New York, United States | Posted on 16/07/2026
The employer is a funded, earlyโstage venture developing an AIโenabled healthcare payments application designed to improve how healthcare organizations manage payment, claims, and revenueโcycle workflows.
The company improves complex financial workflows across the healthcare ecosystem, including providerโpayer payment processes, claims workflows, revenue cycle operations, payment reconciliation, denials, and administrative automation.
Their platform uses 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.
They are looking for an extraordinaire handsโon CTO to lead technology, product architecture, and engineering execution for a new AI healthcare payments company.
This is not an advisory CTO role but one of a handsโon technical leader who can build the product, architect the platform, recruit the early engineering team, and move quickly from MVP to scalable commercial product.
Education
Bachelorโs degree in Computer Science, Engineering, or a closely related field.
Experience
- Experience building products from zero to one.
- Ideally Former founder or early technical leadership experience (Not mandatory).
- Structured technical training in computer science, engineering, or a related field.
- Led endโtoโend 0โ1 product development and launched an MVP into production where you personally contributed to core technical deliverables and system architecture.
- Built and scaled an early engineering organization: recruited the first engineers, owned the technology vision and roadmap, and delivered engineering execution from MVP toward a scalable commercial product.
- Delivered products in regulated, transactionโheavy domains (preferably healthcare payments/RCM/fintech) or equivalent complex workflow environmentsโowning integrations, secure/scalable system design, and AIโenabled workflow automation for payment/claims/reconciliation workflows.
- 0โ1 product development & handsโon engineering: proven ability to personally build an MVP and ship production software (founding/earlyโengineer level).
- Software architecture & AI/automation systems design: designing secure, scalable architectures that embed AI/ML and workflow automation for transactionโheavy pipelines.
- Domain & leadership combo: healthcare payments / revenueโcycle (RCM) domain understanding plus earlyโstage engineering leadership (recruiting and leading the first engineers).
Software tools and Technology
- Cloud infrastructure & container orchestration โ admin / operator : design and operate secure, scalable production environments, CI/CD, and deployment for a HIPAAโsensitive SaaS platform.
- AI/ML frameworks & data pipelines โ advanced / power user : build model training/inference pipelines, feature/ETL workflows, model serving and observability for AIโenabled workflow automation.
- Healthcare interoperability, claims & payments integrations โ working / intermediate : implement data ingestion/normalization and secure integrations with EMR/claims/billing/payment systems for revenueโcycle workflows.
Areas of focus
- Claims and payment workflow automation
- Providerโpayer 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
- AIโassisted decisioning, workflow routing, and operational intelligence
Visa sponsorship eligibility: Not included
MISSIONS
- 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 AIโenabled 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
Requirements
- Up to 10 years of professional experience
- Built and launched a software product from concept/MVP to production.
- Strong coding background with experience designing scalable, secure systems.
- Experience building AIโpowered products, automation platforms, or intelligent workflow systems.
- Understanding of claims, payments, reimbursement workflows, financial operations, or other transactionโheavy regulated environments.
- Experience hiring, building, and leading engineering teams while owning the technology roadmap.
- Graduate of top 10 School (examples given Penn, Columbia, UChicago, etc.).
- CTO, VP Engineering, Head of Engineering, founding engineer, or senior architecture experience.
- Startup or highโgrowth company exposure.
- Handsโon technical credibility.
- Ability to lead product and engineering strategy.
- Experience with AI, data, infrastructure, platform, SaaS, or scalable systems where relevant.
- Ability to communicate well with founders, investors, and executive stakeholders.
- 15โ20% equity on top of base salary.
- Committed dayโone 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.