CTO Co-Founder

CTO Co-Founder

We're building a stealth primary care management services organization (MSO) from the ground up, backed by institutional capital. The company centralizes and automates non-clinical operations for primary care practices (including insurance workflows, billing, revenue cycle management, and administrative tooling) so providers can focus on patient care.

This is a true 0 to 1 founding role for an engineer who wants real ownership and is comfortable building in ambiguity. Early work is foundational and operational, focused on system architecture and integrating best-in-class EHR and RCM tools rather than building everything from scratch.

This is a co-founder role in every sense, with equity, influence, and responsibility from day one.

Responsibilities:

• Own the initial technical strategy and stack
• Select and integrate core systems (EHR, RCM, scheduling, internal tooling)
• Build the glue that makes clinics operational and scalable
• Make pragmatic build vs buy decisions
• Set security, data, and compliance foundations
• Hire and lead a small, high-caliber engineering team
• Partner closely with the CEO and clinical leadership on sequencing and tradeoffs

Who This Role Is For

This role is a strong fit if you are:

• An engineer first, founder second
• Someone who has already chosen risk (started a company, left comfort, built without permission)
• Comfortable being hands-on early
• Opinionated, but pragmatic
• Motivated by ownership and responsibility, not titles

You don't need deep healthcare experience - but you do need respect for regulated, high-stakes environments and the willingness to learn fast.

Must-Haves:

• Former founders only - we look exclusively for people who have started companies before (short, messy, or early attempts are fine)
• Structured training - experience in top-tier engineering environments (FAANG or late-stage, high-growth startups)
• Elite education - undergraduate CS or closely related degree from a top-20 university
• Bias toward action - hungry, resourceful, relentlessly execution-oriented
• Location: New York City

Background:

• Strong SWE foundation (backend, infra, systems, integrations)
• Experience shipping and owning critical systems
• Comfort with boring, foundational work that compounds over time
• Ability to operate closely with non-technical stakeholders

Stage + Compensation:

• Stage: Pre-product, pre-team, capital committed
• Compensation: Meaningful equity + competitive founding salary