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.

.NET Backend Developer | €4,354–€6,218 + 13th-Month Bonus | Hybrid Utrecht, Netherlands

.NET Backend Developer

📍 Location: Utrecht, Netherlands (Hybrid)
💼 Employment Type: Full-time
💵 Salary: €4,354 – €6,218 gross per month + 13th-month bonus
🎯 Level: Mid-Senior | 5+ years’ experience

About the Role

We’re looking for a .NET Backend Developer who’s passionate about creating scalable, high-performance applications. You’ll play a key role in developing and optimizing backend solutions that power advanced real estate technology products. Working within a Business DevOps team, you’ll collaborate closely with designers, developers, and stakeholders to ensure seamless integration and delivery of innovative digital solutions.

This is a chance to shape the digital backbone of an industry-leading product, driving both technical excellence and customer impact.

What You’ll Do

• Design, build, and maintain backend .NET applications.

• Develop and consume APIs for seamless data exchange.

• Optimize performance, scalability, and security across backend systems.

• Work with databases to ensure efficient integration and data management.

• Collaborate with cross-functional teams in a DevOps environment.

• Stay current with cloud innovations and the latest .NET technologies.

• Support the integration of frontend and backend systems for a hybrid valuation product.

What We’re Looking For

Must-Have:

• Bachelor’s degree in Computer Science, IT, or related field.

• 5+ years’ experience in object-oriented programming.

• Strong proficiency in .NET technologies.

• Hands-on experience building cloud-native applications using Docker, Kubernetes, and AWS, Azure, or GCP.

• Strong problem-solving ability and proactive approach.

• Ability to work effectively in an Agile DevOps environment.

Nice-to-Have:

• Cloud certifications (AWS, Azure, GCP).

• Experience with React.

• Familiarity with authentication solutions and scalable system design.

What We Offer

• 💶 Competitive Salary: €4,354 – €6,218 gross per month

• 🎁 Bonus: 13th-month bonus included

• 🌴 Time Off: 37 vacation days per year

• 🏦 Pension Plan: Premium pension scheme (only 4% employee contribution)

• 💻 Tech Essentials: Choose your laptop & phone, or receive €30/month reimbursement

• 🚆 Commuting Support: €0.23/km allowance or fully reimbursed NS Business Card

• 🏡 Hybrid Work: Flexible home-office days + €2.40 daily allowance for remote work

• 📚 Professional Growth: €1,500 annual training budget

• 🩺 Insurance Discounts: Up to 10% off health insurance

Ideal Candidate

You’re a forward-thinking developer who thrives on building high-performance backend systems. You’re not only technically skilled but also adaptable, collaborative, and eager to explore new technologies. Your work ensures secure, scalable, and efficient systems that deliver measurable impact in the real estate industry.

👉 Ready to shape the future of real estate tech? Apply now and bring your .NET expertise to an innovative, collaborative environment.

DevOps Engineer - USA, Multiple locations - $91,000 - $110,000

DevOps Engineer

USA, Multiple locations

$91,000 - $110,000

Job Description

We are seeking an innovative DevOps Engineer to partner with technical and product teams across business units, understand the unique and common aspects of each, and design, facilitate, and build tooling to accelerate organizational velocity. The successful candidate will be responsible for collaborating with tech teams and stakeholders throughout our company to develop DevOps practices and solutions as we transform and advance the design, development, and build of your very favourite casino games.

Roles and Responsibilities:

·        Help build DevOps and CI/CD solutions and be a part of a team of a high-performance DevOps Engineers

·        Liaise with development teams across technology teams to elevate existent best practices and collaborate to build new solutions that address identified opportunities

·        Liaise with the CTO leadership team and work to bring modernization to the DevOps space while following enterprise guidelines

·        Play a critical role in building best practices-based DevOps culture at our company.

·        Build, operate, and advocate DevOps solutions and tooling accelerating our goals for land-based gaming, online real money gaming, and social gaming

Required Skills and Experience:

·        5+ years of experience delivering DevOps functionality both on premise and Cloud

·        Expert knowledge of building CD/CI tooling and pipelines

·        Proficiency with dev, build, and deploy patterns for .NET, Python, Java, PowerShell, NodeJS

·        3+ years of experience with SOA, security by design, and/or data architecture practices

·        3+ years of experience with containerization (Docker, Kubernetes, ECS.)

·        3+ years of experience with IaC tools (Terraform, Cloudformation/CDK, Ansible)

·        3+ years of experience with cloud-based infrastructure (GCP, AWS, Microsoft Azure)

·        3+ years of experience with Source Code Management systems (GitHub/git, SVN, TFS, Azure DevOps)

·        Experience in SDLC processes, architectural patterns, and development frameworks

·        Working knowledge of Software Development Lifecycle and DevOps Methodologies

·        Experience in the use of Application Release Automation tools is highly desired

·        Knowledge of traditional workflow methodologies, including Scrum, Waterfall, or Kanban

·        Comprehensive understanding of application infrastructure, system architecture, and operating systems (Windows and Linux)

·        Self-directed with the ability to work effectively under tight deadlines is highly desired

·        Excellent communication skills

·        Problem-solving and analytics skills

·        Time management skills

·        2+ years experience with Casino Management Systems and Casino Operations is desirable

Our company is a world leader in gaming entertainment. We’re proud to have a team of over 7500 employees, operating in over 90 countries around the world, who push the boundaries of innovation, creativity, and technology each day. We offer a diverse range of products and services including electronic gaming machines, social gaming and casino management systems but remain, and will always be, an ideas company that is committed to our customers, players, and our employees. We offer highly competitive compensation, robust benefits tailored to your needs, and global opportunities for career growth in an organization whose business is built on FUN!!!

US based roles may require registration with the Nevada Gaming Control Board (NGCB) and/or other gaming jurisdictions in which we operate.

Our company is an equal opportunity employer and takes great pride in our diverse employee population. EEO/AA - W/V/D/M

This is a hybrid schedule with 2 to 3 days onsite. The candidate can office in one of our four locations: Austin, TX; Franklin, TN; Las Vegas, NV; Reno, NV

DevOps Manager - USA, Multiple Locations - $100,000 - $150,000

DevOps Manager

USA, Multiple Locations

$100,000 - $150,000

Job Description

We are seeking an innovative DevOps Manager to partner with technical and product teams across business units, understand the unique and common aspects of each, and design, facilitate, and build tooling to accelerate organizational velocity. The successful candidate will be responsible for collaborating with tech teams and stakeholders throughout our company to develop DevOps practices and solutions as we transform and advance the design, development, and build of your very favorite social and casino games. The successful candidate will also manage a small team of engineers and participate in the building of solutions personally while overseeing design and execution.

Roles and Responsibilities:

·        Help build a DevOps and CI/CD team and be part of a high-performance, responsive team of DevOps Engineers.

·        Liaise with development teams across technology teams to elevate existent best practices and collaborate to build new solutions that address identified opportunities.

·        Liaise with the CTO leadership team and work to bring modernization to the DevOps space while following enterprise guidelines

·        Play a critical role in building best practices-based DevOps culture at our company.

·        Build, operate, and advocate DevOps solutions and tooling accelerating our goals for land-based gaming, online real money gaming, and social gaming.

·        Lead, coach, and manage a small team of DevOps engineers while continuing to contribute functionally

·        Write performance reviews and grow the talent of direct reports

Required Skills and Experience:

·        5+ years of experience delivering DevOps functionality both on premise and Cloud

·        Expert knowledge of building CD/CI tooling and pipelines

·        Proficiency with dev, build, and deploy patterns for .NET, Python, Java, PowerShell, NodeJS

·        3+ years of experience with SOA, security by design, and/or data architecture practices

·        3+ years of experience with containerization (Docker, Kubernetes, ECS)

·        3+ years of experience with IaC tools (Terraform, Cloudformation/CDK, Ansible)

·        3+ years of experience with cloud-based infrastructure (GCP, AWS, Microsoft Azure)

·        3+ years of experience with Source Code Management systems (GitHub/git, SVN, TFS, Azure DevOps)

·        Experience in SDLC processes, architectural patterns, and development frameworks

·        Working knowledge of Software Development Lifecycle and DevOps Methodologies

·        Experience in the use of Application Release Automation tools is highly desired

·        Knowledge of traditional workflow methodologies, including Scrum, Waterfall, or Kanban

·        Comprehensive understanding of application infrastructure, system architecture, and operating systems (Windows and Linux)

·        Self-directed with the ability to work effectively under tight deadlines is highly desired

·        Excellent communication skills

·        Problem-solving and analytics skills.

·        Time management skills

·        3+ years in a management role

·        Ability to lead and coach while staying technical and contributing functionally is critical for this role

·        Ability to bridge relationships across management organizations to learn and execute best practices is a must

·        2+ years experience with Casino Management Systems and Casino Operations is desirable

Our company is a world leader in gaming entertainment. We’re proud to have a team of over 7000 employees, operating in over 90 countries around the world, who push the boundaries of innovation, creativity, and technology each day. We offer a diverse range of products and services including electronic gaming machines, social gaming and casino management systems but remain, and will always be, an ideas company that is committed to our customers, players, and our employees. We offer highly competitive compensation, robust benefits tailored to your needs, and global opportunities for career growth in an organization whose business is built on FUN!!!

US based roles may require registration with the Nevada Gaming Control Board (NGCB) and/or other gaming jurisdictions in which we operate.

Our compamy is an equal opportunity employer and takes great pride in our diverse employee population. EEO/AA - W/V/D/M

This is a hybrid schedule with 2 to 3 days onsite.  The candidate can office in one of our four locations: Austin, TX; Franklin, TN; Las Vegas, NV; Reno, NV

Azure Data Engineer - Irving, TX Full-Time, Permanent - $110,000 - $120,000

Azure Data Engineer
Irving, TX
Full-Time, Permanent
$110,000 - $120,000

Required Skills:

• Experience in GCP/Azure, Strong Data modelling, Python, Experience with RDBMS, Big Data processing frameworks and tools (Cloudera, Sqoop, Hive, Impala, Spark), DevOps tools and techniques (e.g. continuous integration, Jenkins, Puppet, etc)

Preferred Skills:                                     

• Experience building/migrating data pipeline from on-prem to Cloud (GCP or any cloud)

• Understanding of cloud technologies

• Unix Scripting

• Tableau and Excel tool expertise

Job description:                                     

• Build data pipelines to ingest data from On-prem to cloud

• Experience with Big Data processing frameworks and tools (Cloudera, Sqoop, Hive, Impala, Spark)

• Experience with DevOps tools and techniques (e.g continuous integration, Jenkins, Puppet, etc)

• Experience software development on a team using Agile methodology

• Build data standardization & transformation logic using framework following Object Oriented Programming concept

• Write Unit Test scripts

• Implement standardized error handling & diagnostic logging

• Schedule and maintain production workflows on-prem as well as cloud

• Troubleshoot and resolve QA and Production defects

• Handle code review and code deployment