Head of Technology - Remote

Chief Technology Officer Location: Remote United States
Our client is an award-winning, healthcare technology company transforming how chronic and remote care is delivered across the United States. Trusted by 2,000+ providers and supporting 150,000+ patients nationwide, they deliver AI-enabled care management solutions, including Remote Patient Monitoring (RPM) and Chronic Care Management (CCM), that measurably improve outcomes, reduce costs, and close care gaps.

We're looking for a hands-on AI agent builder, someone who writes code daily, ships production AI systems, and can architect the next generation of autonomous clinical care agents, while carrying the CTO title and owning the full technology vision.

The company sits on a goldmine of real-time patient data (vitals, device telemetry, EMR records, clinical notes) flowing from 150,000+ monitored patients. The opportunity is to build intelligent agents that act on that data: triaging alerts, predicting deterioration, automating care coordination workflows, and augmenting clinical decision-making at scale. You'll be building this largely from scratch with a small, high-caliber team.

Autonomous Clinical Agents: Design and ship AI agents that monitor patient data streams in real time, escalate intelligently, and automate care coordination tasks that today require manual clinical effort.
Build agent pipelines using large language models for clinical note summarization, patient communication, care plan generation, and intelligent triage.
Predictive & Preventive Models: Develop and deploy models for risk stratification, readmission prediction, and early deterioration detection across chronic disease populations.
Architect multi-agent systems that coordinate across data ingestion, clinical reasoning, provider notification, and patient engagement, with appropriate human-in-the-loop safeguards for healthcare.
Data Infrastructure: Build the real-time data pipelines and feature stores that feed your agents, patient vitals from connected devices, EMR data via HL7/FHIR, and unstructured clinical documentation.
You ship AI systems, not slide decks. You're writing Python/TypeScript daily, prototyping agent architectures, and pushing to production. You've built and deployed LLM-based agents, RAG pipelines, or autonomous workflows in a production environment.

• 5-10+ years in software engineering, with recent deep focus on applied AI/ML and agent systems (LangChain, AutoGen, CrewAI, custom agent frameworks, or similar).
• Fluent in the modern AI stack: LLMs (GPT-4, Claude, open-source models), vector databases, embedding pipelines, function calling, tool use, prompt engineering, fine-tuning.
• Strong software engineering fundamentals, you build reliable, observable, production-grade systems, not just notebooks.
• Experience with real-time data pipelines and event-driven architectures (Kafka, streaming, webhooks).
• Healthcare experience is a major plus, familiarity with HIPAA, HL7/FHIR, clinical workflows, and the sensitivity required when AI touches patient care.
• You understand the stakes of AI in healthcare, you think carefully about safety, hallucination mitigation, human-in-the-loop design, and regulatory constraints.

CTO title with true technical ownership, you define the AI roadmap and build it yourself.
Greenfield opportunity to build the AI/agent layer on top of a platform with proven product-market fit and massive real-time clinical data.
Competitive compensation package including equity.