CTO Co-Founder – Healthcare Payments AI Startup
📍 Location: New York, NY (Onsite)
💼 Employment Type: Full-Time
🚫 Visa Sponsorship: Not Available
🚚 Relocation Assistance: Not Available
💰 Compensation: $150,000 Base + 15–20% Equity
Overview
A funded early-stage healthcare AI startup is seeking a hands-on CTO Co-Founder to lead technology strategy, product development, architecture, and engineering execution.
The company is building an AI-powered platform focused on transforming healthcare payments, claims processing, revenue cycle management, and financial workflow automation. This is a true 0-to-1 opportunity for a technical leader who wants to build both the product and the company from the ground up.
Key Responsibilities
Technology & Product Leadership
Own the technology vision, architecture, and engineering roadmap.
Build and launch the company’s initial MVP and commercial platform.
Evaluate and select the technology stack and infrastructure.
Design secure, scalable systems for healthcare payment and claims workflows.
AI & Workflow Automation
Build AI-driven workflow automation and operational intelligence capabilities.
Develop data ingestion, normalization, and decision-support solutions.
Implement automation for claims, reimbursement, reconciliation, and payment processes.
Engineering Leadership
Recruit, hire, and lead the founding engineering team.
Establish development standards, processes, and engineering culture.
Drive execution from concept through production deployment.
Strategic Collaboration
Work directly with the CEO, investors, advisors, and early customers.
Translate customer needs into scalable technical solutions.
Support fundraising, product strategy, and commercial growth initiatives.
Required Qualifications
Experience
✔ 0-to-1 Product Development Experience
✔ Hands-On Software Engineering & Architecture
✔ AI / ML & Workflow Automation
✔ Engineering Team Leadership
✔ Healthcare Payments, Revenue Cycle, FinTech, or Transaction-Based Systems Experience
✔ 10+ Years of Technical Experience
Education
Bachelor's Degree in Computer Science, Engineering, or related field.
Graduate of a top-tier university strongly preferred.
Preferred Backgrounds
Healthcare Technology
Revenue Cycle Management (RCM)
Claims Processing Platforms
Payments & FinTech
AI Workflow Automation
Enterprise SaaS
Data Infrastructure
Healthcare Interoperability
Ideal Candidate
The ideal candidate is a builder-first technical leader who has:
Personally built and launched software products from MVP to production.
Experience operating in startups or high-growth environments.
Strong software architecture and coding skills.
Experience developing AI-powered products or automation platforms.
Knowledge of healthcare payments, claims, revenue cycle, or other regulated transaction-heavy industries.
Experience recruiting and leading engineering teams.
Ability to communicate effectively with customers, executives, and investors.
Healthcare payments experience is highly desirable but candidates from fintech, enterprise workflow automation, or regulated data-intensive industries will also be considered.
Candidate Snapshot
Requirement
Details
Level
CTO / Co-Founder
Experience
10+ Years
Location
New York, NY (Onsite)
Industry
Healthcare AI / FinTech
Education
Bachelor's Degree Required
Equity
15–20%
Relocation
No
Sponsorship
No
Screening Questions
Have you personally built and launched a software product from MVP to production?
Describe your experience leading 0-to-1 product development initiatives.
What AI, machine learning, or workflow automation products have you built?
Do you have experience in healthcare payments, revenue cycle management, claims processing, or fintech?
Have you recruited and led engineering teams in a startup or high-growth environment?
What programming languages, frameworks, and cloud technologies have you used to build scalable products?
Are you comfortable being a hands-on contributor while also leading the engineering organization?
Are you able to work onsite in New York City?
What Makes Someone Successful in This Role?
Founder mentality and bias toward action.
Strong technical depth with hands-on coding capability.
Experience building products in regulated, transaction-heavy environments.
Ability to move quickly from concept to commercial product.
Strong communication skills with both technical and non-technical stakeholders.
Passion for using AI to solve complex operational challenges.
Desire to build and scale a company, not just a technology platform.