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.

Technical Lead – eCommerce & Licensing Monetization | $121K–$190K + Bonus & Stock | Hybrid CO or DE

Technical Lead – eCommerce Licensing Monetization

📍 Locations: Colorado Springs, CO or Wilmington, DE (Hybrid: 3 days onsite – Tue, Wed, Thu / 2 days remote – Mon, Fri)
💼 Employment Type: Full-time
💵 Compensation: $121,600 – $190,000 per year (plus bonus, stock eligibility, and full benefits)

About the Role

Are you passionate about solving complex challenges at the intersection of software licensing, eCommerce, and enterprise systems? This is an exciting opportunity to lead the design and implementation of scalable solutions that drive how software is licensed, monetized, and delivered across SaaS, subscription, and on-premise platforms.

As a Technical Lead, you’ll collaborate with product, enterprise architecture, and IT teams to ensure strategies align with business goals, while mentoring development teams and championing best practices.

Key Responsibilities

• Lead the design and implementation of software licensing and entitlement solutions for SaaS, subscription, and on-premise products.

• Act as the technical authority for license monetization systems, ensuring compliance with enterprise architecture, security, and integration standards.

• Partner with product teams, architects, and IT stakeholders to align licensing and entitlement strategies with business objectives.

• Drive end-to-end integration with ERP systems and customer-facing eCommerce platforms.

• Translate business requirements into technical architectures and detailed solution designs.

• Mentor development teams, promote engineering excellence, and ensure consistency in solution delivery.

• Communicate technical concepts effectively to both technical and non-technical stakeholders.

Qualifications

Required:

• Bachelor’s degree in Computer Science or related field (or equivalent experience).

• 8+ years’ strong foundation in computer science principles, data structures, and algorithms.

• 3+ years’ backend development experience with JavaScript/TypeScript (Node.js); Angular experience is a plus.

• 3+ years’ experience with AWS services (API Gateway, IAM, S3, caching).

• 2+ years in a technical lead role guiding medium to large development teams.

• Expertise in software licensing models, entitlement systems, and eCommerce integrations.

• Familiarity with Agile/Scrum methodologies.

• Strong stakeholder management, communication, and documentation skills.

Nice to Have:

• Experience designing API integrations for enterprise platforms.

• Exposure to frontend frameworks (Angular, React).

• Background in healthcare or SaaS-related industries.

Skills & Certifications

• Agile / Scrum

• Software Licensing & Entitlement Systems

• AWS

• Node.js

• eCommerce Platforms

• API Integration

• Enterprise Systems

Compensation & Benefits

💵 Salary Range: $121,600 – $190,000 per year (based on location, skills, and experience)
🎯 Bonus Eligible: Yes
📈 Stock Options: Yes
🩺 Benefits: Comprehensive package including healthcare, retirement plans, paid time off, and more

👉 Ready to lead the future of software licensing and eCommerce monetization?
Apply now and help shape scalable, secure, and impactful solutions that drive business growth.