Founding CTO/Co-Founder - AI Healthcare Payments Startup

Job Description

Job Description

Our client is seeking a hands‑on CTO/Co‑Founder to own the technology vision, platform architecture, and end‑to‑end engineering execution for a new AI‑driven healthcare payments platform. This is a true builder role for someone early in their career who wants to take a product from concept to commercial scale.

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 is not an advisory or oversight CTO role, it requires someone who can write code, design systems, ship products, and recruit the early engineering team.

This role is designed for someone early in their career, typically a recent graduate up to ~10 years out of school who has strong technical depth, founder‑level urgency, and a desire to build a company from the ground up.

Onsite | No Visa Sponsorship | No Relocation Assistance

Compensation: $141,000-$150,000 + 15-20% equity

Please Note: Local candidates within a practical commuting distance (up to 90 minutes) will only 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.
• Own the technical vision, architecture, and engineering roadmap.
• Design secure, reliable systems for healthcare financial workflows.
• Build and launch the initial MVP, then evolve it into a scalable platform.
• Establish engineering best practices, infrastructure, and technical culture.
• Collaborate directly with customers, advisors, and commercial leaders.
• 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 related 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.
• Hands‑On Software Engineering & Architecture — strong coding background with experience designing scalable, secure systems.
• Engineering Leadership — experience hiring, managing, or developing engineers while owning the technology roadmap.
• Domain Knowledge — 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