Engineering Lead, US

Parallel•New York, NY
•Onsite

About The Position

Parallel is hiring an Engineering Lead to own the technical roadmap for its US market and serve as the first engineering leader in its New York office. The role focuses on adapting Parallel’s AI-powered healthcare administrative product for US hospitals, launching it in initial pilots, and building a New York engineering team. The company’s core engine and architecture remain shared with Paris; the Engineering Lead owns the US layer built on top of them. The role includes adapting the product to US inpatient coding standards, developing test sets and measuring accuracy, enabling integrations with US EHR systems and handling US healthcare data formats. The Engineering Lead will also establish and operate the US technical environment, lead security reviews with hospital IT teams, and work with a Forward Deployed Engineer to deploy and support the product at pilot hospitals. The position is based in New York, with regular trips to pilot hospitals and 2 to 4 weeks of onboarding in Paris. The role reports to Chris Rydhal, CTO and co-founder, and works closely with Paul Lafforgue, CEO and co-founder, and the Head of Coding, US. The initial team includes a Forward Deployed Engineer and an AI engineer joining from Paris in 2027, followed by engineers hired as the team grows. The 2027 mission is to prepare the product for US hospitals, launch the first pilots, and build a strong New York engineering team.

Requirements

  • 4 to 8 years of software engineering experience.
  • At least 2 years leading a small team or serving as a tech lead.
  • Hands-on engineering ability, including reading and writing code and working directly in the codebase when needed.
  • 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.
  • Ability to work effectively with a Paris-based team and maintain one cohesive product across teams.

Nice To Haves

  • Experience with Meditech, Oracle Health (Cerner), or Altera integrations.
  • Experience with LLMs or machine learning in production.
  • A builder mindset and experience taking a product or initiative from zero to real-world use.
  • Ownership orientation, low ego, and willingness to remain hands-on.

Responsibilities

  • Own the US technical roadmap, deciding what to build, in what order, and with whom, in alignment with the Paris team.
  • Own the US layer built on the shared core engine and architecture.
  • Adapt the engine to US coding systems, including ICD-10-CM/PCS, MS-DRG, and APR-DRG, in collaboration with the Head of Coding and AI engineers.
  • Build US coding test sets and measure accuracy.
  • Enable agents to run on US EHR systems, including Meditech, Oracle Health, and Altera, using ScreenFlow computer-use technology.
  • Handle US healthcare 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, setting the bar, pace, and culture of the office.
  • Remain hands-on in the codebase and help unblock engineering work.
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