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Cto Jobs (NOW HIRING)

MetaOption LLC

CTO

Manhattan, NY · On-site

CTO Skills: 0-to-1 Product Development | Software Architecture | AI/ML & Automation | Healthcare Payments/RCM/FinTech | Engineering Leadership Experience level: Mid-senior Experience required: 10 ...

NxT Level

Chief Technology Officer (CTO)

Seattle, WA · On-site

Chief Technology Officer (CTO) Position Overview The Chief Technology Officer will serve as the executive leader responsible for defining and executing the company's global technology vision. This ...

Thompson Engineering

Chief Technology Officer

Mobile, AL · On-site

$180 - $240/hr

Chief Technology Officer Thompson Holdings Inc. - Mobile, AL Full-Time • Reports to CEO ABOUT THOMPSON HOLDINGS Thompson Holdings Inc. is a 100% employee-owned (ESOP) holding company headquartered ...

MetaOption, LLC

CTO

New York, NY · On-site

CTO Skills: 0-to-1 Product Development | Software Architecture | AI/ML & Automation | Healthcare Payments/RCM/FinTech | Engineering Leadership Experience level: Mid-senior Experience required: 10 ...

Capital Region BOCES

NY · On-site

$120 - $190/hr

The Chief Technology Officer's primary responsibilities include the management of instructional technology, with a focus of integrating technology into the curricula of all schools grades K-12. This ...

ShipperHQ

Chief Technology Officer

Austin, TX · On-site

Chief Technology Officer ​About Us: ShipperHQ is a trusted leader in the e-commerce shipping space, with over 15 years of experience helping merchants deliver better checkout experiences. Founded ...

Capital Region BOCES

Chief Technology Officer

Albany, NY · On-site

$150 - $190/hr

The Chief Technology Officer's primary responsibilities include the management of instructional technology, with a focus of integrating technology into the curricula of all schools grades K-12. This ...

GrabAGun

Chief Technology Officer (CTO)

Dallas, TX · On-site

Chief Technology Officer (CTO) Location : On-Site in North Dallas (Galleria Towers) and/or Farmers Branch, TX Position Type: Full-Time Compensation: Based on Experience - Salary + Equity + Bonus ...

NxT Level

Chief Technology Officer (CTO)

Seattle, WA · On-site

Chief Technology Officer (CTO) Position Overview The Chief Technology Officer will serve as the executive leader responsible for defining and executing the company's global technology vision. This ...

MetaOption, LLC

CTO

Manhattan, NY · On-site

$150 - $200/hr

CTO Skills: 0-to-1 Product Development | Software Architecture | AI/ML & Automation | Healthcare Payments/RCM/FinTech | Engineering Leadership Experience level: Mid-senior Experience required: 10 ...

Doist

Chief Technology Officer

San Francisco, CA · On-site

$250 - $500/hr

The Opportunity This is a hands-on CTO role for a leader who stays close to the work and builds alongside the team. We are building a focused, fast-moving engineering organization at a moment when ...

ShipperHQ

Chief Technology Officer

Austin, TX · On-site

Chief Technology Officer About Us: ShipperHQ is a trusted leader in the e-commerce shipping space, with over 15 years of experience helping merchants deliver better checkout experiences. Founded in ...

SPG

Chief Technology Officer

San Francisco, CA

$200K - $250K/yr

We are seeking an accomplished Chief Technology Officer, CTO to lead the technology vision, engineering organization, AI strategy, and product architecture for a growing enterprise SaaS company ...

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CTO information

See salary details

$25.5K

$166.5K

$276.5K

How much do cto jobs pay per year?

As of Aug 19, 2026, the average yearly pay for cto in the United States is $166,511.00, according to ZipRecruiter salary data. Most workers in this role earn between $132,000.00 and $195,000.00 per year, depending on experience, location, and employer.

What is a CTO?

Chief Technology Officers (CTOs) are senior executives responsible for overseeing the technological direction and strategy of a company. They lead the development and implementation of technology initiatives, manage IT teams, and ensure that technology resources align with the organization's business goals. CTOs often collaborate with other executives to drive innovation, improve products, and maintain a competitive edge in the market. Their role may also involve evaluating new technologies, managing budgets, and representing the company in technical discussions with stakeholders.

What does a CTO do?

The job duties of a chief technology officer, or CTO, involve the management of a company’s technology functions. A CTO is an executive, but their responsibilities within an organization or corporation vary depending on the company’s industry. As a CTO, you make high-level decisions about deploying technology to aid or enhance business operations. You focus on the strategy behind choosing and using technology, and you may be responsible for establishing tech-related policies for the company. A CTO reports directly to the Chief Executive Officer or Chief Information Officer.

What are the key skills and qualifications needed to thrive as a CTO, and why are they important?

To thrive as a CTO, you need deep expertise in software development, IT infrastructure, and strategic technology leadership, often supported by an advanced degree in computer science or engineering. Familiarity with cloud platforms, enterprise architecture, cybersecurity frameworks, and agile methodologies is typically required, along with certifications such as AWS Certified Solutions Architect or CISSP. Exceptional communication, visionary thinking, and the ability to lead cross-functional teams are vital soft skills for this position. These competencies are crucial to drive innovation, align technology with business goals, and ensure the organization's long-term technical success.

How does a CTO typically balance hands-on technical work with strategic leadership responsibilities?

As a CTO, balancing technical tasks with broader leadership duties is crucial. While you may still engage in high-level architecture decisions or code reviews, much of your time will be spent setting technology vision, aligning teams, and collaborating with other executives. Effective CTOs build strong engineering teams, delegate technical details, and focus on driving innovation and business alignment. This balance requires excellent communication skills, trust in your team, and a strategic mindset to ensure technology supports overall company objectives.
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CTO jobs near you
Infographic showing various Cto job openings in the United States as of August 2026, with employment types broken down into 95% Full Time, 2% Part Time, and 3% Contract. Highlights an 77% Physical, 6% Hybrid, and 17% Remote job distribution, with an average salary of $166,511 per year, or $80.1 per hour.

CTO

MetaOption LLC

Manhattan, NY • On-site

Other

Re-posted 17 days ago

Job description

CTO
Skills: 0-to-1 Product Development | Software Architecture | AI/ML & Automation | Healthcare Payments/RCM/FinTech | Engineering Leadership
Experience level: Mid-senior
Experience required: 10 Years
Education level: Bachelor's degree
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.
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

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