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.

Senior Data Engineer - London - Full Time Perm Hybrid - Base Salary - GBP £70,000 to £90,000

Senior Data Engineer

London

FullTime Perm Hybrid

Base Salary - GBP £70,000 to £90,000

BOUNTY DESCRIPTION

Skimlinks, a Connexity and Taboola company, drives e-commerce success for 50% of the Internet’s largest online retailers. We deliver $2B in annual sales by connecting retailers to shoppers on the most desirable retail content channels. As a pioneer in online advertising and campaign technology, Connexity is constantly iterating on products, solving problems for retailers, and building interest in new solutions.

We have recently been acquired by Taboola to make the first Open-Web Source for Publishers connecting editorial content to product recommendations, where readers can easily buy products related to stories they are reading.

Skimlinks, a Taboola company, is a global e-commerce monetization platform, with offices in LA, London, Germany, and NYC. We work with over 60,000 premium publishers and 50,000 retailers around the world helping content producers get paid commissions for the products and brands they write about.

About the role

We are looking for a Senior Data Engineer to join our team in London. We are creating a fundamentally new approach to digital marketing, combining big data with large-scale machine learning. Our data sets are on a truly massive scale - we collect data on over a billion users per month and analyse the content of hundreds of millions of documents a day.

As a member of our Data Platform team your responsibilities will include:

• Design, build, test and maintain high-volume Python data pipelines.

• Analyse complex datasets in SQL.

• Communicate effectively with Product Managers and Commercial teams to translate complex business requirements into scalable solutions.

• Perform software development best practices.

• Work independently in an agile environment.

• Share your knowledge across the business and mentor colleagues in areas of deep technical expertise.

Requirements:

Here at Skimlinks we value dedication, enthusiasm, and a love of innovation. We are disrupting the online monetization industry, and welcome candidates who want to be a part of this ambitious journey. But it is not just hard work, we definitely appreciate a bit of quirkiness and fun along the way.

·        An advanced degree (Bachelor/Masters) in computer science or a related field.

• Solid programming skills in both Python and SQL.

• Proven work experience in Google Cloud Platform or other clouds, developing batch (Apache Airflow) and streaming (Dataflow) scalable data pipelines.

• Passion for processing large datasets at scale (BigQuery, Apache Druid, Elasticsearch)

• Familiarity with Terraform, DBT & Looker is a plus.

• Initiatives around performance optimisation and cost reduction.

• A commercial mindset, you are passionate about creating outstanding products.

Voted “Best Places to Work,” our culture is driven by self-starters, team players, and visionaries. Headquartered in Los Angeles, California, the company operates sites and business services in the US, UK, and EU. We offer top benefits including Annual Leave Entitlement, paid holidays, competitive comp, team events and more!

• Healthcare insurance & cash plans

• Pension

• Parental Leave Policies

• Learning & Development Program (educational tool)

• Flexible work schedules

• Wellness Resources

• Equity

We are committed to providing a culture at Connexity that supports the diversity, equity and inclusion of our most valuable asset, our people. We encourage individuality, and are driven to represent a workplace that celebrates our differences, and provides opportunities equally across gender, race, religion, sexual orientation, and all other demographics. Our actions across Education, Recruitment, Retention, and Volunteering reflect our core company values and remind us that we’re all in this together to drive positive change in our industry.

SKILLS AND CERTIFICATIONS [note: bold skills and certification are required]

·        Airflow

·        Python

·        SQL

·        GCP

·        BigQuery

·        Data pipelines

To Apply Please Complete the Form Below