Join Maia as our first senior technical leader to architect the future of healthcare payments. You will be a hands-on builder owning 80-90% of the code while leading a small team. You'll scale our Java/TypeScript backend and AI pipelines, integrating directly with EHRs to automate complex medical billing workflows for growing healthcare practices.
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VP of Engineering at Usemaia
Usemaia.com is looking for a hands-on VP of Engineering to lead the technical foundation of their AI-powered healthcare infrastructure. This is a unique 'builder-first' role where you'll spend 80-90% of your time coding and architecting systems that automate medical billing, moving the needle for real providers. With meaningful equity (1-2%) and a post-revenue product already in market, this is your chance to shape a category-defining company from the ground floor. If you have deep Java/TypeScript experience and have scaled products from early traction to thousands of users, Maia wants to talk to you.
About this role
Role overview
About the company
Usemaia
Usemaia.com - AI-powered medical coding infrastructure
What you'll do
What you will do
- Architect and write production-grade code daily using Java and TypeScript across backend services and AI integration pipelines.
- Own the end-to-end DevOps lifecycle including AWS/Azure infrastructure, CI/CD workflows, and EHR integrations via FHIR and proprietary APIs.
- Design and implement AI evaluation frameworks to track model accuracy, benchmarking, and regression testing for medical coding decisions.
Who you are
Who this is a fit for
- Has 5+ years of engineering leadership experience with a proven track record of scaling products from hundreds to thousands of users.
- Possesses deep technical expertise in Java and TypeScript with hands-on experience shipping integration-heavy products and managing cloud infrastructure.
- Demonstrates a builder-first mentality, comfortable operating with ambiguity and moving between high-level strategy and deep technical debugging.
Why this role
Why this role is remarkable
- Significant ownership as the first senior technical hire with 1-2% equity in a post-revenue startup with real customer traction.
- High-impact technical challenge building custom AI models and infrastructure that replaces manual, error-prone human processes in a multi-billion dollar market.
- Direct influence on the engineering foundation, moving from early traction to scaling for thousands of users alongside a founding team from UnitedHealth Group.
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