CTO Co-Founder - AI & Healthcare Payments (NYC)

About the job CTO Co-Founder - AI & Healthcare Payments (NYC)


Our client is seeking a CTO who will own the technology vision, platform architecture, and end-to-end execution. In this role, you will work directly with the CEO, early customers, and investors to turn a validated thesis into a production-grade platform and a scalable company.

This role requires a true builder who can write code, design systems, ship products, and lead engineering from day one.

This is a hands-on CTO Co-Founder position, not an advisory or oversight role. The company is looking for a technical leader who can architect the platform, build the initial product, and recruit an early engineering team.

Onsite | No Visa Sponsorship | No Relocation Assistance

Please Note: Only local candidates within a commuting distance of up to 90 minutes will be considered

What You'll Build:

The platform will focus on improving end-to-end healthcare financial operations through:

• AI-driven workflow automation
• Claims and payment lifecycle optimization
• Revenue-cycle and reimbursement workflows
• Denials, reconciliation, and exception handling
• Secure data ingestion, normalization, and interoperability
• Integrations with billing, claims, payment, and healthcare data systems

The goal is to move rapidly from concept MVP scalable commercial product.

Responsibilities:

• Recruit, hire, and lead the early engineering team.
• Implement AI-enabled workflow automation and decisioning.
• Collaborate with customers, advisors, and commercial leaders.
• Own the technical vision, architecture, and engineering roadmap.
• Design secure, reliable systems for healthcare financial workflows.
• Build and launch the initial MVP and evolve it into a scalable product.
• Establish engineering best practices, infrastructure, and technical culture.
• Lead integrations with claims, billing, payment, and healthcare data systems.

Qualifications (Must-Haves)

• Strong technical depth with founder-level urgency.
• Ability to operate with ambiguity and move quickly.
• Strong product instincts and customer orientation.
• Interest in healthcare, payments, or financial operations.
• Experience in early-stage or high-growth environments.
• Bachelor's degree in Computer Science, Engineering, or a related technical field preferred.
• 01 Product Development: Built and launched a software product from concept/MVP into production.
• AI & Workflow Automation: Experience building AI-powered products, workflow automation, or intelligent decisioning systems.
• Engineering Leadership : Experience hiring, managing, and developing engineering teams while owning the technology roadmap.
• Hands-On Software Engineering & Architecture : Strong coding background with experience designing scalable, secure systems.
• Domain Knowledge (Healthcare Payments/RCM/FinTech): Understanding of claims, payments, reimbursement workflows, or other transaction-heavy, regulated environments.

Preferred Backgrounds:

• Payments/Fintech
• AI Workflow Automation
• Healthcare Technology
• Claims or Billing Platforms
• B2B SaaS or Enterprise Software
• Revenue Cycle Management (RCM)
• Regulated, transaction-heavy systems
• Data Infrastructure or Interoperability Platforms