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Part Time Fractional Cto Jobs (NOW HIRING)

Fractional Chief Financial Officer - Nonprofit Focus (Open to Full and Part-Time) | Client Advisory Services | Albany, NYCEFO Advisors is a growing advisory firm built on strong relationships ...

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$85 - $125/hr

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Part Time Fractional Cto information

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$25.5K

$166.5K

$276.5K

How much do part time fractional cto jobs pay per year?

As of Sep 14, 2026, the average yearly pay for part time fractional 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 part time fractional CTO?

A Part Time Fractional CTO is a technology executive who works with a company on a part-time basis, providing strategic technical leadership without being a full-time employee. They typically help startups or small businesses define their technology strategy, oversee development teams, and manage technology decisions. This role is ideal for organizations that need high-level technical expertise but do not require or cannot afford a full-time CTO. Fractional CTOs often work with multiple clients simultaneously and can help bridge gaps during periods of transition or growth. Their flexible arrangement allows businesses to benefit from experienced leadership while controlling costs.

How does a part time fractional CTO balance strategic leadership with hands-on technical responsibilities?

A part-time fractional CTO typically collaborates closely with founders or executive teams to set technology direction while also ensuring critical projects are executed effectively. Balancing strategy and execution involves prioritizing high-impact technical decisions, mentoring internal teams, and occasionally stepping in to resolve technical challenges. Since the role is part-time, effective time management and clear communication are essential for aligning technology initiatives with business goals. This structure allows startups or SMEs to benefit from experienced technical leadership without the commitment of a full-time executive.

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

To thrive as a Part-Time Fractional CTO, you need a strong background in technology leadership, software architecture, and strategic planning, usually demonstrated through prior CTO or senior engineering roles. Familiarity with cloud platforms, DevOps tools, and agile project management systems, as well as experience with relevant technical certifications, is highly valued. Excellent communication, stakeholder management, and adaptability are crucial soft skills for guiding teams and aligning technology with business goals. These competencies are essential for delivering high-impact technology direction and ensuring scalable, effective solutions within limited engagement timeframes.

What is the difference between Part Time Fractional Cto vs Part Time CTO?

AspectPart Time Fractional CtoPart Time CTO
CredentialsTypically requires technical leadership experience, industry-specific knowledge, and sometimes certifications like PMP or PMP-related credentialsSimilar credentials, often with additional project management or industry-specific certifications
Work EnvironmentConsulting or advisory role, working with multiple startups or companies on a part-time basisEmbedded within a company's team, providing part-time technical leadership
Employer & Industry UsageUsed across startups, small businesses, and tech companies seeking flexible CTO expertiseCommon in tech companies, startups, and organizations needing part-time executive tech guidance

Both roles involve providing technical leadership on a part-time basis, but a Part Time Fractional Cto often works across multiple organizations as a consultant, while a Part Time CTO is typically embedded within a single company's team. The choice depends on whether you prefer a flexible consulting role or a dedicated position within a company.

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Infographic showing various Part Time Fractional Cto job openings in the United States as of September 2026, with employment types broken down into 96% Full Time, 2% Part Time, and 2% Contract. Highlights an 78% Physical, 4% Hybrid, and 18% Remote job distribution, with an average salary of $166,511 per year, or $80.1 per hour.

Fractional Chief Medical Officer (CMO) (Remote)

Boston, MA • Remote

Full-time, Part-time

Re-posted 13 days ago


Job description

Fractional Chief Medical Officer (CMO) 

Location: Remote / Flexible  

About Us:

Ladder Health is a virtual-first pediatric developmental care company, developed and tested at Boston Children's Hospital. We partner with pediatricians, health systems, and community organizations to deliver expert PT, OT, SLP, and feeding therapy for young children through an innovative caregiver-mediated model that expands access while improving outcomes. 

As we continue to scale nationally, we're seeking a physician leader who can help shape both our clinical strategy and commercial growth.

The Opportunity: 

Ladder Health is looking for a physician executive who will work directly with the CEO to strengthen enterprise and health system partnerships, expand physician relationships, generate clinical evidence, and help shape the future of pediatric developmental care.

This is not a traditional internal clinical operations role. We're seeking an externally oriented physician leader who enjoys building relationships, opening doors, developing physician champions, and helping health systems adopt innovative models of care.

You'll help Ladder Health strengthen credibility with physicians, health systems, academic leaders, payers, and strategic partners while guiding our long-term evolution from fee-for-service toward value-based pediatric care.

This fractional position (5-10 hours/week) is designed with a clear pathway toward a full-time Chief Medical Officer role as the company continues to scale.

Key Responsibilities:  

Commercial Growth & Strategic Partnerships (Primary Focus)

  • Serve as the physician face of Ladder Health, building trusted relationships with health systems, children's hospitals, physician leaders, payers, and strategic partners
  • Partner directly with the CEO to advance enterprise partnerships, participating in strategic meetings where physician-to-physician credibility accelerates commercial discussions and decision-making
  • Build relationships with CMOs, pediatric department chairs, medical directors, physician executives, and payer leaders while advising on clinical strategy, reimbursement, medical necessity, and care delivery
  • Represent Ladder Health at regional and national conferences while leading clinical diligence discussions for prospective partners around quality, outcomes, evidence, workflow, and standards of care

Clinical Leadership & Market Development

  • Partner across Clinical, Operations, and Product to ensure exceptional clinical quality, measurable outcomes, and scalable quality reporting
  • Build and lead Ladder Health's Clinical Advisory Board while translating clinical evidence into compelling stories that strengthen enterprise partnerships, payer discussions, publications, and commercialization
  • Develop regional physician champion networks by identifying respected pediatricians, developmental pediatricians, neonatologists, family physicians, and health system leaders who can advocate for Ladder Health and accelerate local market expansion through peer-to-peer engagement
  • Serve as a strategic clinical advisor across the organization, helping ensure customer insights continuously inform commercialization, product strategy, and clinical excellence

Evidence Generation & Future Care Models

  • Lead Ladder Health's evidence-generation strategy through clinical outcomes research, implementation science, peer-reviewed publications, and real-world evidence demonstrating the value of caregiver-mediated developmental care
  • Help define the clinical strategy, quality metrics, utilization measures, and outcomes data needed to support value-based care, alternative payment models, and future reimbursement innovation
  • Develop relationships with academic institutions, children's hospitals, Medicaid leaders, payers, and other strategic organizations to advance research collaborations and future commercialization opportunities
  • Identify emerging opportunities across pediatric digital health, integrated care delivery, reimbursement innovation, and population health that strengthen Ladder Health's long-term strategy

Product & Clinical Strategy

  • Provide physician leadership for product strategy, ensuring our platform reflects the evolving needs of patients, families, providers, health systems, and payers
  • Partner closely with Product, Technology and Engineering teams to design clinically sound workflows while supporting future quality measurement, outcomes reporting, and commercialization
  • Advise executive leadership on emerging policy, regulatory, and market trends influencing pediatric developmental care

Success will be measured by your ability to:

  • Strengthen enterprise partnerships and physician credibility
  • Build a nationally respected Clinical Advisory Board and physician champion network
  • Advance meaningful clinical evidence supporting Ladder Health's model
  • Help position Ladder Health for future value-based partnerships and reimbursement innovation
  • Establish Ladder Health as the preferred pediatric developmental partner for health systems nationwide

Qualifications:

Education: 

  • MD with an active, unrestricted medical license
  • Board certification in Pediatrics
  • Developmental-Behavioral Pediatrics experience is highly valued but not required

Experience & Profile:

We're seeking an experienced physician leader with approximately 10+ years of progressive clinical and leadership experience, ideally spanning health systems, academic medicine, pediatric innovation, digital health, healthcare transformation, or population health. The strongest candidates will demonstrate:

  • Success building trusted relationships with physician executives, health systems, children's hospitals, academic medical centers, or strategic healthcare organizations
  • Experience supporting healthcare commercialization, enterprise partnerships, innovation, or business development
  • Familiarity with value-based care, digital health, implementation science, clinical research, or healthcare transformation
  • Thought leadership through publications, research collaborations, conference presentations, or national professional organizations
  • Comfort operating within an entrepreneurial, venture-backed environment while helping build new models of pediatric care

Skills:

  • Executive presence with exceptional communication and relationship-building skills
  • Ability to translate clinical evidence into compelling value for health systems, physicians, payers, and strategic partners
  • Collaborative leadership across clinical, operational, commercial, and executive teams
  • Strategic mindset with a passion for building innovative models of care

Time Commitment:

Approximately 5-10 hours per week, focused on high-leverage strategic partnerships, physician engagement, and executive collaboration

Why Join Ladder Health?

  • Build the Future: Help define how pediatric developmental care is delivered, measured, and reimbursed over the next decade
  • Commercial Impact: Play a central role in shaping enterprise partnerships, physician engagement, and national growth
  • Executive Pathway: Clear opportunity to transition into a full-time Chief Medical Officer role as Ladder Health scales
  • Meaningful Equity: Competitive equity opportunity aligned with long-term company growth
  • Mission: Expand access to expert developmental care for thousands of children and families nationwide

Equal Opportunity Statement:

Ladder Health is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

Important Security Notice: 

Please be aware of recruitment scams. Representatives from Ladder Health will never conduct interviews purely via text/chat apps, nor will we ever ask for banking details, direct deposit info, or credit card numbers during the interview process. Official communications will only come from an @ladderhealth.co email address. If you suspect fraud, please report it to us directly.