CTO

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.

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.

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 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

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

Must Have 0-to-1 Product Development - Built and launched a software product from concept/MVP to production. Hands-On Software Engineering & Architecture - Strong coding background with experience designing scalable, secure systems. AI & Workflow Automation - Experience building AI-powered products, automation platforms, or intelligent workflow systems. Healthcare Payments / Revenue Cycle / FinTech Domain Knowledge - Understanding of claims, payments, reimbursement workflows, financial operations, or other transaction-heavy regulated environments. Engineering Leadership - Experience hiring, building, and leading engineering teams while owning the technology roadmap. Graduate of top 10 School (examples given Penn, Columbia, UChicago, etc.)

You will have: $150,000 base salary 15-20% equity Committed day-one capital