Head of Engineering

Rovi Health•New York, NY

1d•$250,000 - $320,000

About The Position

Rovi is an AI-powered care concierge and virtual clinic for employer health plans. We monitor clinical data in real time, catch expensive care before it gets scheduled, and redirect members to higher-quality, lower-cost options. When someone has a condition we can treat directly, we do that through our own virtual clinic. The problem we’re solving: in-network prices for the same procedure vary up to 10x within a single zip code. A hospital MRI costs $3,000. The independent imaging center ten minutes away charges $500. Same scan, same quality. But nobody tells the patient, the doctor doesn’t know the price, and the employer won’t see the claim for months. So the expensive option wins by default, every time. Rovi changes that. We deliver high-quality care to member before they choose the expensive or low-quality default. Our AI-native clinic allows us to treat and navigate care, meaning we can reduce outpatient spend by over 30% while improving health outcomes. We’re live with 30,000 patients today and adding thousands more each month. We’re backed by Y Combinator, Lightspeed, Gradient (Google’s AI fund), Liquid 2 (Joe Montana), and others. We have a product in market, real revenue, and an architecture built around autonomous AI agents that make clinical decisions, real-time data pipelines that catch waste before it happens, and a virtual clinic that treats patients directly. We’re at the inflection point where the product works and the demand is accelerating. What we need is the person who turns this into an organization that can operate at 100x the current scale without losing the speed that got us here. You’ll be in the code and in the customer calls. You’ll review PRs and run architecture discussions. You’ll also hire the first ten engineers, set the bar for what good looks like at Rovi, and build a culture where five people consistently outship teams of fifty.

Requirements

8–12+ years in engineering. At least 3 of those leading a team (VP Eng, CTO, Head of Eng) at a startup that was actually growing.
You’ve built products in regulated, high-stakes environments. Healthcare or fintech, ideally.
You’ve grown an eng team from a handful of people and kept the quality high the whole way. You know how teams break and how to keep that from happening.
You still go deep. You have real opinions about system design, you review code, you know when the architecture is drifting.
You think a small team with high trust and high standards will beat a big team with process every time. You’ve seen it happen.