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 Product Owner – Pharmacy Automation Software (Hybrid Durham, NC)

Senior Product Owner – Pharmacy Automation

📍 Location: Durham, North Carolina, USA
🏢 Work Model: Onsite 4 days per week / 1 day remote
💼 Employment Type: Full-Time
💰 Salary Range: $110,000 – $125,000
✈️ Travel: Up to 20% (domestic & international)

About the Opportunity

This is a high-impact Senior Product Owner role within a fast-growing Pharmacy Automation R&D organization at the forefront of healthcare technology. You’ll play a critical role in shaping software products that directly address some of the industry’s biggest challenges—clinician shortages, operational efficiency, and patient safety.

You’ll act as a subject-matter expert and strategic driver, translating customer and business needs into scalable, high-quality software solutions that deliver real-world value.

Your Mission

As a Senior Product Owner, your top priorities will be to:

1. Champion product strategy through the elicitation, refinement, and ownership of software product requirements

2. Partner with Software Delivery Leads to translate requirements into features and user stories

3. Deliver customer-delighting solutions that drive measurable business outcomes

Key Responsibilities

• Own and manage the software product backlog, including features, user stories, and defects

• Prioritize scope in collaboration with cross-functional teams while balancing risk, schedule, and resources

• Partner closely with Product Managers, Engineering, QA, and Delivery Leads to ensure value-driven execution

• Lead requirements engineering across the full SDLC (functional & non-functional)

• Support Agile ceremonies including sprint planning, estimations, reviews, and incremental delivery

• Drive product quality through continuous collaboration with engineering and QA teams

• Lead system design reviews and contribute to architectural discussions

• Ensure testability of requirements and support verification, validation, and UAT planning & execution

• Support beta launches, success criteria definition, and outcome documentation

• Act as an escalation point for production issues and provide third-line support

• Execute work within formal design controls, PLM, configuration management, and phase review processes

• Contribute to intellectual property generation and share domain expertise across teams

• Stay current with Agile best practices, industry trends, and competitive landscapes

Skills & Experience

• Strong expertise in Agile / Lean software development environments

• Hands-on experience with product and delivery tools such as Aha!, Jira, Azure DevOps

• Excellent communication, facilitation, and stakeholder leadership skills

• Strong analytical thinking and problem-solving capability

• High attention to detail with the ability to operate independently in complex environments

• Domain experience in Pharmacy, Healthcare, or Medical Technology

Qualifications

• Bachelor’s Degree or Pharmacy Technician Certification (CPhT) required

• 5+ years of relevant product ownership or related experience

Ideal Candidate Profile

• Local to the Durham, NC area

• Comfortable working on-site 4 days per week

• Strong background in healthcare or pharmacy-related software products

• Confident working cross-functionally in a regulated, fast-paced environment

Why Join

• Work on mission-critical healthcare technology with real patient impact

• Collaborate with high-performing global R&D teams

• Clear ownership, visibility, and influence over product outcomes

• Strong culture of accountability, learning, and continuous improvement

• Competitive salary, full benefits, and long-term career growth