CTO Co-Founder – Healthcare Payments AI Startup – New York, NY

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

1. Have you personally built and launched a software product from MVP to production?

2. Describe your experience leading 0-to-1 product development initiatives.

3. What AI, machine learning, or workflow automation products have you built?

4. Do you have experience in healthcare payments, revenue cycle management, claims processing, or fintech?

5. Have you recruited and led engineering teams in a startup or high-growth environment?

6. What programming languages, frameworks, and cloud technologies have you used to build scalable products?

7. Are you comfortable being a hands-on contributor while also leading the engineering organization?

8. 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.

Director / Senior Director of Sales Operations | SaaS | Long Beach, CA (Hybrid) | $195K–$250K

🚀 Director / Senior Director of Sales Operations

📍 Long Beach, CA | Hybrid (Tue–Thu onsite, Mon & Fri remote)
💼 Senior Leadership | Full-Time
📅 Newly Opened | 1 Vacancy

💲 Compensation: $195,000 – $250,000 (confidential if posted externally)
🧳 Travel: Up to 20%
🚫 Visa Sponsorship: Not supported
🏠 Relocation: Not offered

🌟 The Opportunity

An industry-leading technology organization is seeking an exceptional Director / Senior Director of Sales Operations to transform and elevate the performance of its U.S. direct sales organization.

This is a high-impact role for a strategic, data-driven, and visionary sales operations leader who thrives on optimizing performance, driving predictable revenue growth, and empowering teams with the systems, insights, and tools they need to win.

If you have deep SaaS experience, mastery of Salesforce and BI tools, and a passion for building operational excellence from the ground up — this is your stage to make a measurable difference.

🎯 What You’ll Do

🧭 Strategic Sales Leadership

• Partner with executive leadership to define and execute sales strategy across enterprise SaaS solutions.

• Oversee sales planning, territory optimization, forecasting, and pipeline analysis.

• Develop frameworks that drive predictable, scalable revenue growth.

• Build data-driven forecasting models that inform strategic decisions at the highest level.

⚙️ Operational Excellence

• Architect and refine sales operations frameworks that improve process efficiency and alignment.

• Lead CRM optimization in Salesforce, ensuring clean data, automation, and adoption across the sales org.

• Standardize dashboards and reporting using Power BI or Tableau, delivering insights that accelerate decision-making.

• Establish best practices for pipeline velocity, deal quality, and margin improvement.

💰 Revenue Performance & Enablement

• Partner with Finance and Sales Leadership to design quotas, incentive programs, and performance metrics that motivate and reward success.

• Identify bottlenecks in the sales cycle and implement process improvements that shorten deal time and increase win rates.

• Use analytics to proactively spot trends, forecast results, and recommend strategic adjustments.

🤝 Cross-Functional Collaboration

• Work hand-in-hand with Finance, Marketing, and Customer Success teams to ensure a seamless revenue engine.

• Align sales, delivery, and customer experience initiatives to drive client satisfaction and retention.

• Provide executive-level reporting and insights to guide business growth initiatives.

💡 About You

• 10+ years of experience in Sales Operations or Sales Leadership within a SaaS environment.

• Proven success building and scaling direct sales organizations that deliver measurable revenue growth.

• Strong command of Salesforce CRM, Power BI / Tableau, and advanced analytics.

• Experience with sales frameworks, pipeline management, and operational excellence.

• Strategic mindset with hands-on leadership capabilities — able to influence, coach, and inspire.

• Exceptional communication and executive presentation skills.

• Experience selling into Government, Education, Insurance, or Financial Services industries is a plus.

✨ Nice to Have: SaaS sales background or direct sales experience.

🧭 Interview Journey

1️⃣ Recruiter Screening
2️⃣ Virtual Interview with Hiring Leaders
3️⃣ Onsite Final Interviews

🎁 Benefits & Perks

• Comprehensive Medical, Dental, and Vision coverage (100% HMO coverage for employees)

• 401(k) with generous company match

• 15 vacation days, 9 holidays, and 3 floating days annually

• Paid volunteer time and hybrid flexibility

• Covered parking, including EV charging

• Professional development and tuition reimbursement opportunities

🌍 Why Join

You’ll step into a strategic leadership role where your insights, frameworks, and influence will shape how sales performance is measured, optimized, and celebrated.

This is your chance to build a world-class sales operations engine, drive innovation, and empower a high-performing sales organization to reach new levels of excellence.