experience with LLMs or machine learning in production.
- Experience taking a product or project from zero to a working launch.
- Ability to collaborate closely with a team in Paris across a six-hour time difference.
Responsibilities
- Own the US technical roadmap and decide what to build, in what order, and with whom, in coordination with the Paris team.
- Own the US product layer built on the core engine and architecture shared with Paris.
- Adapt the engine to US coding systems, including ICD-10-CM/PCS, MS-DRG, and APR-DRG; build US test sets and measure accuracy with the Head of Coding and AI engineers.
- Get agents running on US EHRs, including Meditech, Oracle Health, and Altera, using ScreenFlow computer-use technology.
- Handle US data formats, including 837I claims, HL7, and C-CDA.
- 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.
- Deploy Parallel at initial US pilot hospitals with the Forward Deployed Engineer and keep deployments running.
- Hire and lead New York engineers and establish the office's standards, pace, and culture.
- Remain hands-on in the codebase and unblock engineering work as needed.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
