Job Description
CTO
New York, NY 10013
On site
Skills: 0-to-1 Product Development | Software Architecture | AI/ML & Automation | Healthcare Payments/RCM/FinTech | Engineering Leadership
Job Description
Experience level: Mid-senior
Experience required: 10 Years
Education level: Bachelor’s degree
Job function: Information Technology
Industry: Information Technology and Services
Compensation: $141,000-$150,000
Compensation info: $150,000 base salary
Total position: 1
Relocation assistance: No
Visa sponsorship eligibility: No
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.
What We’re Building
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.
Areas of focus may include:
• Claims and payment workflow automation
• Provider-payer financial operations
• Revenue cycle and reimbursement workflows
• Denials, reconciliation, and payment exceptions
• Healthcare data ingestion and normalization
• Secure integrations with healthcare, billing, claims, and payment systems
• AI-assisted decisioning, workflow routing, and operational intelligence
What We’re Looking For
We are looking for a CTO Co-Founder who combines strong technical depth with founder-level urgency.
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Requirements
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 (think 1-2 years with Palantir in a Health Tech role)
• 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
• A strong bias toward action and comfort operating with ambiguity
Healthcare payments experience is strongly preferred, but not required if the candidate has strong technical leadership experience in a regulated, data-heavy, workflow-heavy, or transaction-oriented environment.
Relevant Backgrounds
Strong candidates may come from:
• Healthcare technology
• Revenue cycle management
• Claims technology
• Payments / fintech
• AI workflow automation
• B2B SaaS
• Enterprise software
• Data infrastructure
• Healthcare interoperability
• Provider, payer, billing, or financial operations platforms
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
• Turn a validated thesis into a scalable commercial product and company
Job Insights
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
• A focused healthcare AI thesis (interest in healthcare and/or healthcare IT)
• Direct access to experienced operators, investors, advisors, and commercial resources
• The ability to build a company with meaningful impact in healthcare
Screening Questions
1.) Can you walk me through a product or platform that you personally helped build from 0 to 1, including your hands-on technical contributions, the architecture you designed, the team you built, and whether the product operated in a healthcare, payments, fintech, or other regulated, transaction-heavy environment?
2.) Please provide the candidate’s LinkedIn profile.
3.) What is the candidate’s highest level of education?
4.) Has the candidate applied or been interviewed for any role with this company in the past? If so, please provide details.
5.) What is the candidate’s desired total compensation? (Please specify base salary vs. commission/bonus expectation)
6.) Where is the candidate located? If candidate is not near the job location, please explain relocation plan in detail (e.g. timeline, relocating with family, selling/buying property)
7.) Is the candidate legally authorized to work in the US for any employer?
8.) Will the candidate now or in the future require immigration sponsorship for work authorization (for example, H-1B status)?
Must Have
Built and launched a software product from concept/MVP to production.
Strong coding background with experience designing scalable, secure systems.
Experience building AI-powered products, automation platforms, or intelligent workflow systems.
Understanding of claims, payments, reimbursement workflows, financial operations, or other transaction-heavy regulated environments.
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
A focused healthcare AI thesis (interest in healthcare and/or healthcare IT)
Direct access to experienced operators, investors, advisors, and commercial resources
The ability to build a company with meaningful impact in healthcare
Notes from HM
The profiles submitted are skewing toward very senior leadership-level experience. For this position, we're looking more for someone earlier in their career, maybe a very recent graduate or someone less than 10 years out of school.
Please keep the school filter tight. The client referenced “Top 10” caliber schools and specifically noted that, in the current investment environment, pedigree matters.
Ideal candidates should combine:
Elite technical or academic background
CTO, VP Engineering, Head of Engineering, founding engineer, or senior architecture experience
Startup or high-growth company exposure
Hands-on technical credibility
Ability to lead product and engineering strategy
Experience with AI, data, infrastructure, platform, SaaS, or scalable systems where relevant
Ability to communicate well with founders, investors, and executive stakeholders
Please avoid candidates whose main technical pedigree comes from broader regional schools unless they have exceptional startup CTO-level experience, notable exits, major product ownership, or a truly standout technical career. For this search, school pedigree is part of the investor-readiness screen. Please prioritize candidates whose academic and technical background would be viewed as credible in a venture-backed CTO context
