Claims Processing

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.

 

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ServiceNow Tech Lead / Principal Consultant (FSO) – Financial Services, CSM, IRM | Fully Remote

,

Tech Lead / Principal Consultant – ServiceNow (FSO)

📍 Location: Fully Remote
💼 Employment Type: Full-Time
🎓 Education: Bachelor’s Degree required (Computer Science or related)
📈 Experience Level: Mid-Senior
🕒 Experience Required: 10–15+ years
✈️ Travel: None
🌎 Visa Sponsorship: Not available

Role Overview

We are seeking an experienced ServiceNow Tech Lead / Principal Consultant with strong expertise in Financial Services Operations (FSO) to lead enterprise-level implementations.

This is a hands-on technical leadership role, responsible for driving solution architecture, design, and delivery while mentoring development teams and collaborating closely with enterprise stakeholders.

Key Responsibilities

Technical Leadership & Architecture

  • Act as the technical owner for ServiceNow implementations

  • Lead architecture, design, and delivery of FSO-based solutions

  • Translate business requirements into scalable technical solutions

  • Provide guidance on enterprise architecture and platform best practices

ServiceNow Development & Implementation

  • Lead end-to-end implementation and customization of ServiceNow solutions

  • Develop and configure:

    • Business Rules

    • Script Includes

    • UI Actions, UI Policies, Client Scripts

  • Build integrations using:

    • REST/SOAP APIs

  • Work across ServiceNow modules including:

    • FSO, CSM, CMDB, CSDM

Financial Services Operations (FSO)

  • Design and implement solutions aligned with financial services data models

  • Deliver capabilities across:

    • Dispute management

    • Customer lifecycle management

    • Payments, cards, and loan operations

    • Treasury and claims processing

  • Lead FSO solution architecture and configuration

Agile Delivery & Stakeholder Engagement

  • Work within Agile/Scrum environments (sprint planning, demos, delivery cycles)

  • Collaborate with:

    • Enterprise architecture teams

    • Business stakeholders

    • Development teams

  • Lead requirements gathering and solution workshops

Integration & Platform Management

  • Design and manage integrations with external systems

  • Ensure platform performance, scalability, and compliance

  • Support code reviews, deployment, and environment management

Governance, Risk & Compliance (IRM)

  • Contribute to IRM (Integrated Risk Management) architecture and implementation

  • Support:

    • Risk and compliance modules

    • Vendor risk management

  • Ensure alignment with regulatory frameworks (e.g., GDPR, ISO)

Required Qualifications

  • 10+ years of experience in ServiceNow development and architecture

  • Strong hands-on experience with:

    • ServiceNow FSO (Financial Services Operations)

    • Customer Service Management (CSM)

  • Proven experience leading enterprise ServiceNow implementations

  • Expertise in:

    • JavaScript, HTML, CSS, XML

    • ServiceNow APIs and scripting

  • Strong understanding of:

    • CSDM, CMDB, and data models

    • ITIL and service management frameworks

Certifications (Required / Preferred)

  • ServiceNow Certified System Administrator (CSA)

  • ServiceNow Certified Implementation Specialist (FSO / IRM / Risk / Vendor Risk)

  • IRM (Integrated Risk Management) experience and certification preferred

Technical Skills

  • ServiceNow platform architecture and customization

  • REST/SOAP integrations

  • Agile/Scrum delivery methodologies

  • Scripting (JavaScript, AJAX, JSON, AngularJS)

  • Enterprise architecture and solution design

Key Competencies

  • Strong technical leadership and mentoring ability

  • Excellent client-facing and communication skills

  • Advanced analytical and problem-solving capability

  • Ability to manage multiple priorities in complex environments

  • Strong collaboration across distributed/global teams

Ideal Candidate

The ideal candidate will:

  • Have deep expertise in ServiceNow FSO implementations within financial services

  • Be a hands-on architect and technical leader

  • Have experience working on large-scale enterprise transformations

  • Be comfortable leading client-facing engagements

  • Demonstrate strong knowledge of risk, compliance, and governance frameworks

Additional Information

  • Fully remote role

  • Opportunity to work on large-scale digital transformation initiatives

  • Exposure to AI-driven and enterprise platform solutions

 

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