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 Years ...
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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 Years ...
Quick apply
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 Years ...
Rochester, NY · On-site +1
The Chief Technical Officer (CTO) is a C-suite executive and a member of the senior leadership team, accountable for defining and executing CaterTrax's enterprise technology vision in direct support ...
Rochester, NY · On-site +1
The Chief Technical Officer (CTO) is a C-suite executive and a member of the senior leadership team, accountable for defining and executing CaterTrax's enterprise technology vision in direct support ...
The CTO will work closely with executive leadership and collaborate with the existing Information Technology Department to guide technology initiatives that improve efficiency, strengthen ...
The CTO will work closely with executive leadership and collaborate with the existing Information Technology Department to guide technology initiatives that improve efficiency, strengthen ...
Gastonia, NC · On-site
$101K - $162K/yr
General Definition of Work The City of Gastonia is seeking a Chief Technology Officer (CTO) to provide sound technical leadership for a highly diverse municipal government by recommending the best ...
Gastonia, NC · On-site
$101K - $162K/yr
General Definition of Work The City of Gastonia is seeking a Chief Technology Officer (CTO) to provide sound technical leadership for a highly diverse municipal government by recommending the best ...
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 ...
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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 ...
Mansfield, MA · On-site
Chief Technology Officer (CTO) ConnectPay provides comprehensive payroll, finance, and HR solutions specifically designed for small and medium-sized businesses and their employees. Our mission is ...
New
Mansfield, MA · On-site
Chief Technology Officer (CTO) ConnectPay provides comprehensive payroll, finance, and HR solutions specifically designed for small and medium-sized businesses and their employees. Our mission is ...
New
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 ...
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 ...
Helena, MT · On-site
$150 - $200/hr
Chief Technology Officer The Chief Technology Officer (CTO) provides enterprise-wide technology leadership for the State of Montana, setting strategic direction for enterprise architecture and ...
Helena, MT · On-site
$150 - $200/hr
Chief Technology Officer The Chief Technology Officer (CTO) provides enterprise-wide technology leadership for the State of Montana, setting strategic direction for enterprise architecture and ...
Gastonia, NC · On-site
$101K - $162K/yr
Exempt General Definition of Work The City of Gastonia is seeking a Chief Technology Officer (CTO) to provide sound technical leadership for a highly diverse municipal government by recommending the ...
Gastonia, NC · On-site
$101K - $162K/yr
Exempt General Definition of Work The City of Gastonia is seeking a Chief Technology Officer (CTO) to provide sound technical leadership for a highly diverse municipal government by recommending the ...
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 ...
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 ...
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 ...
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 ...
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 ...
New
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 ...
New
Washington, DC · Remote
$225K/yr
As the Chief Technology Officer, you will partner with the President and CEO to build the technology vision and infrastructure that powers our next chapter of growth. While we do not expect ...
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Washington, DC · Remote
$225K/yr
As the Chief Technology Officer, you will partner with the President and CEO to build the technology vision and infrastructure that powers our next chapter of growth. While we do not expect ...
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 ...
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 ...
Nederland, TX · On-site
$117.14 - $175.71/hr
Wij zijn op zoek naar een strategische en innovatieve Chief Technology Officer (CTO) om ons team te versterken. In deze senior leiderschapsrol ben je verantwoordelijk voor het definiëren van de ...
Nederland, TX · On-site
$117.14 - $175.71/hr
Wij zijn op zoek naar een strategische en innovatieve Chief Technology Officer (CTO) om ons team te versterken. In deze senior leiderschapsrol ben je verantwoordelijk voor het definiëren van de ...
Marlborough, MA · On-site
$150 - $250/hr
The CTO will own the technical vision and execution for everything we build: the certification platform, client portals, auditor tools, API infrastructure, public registry, and real‑time compliance ...
Marlborough, MA · On-site
$150 - $250/hr
The CTO will own the technical vision and execution for everything we build: the certification platform, client portals, auditor tools, API infrastructure, public registry, and real‑time compliance ...
Rochester, NY · On-site
The Chief Technical Officer (CTO) is a C-suite executive and a member of the senior leadership team, accountable for defining and executing CaterTrax ® 's enterprise technology vision in direct ...
Rochester, NY · On-site
The Chief Technical Officer (CTO) is a C-suite executive and a member of the senior leadership team, accountable for defining and executing CaterTrax ® 's enterprise technology vision in direct ...
Pittsburgh, PA · On-site
The CTO will operate as both a business strategist and technology executive, responsible for scaling their cloud-native, AI-enabled Operations IQ platform while ensuring security, reliability, and ...
Pittsburgh, PA · On-site
The CTO will operate as both a business strategist and technology executive, responsible for scaling their cloud-native, AI-enabled Operations IQ platform while ensuring security, reliability, and ...
Mobile, AL · On-site
The CTO will serve as an executive-level technology leader for Thompson Holdings, working alongside the executive leadership team to set and advance technology strategy across the holding company and ...
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Mobile, AL · On-site
The CTO will serve as an executive-level technology leader for Thompson Holdings, working alongside the executive leadership team to set and advance technology strategy across the holding company and ...
$183K - $256K/yr
ABOUT THE ROLE We are seeking a Chief Technology Officer (CTO) who is, first and foremost, a software engineering leader, for our mission-driven edtech organization. Your career has been built ...
$183K - $256K/yr
ABOUT THE ROLE We are seeking a Chief Technology Officer (CTO) who is, first and foremost, a software engineering leader, for our mission-driven edtech organization. Your career has been built ...

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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