CTO

Job Description

CTO

New York, NY 10013

On site

Skills: 0-to-1 Product Development | Software Architecture | AI/ML & Automation | Healthcare Payments/RCM/FinTech | Engineering Leadership

Job Description

• Experience level: Mid-senior

• Experience required: 10 Years

• Education level: Bachelor’s degree

• Job function: Information Technology

• Industry: Information Technology and Services

• Relocation assistance: No

• Visa sponsorship eligibility: No

CTO Co-Founder

Healthcare Payments AI Startup

New York, NY | In-Person

Our client is looking for an exceptional CTO (This is not an advisory CTO role, but hands-on) to lead technology, product architecture, and engineering execution for a new AI healthcare payments company.

This is a funded, early-stage venture built around a high-conviction thesis at the intersection of healthcare, payments, revenue cycle, and AI. The company is focused on improving complex financial workflows across the healthcare ecosystem, including provider-payer payment processes, claims workflows, revenue cycle operations, payment reconciliation, denials, and administrative automation.

This is not an advisory CTO role. We are looking for a hands-on technical leader who can build the product, architect the platform, recruit the early engineering team, and move quickly from MVP to scalable commercial product.

What We’re Building

The company is developing an AI-enabled healthcare payments application designed to improve how healthcare organizations manage payment, claims, and revenue-cycle workflows.

The platform will use AI, workflow automation, data integrations, and secure infrastructure to reduce manual work, improve accuracy, accelerate payment processes, and create better visibility across healthcare financial operations.

Areas of focus may include:

• Claims and payment workflow automation

• Provider-payer financial operations

• Revenue cycle and reimbursement workflows

• Denials, reconciliation, and payment exceptions

• Healthcare data ingestion and normalization

• Secure integrations with healthcare, billing, claims, and payment systems

• AI-assisted decisioning, workflow routing, and operational intelligence

What We’re Looking For

We are looking for a CTO Co-Founder who combines strong technical depth with founder-level urgency.

Requirements

Ideal candidates will have:

• Experience building products from zero to one

• Former founder or early technical leadership experience (Not Required)

• Structured technical training in computer science, engineering, or a related field

• Graduate of top 10 School (examples given Penn, Columbia, UChicago, etc.)

• Experience in top-tier engineering environments, high-growth startups, or complex technical organizations (think 1-2 years with Palantir in a Health Tech role)

• Ability to personally build while also recruiting and leading an engineering team

• Strong product instincts and comfort working with customers, commercial leaders, investors, and advisors

• Interest or experience in healthcare, payments, fintech, revenue cycle, or healthcare infrastructure

• A strong bias toward action and comfort operating with ambiguity

Healthcare payments experience is strongly preferred, but not required if the candidate has strong technical leadership experience in a regulated, data-heavy, workflow-heavy, or transaction-oriented environment.

Relevant Backgrounds

Strong candidates may come from:

• Healthcare technology

• Revenue cycle management

• Claims technology

• Payments / fintech

• AI workflow automation

• B2B SaaS

• Enterprise software

• Data infrastructure

• Healthcare interoperability

• Provider, payer, billing, or financial operations platforms

What You’ll Do

• Own the technology vision, architecture, and engineering roadmap

• Build and launch the initial product

• Evaluate and select the technical stack

• Design secure, scalable systems for healthcare payment workflows

• Build AI-enabled workflow automation into the product from the beginning

• Lead integrations with healthcare, claims, payment, billing, and data systems

• Recruit and lead the early engineering team

• Work directly with the CEO, investors, advisors, and early customers

• Turn a validated thesis into a scalable commercial product and company

Job Insights

Must Have

0-to-1 Product Development

• Built and launched a software product from concept/MVP to production.

Hands-On Software Engineering & Architecture

• Strong coding background with experience designing scalable, secure systems.

AI & Workflow Automation

• Experience building AI-powered products, automation platforms, or intelligent workflow systems.

Healthcare Payments / Revenue Cycle / FinTech Domain Knowledge

• Understanding of claims, payments, reimbursement workflows, financial operations, or other transaction-heavy regulated environments.

Engineering Leadership

• Experience hiring, building, and leading engineering teams while owning the technology roadmap.

Graduate of top 10 School (examples given Penn, Columbia, UChicago, etc.)

You will have:

• $150,000 base salary

• 15–20% equity

• Committed day-one capital

• A focused healthcare AI thesis (interest in healthcare and/or healthcare IT)

• Direct access to experienced operators, investors, advisors, and commercial resources

• The ability to build a company with meaningful impact in healthcare