VP of Engineering | Healthcare Insurance | AI - Enabled Saas

Rialtic is a healthcare technology company focused on improving payment accuracy and reducing unnecessary healthcare spending. Its platform combines an expert-curated policy library with cloud-native technology to automate claims editing and help healthcare payers make more accurate payment decisions. Following its strategic merger with Exponential AI, Rialtic is bringing together healthcare payment accuracy, enterprise technology, and AI capabilities to advance its platform and product offerings.

The Opportunity

We are looking for an exceptional Vice President of Engineering to lead engineering strategy, architecture, execution, and team development for a mission-critical healthcare technology platform. This role is for a proven engineering leader who has built and scaled complex software products, understands the realities of healthcare insurance technology, and can translate business priorities into secure, scalable, high-quality products.You will partner closely with executive leadership and Product to shape the technology roadmap, strengthen engineering execution, and embed AI into how software is designed, developed, tested, and delivered.

Healthcare insurance experience is mandatory. We are specifically seeking candidates who understand the technical and operational complexities of healthcare payer systems—not candidates whose experience is limited to general-purpose SaaS, fintech, or AI products.

Key Responsibilities

• Engineering Strategy and ArchitectureOwn the engineering strategy, technical architecture, and execution roadmap in alignment with business and product priorities.
• Lead the design and evolution of scalable, cloud-native, enterprise-grade software platforms.
• Drive sound architectural decisions across application design, APIs, data systems, integrations, security, performance, and reliability.
• Balance technical innovation with maintainability, delivery speed, and long-term platform health.
• AI-Enabled EngineeringEstablish practical, measurable adoption of AI-assisted software development across engineering teams.
• Evaluate and implement AI-enabled workflows for coding, testing, code review, documentation, debugging, and developer productivity.
• Identify opportunities to incorporate AI capabilities into products where they deliver meaningful customer and business value.
• Maintain strong standards for software quality, security, privacy, and human oversight in AI-enabled workflows.
• Healthcare Insurance TechnologyApply a strong understanding of healthcare payer operations and the technology underpinning claims and payment workflows.
• Lead engineering solutions that address healthcare payment accuracy, claims editing, policy application, and related payer technology challenges.
• Ensure systems can support complex business rules, evolving healthcare policies, large-scale data processing, and enterprise integrations.
• Partner with Product and domain experts to translate healthcare requirements into robust technical solutions.
• Engineering Execution and Operational ExcellenceImprove delivery predictability, release quality, engineering throughput, and production reliability.
• Establish clear engineering metrics, operating rhythms, technical standards, and accountability.
• Strengthen automated testing, CI/CD, observability, incident management, and continuous improvement.
• Make informed build-versus-buy, modernization, and technology investment decisions.
• Leadership and Team DevelopmentBuild, lead, and develop high-performing engineering teams and leadership capabilities.
• Establish a culture of technical ownership, collaboration, innovation, and continuous learning.
• Partner with Product, Data, Security, Compliance, and business leadership to deliver shared outcomes.
• Communicate technical risks, trade-offs, priorities, and progress effectively to executive stakeholders.

Required Qualifications

• 20+ years of professional software engineering experience, with substantial experience leading engineering organizations and delivering complex production software.
• Mandatory healthcare insurance experience: Direct experience building or leading technology for health insurers, healthcare payers, health plans, or healthcare insurance technology platforms.
• Demonstrated technical depth across full-stack engineering, including frontend and backend systems, APIs, databases, integrations, and distributed applications.
• Proven experience owning architecture and engineering de…