Technical Co-Founder/CTO

AI Healthcare Payments Startup

New York, NY | In-Person

We are representing a funded, early-stage healthcare technology company seeking an exceptional CTO / Technical Co-Founder to build and lead an AI-powered platform focused on healthcare payments, claims, and revenue-cycle workflows.

This is a true builder role.

The company is not looking for an advisory CTO, fractional CTO, or executive who has moved away from hands-on engineering. The ideal candidate is a technically exceptional product builder who can personally architect and build the initial platform, make critical technology decisions, recruit the first engineering team, and help turn a validated business thesis into a scalable commercial company.

What the Company Is Building

The company is developing an AI-enabled healthcare payments platform designed to improve complex financial and administrative workflows across the healthcare ecosystem.

The product will combine AI, workflow automation, data infrastructure, secure integrations, and intelligent decisioning to reduce manual work, improve accuracy, accelerate financial processes, and provide greater visibility across healthcare payment operations.

Potential areas of the platform include:

Claims and payment workflow automation
Provider-payer financial operations
Revenue cycle and reimbursement workflows
Denials management and payment exceptions
Payment reconciliation
Healthcare data ingestion and normalization
Secure integrations with billing, claims, payment, and healthcare systems
AI-assisted workflow routing and decisioning
Operational intelligence and automation

The Profile We're Looking For

We are looking for someone who is still very close to the technology.

You may currently be a CTO, VP of Engineering, Head of Engineering, founding engineer, senior architect, technical founder, or exceptional senior/principal engineer who has already demonstrated the ability to build products and lead technical execution.

This role is particularly well suited to someone who has worked in an elite engineering environment, high-growth startup, or technically demanding organization and now wants the opportunity to build a company from the ground up.

We are less interested in title or organizational size than in what you have personally built, architected, launched, and owned.

You should have demonstrated experience with:

Building and launching a software product from concept or MVP through production
Personally contributing to architecture and core technical development
Designing secure, scalable production systems
Building AI-powered products, intelligent workflow systems, automation platforms, or data-intensive applications
Making early-stage technology and architecture decisions with limited infrastructure or support
Recruiting, hiring, and leading engineers
Owning a technology roadmap and engineering execution
Working successfully in ambiguous, fast-moving environments
Communicating effectively with founders, investors, customers, advisors, and executive stakeholders

Technical Background

Strong candidates will have experience across several of the following areas:

AI/ML-enabled applications
Generative AI or intelligent automation
Workflow orchestration
Data platforms and pipelines
Cloud infrastructure
APIs and enterprise integrations
Secure SaaS architecture
Transaction-processing systems
Scalable B2B software
Data ingestion and normalization
Production AI/model deployment
Platform architecture

You should be comfortable making architectural decisions while also being capable of opening the codebase and building alongside the team.

Industry Experience

Direct healthcare payments experience is highly desirable, particularly experience involving:

Healthcare claims
Revenue cycle management
Reimbursement
Denials
Provider-payer workflows
Payment reconciliation
Billing technology
Healthcare interoperability
Healthcare financial operations

However, healthcare experience is not an absolute requirement.

Exceptional candidates may instead come from environments involving complex, regulated, data-heavy, workflow-heavy, or transaction-oriented systems.

Relevant backgrounds may include:

Healthcare technology
Revenue cycle management
Claims technology
Payments
Fintech
AI workflow automation
B2B SaaS
Enterprise software
Data infrastructure
Healthcare interoperability
Billing platforms
Financial infrastructure
Transaction-processing platforms

Candidates coming from fintech, payments, or another regulated environment should be able to demonstrate experience solving problems involving transactions, reconciliation, complex workflows, integrations, or secure data.

Experience Matters

One of the most important qualifications for this role is evidence that you have actually built something from the beginning.

They are particularly interested in candidates who can point to a product where they:

Started with a concept, customer problem, or early technical thesis
Designed the initial architecture
Personally contributed to development
Shipped an MVP
Took the product into production
Learned from customers and improved the product
Helped scale the technology as adoption increased
Built or helped build the engineering organization around it

Candidates whose experience has primarily involved managing large established engineering organizations without significant hands-on product-building experience are unlikely to be the right fit.

Academic & Technical Foundation

A bachelor's degree in Computer Science, Engineering, or a closely related technical discipline is strongly preferred.

The company places meaningful value on exceptional academic and technical pedigree, particularly candidates who have trained in highly selective, globally recognized engineering or computer science environments.

Examples may include institutions such as MIT, Stanford, Carnegie Mellon, UC Berkeley, Caltech, Harvard, Princeton, Cornell, Columbia, University of Pennsylvania, UIUC, Georgia Tech, University of Washington, Michigan, UT Austin and similarly rigorous U.S. or international technical programs.

What You'll Do

As CTO / Technical Co-Founder, you will own technology and engineering from the ground up.

You will:

Define the company's technology vision
Own product architecture and engineering strategy
Build and launch the initial product
Personally contribute to early product development
Select the initial technology stack
Design secure and scalable infrastructure
Embed AI and intelligent automation throughout the product
Develop systems for complex healthcare financial workflows
Lead integrations with healthcare, claims, billing, payment, and data platforms
Establish engineering standards and development processes
Recruit the first engineers
Build and lead the early engineering organization
Own the technology roadmap from MVP through commercial scale
Work closely with the CEO on company and product strategy
Engage directly with early customers and design partners
Work with investors, advisors, and commercial partners
Help shape the company beyond engineering as a true co-founder