Transaction Processing Systems

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 Software Engineer – Java, AWS & Payments Systems | San Jose (Hybrid)

Senior Software Engineer – Payments (Java / AWS)

📍 Location: San Jose, California
🏢 Work Model: Hybrid (3 days onsite – Mon, Tue, Thu | 2 days remote)
💼 Employment Type: Contract
⏳ Duration: 6+ months (likely extension)
🎓 Education: Bachelor’s Degree required (Computer Science or related)
📈 Experience Level: Mid-Senior
🕒 Experience Required: 5+ years
🌎 Visa Sponsorship: Not available

🚀 Role Overview

We’re hiring a Senior Backend Engineer to build and scale high-performance payment systems in a fast-growing fintech environment.

This role is focused on Java-based microservices and AWS cloud architecture, supporting secure, scalable, and low-latency transaction systems.

You’ll work on mission-critical payment infrastructure, collaborating with product and engineering teams to deliver next-generation capabilities.

✅ MUST HAVE (Core Requirements)

Backend Engineering

  • 5+ years experience designing, developing, and operating:

    • Distributed systems

    • Microservices architectures

  • Strong hands-on expertise in:

    • Java (Spring Boot preferred)

Cloud (AWS)

  • Proven experience building and supporting applications on:

    • AWS (EC2, RDS, Lambda, API Gateway)

  • Ability to design scalable, reliable, cloud-native systems

⭐ NICE TO HAVE

  • Experience in payments or fintech environments

  • Knowledge of:

    • PCI compliance, encryption, and secure payment systems

  • Familiarity with:

    • AI coding tools (e.g., GitHub Copilot or similar)

  • Master’s degree in Computer Science or related field

🛠️ Key Responsibilities

Backend & System Design

  • Design and build scalable microservices and APIs

  • Develop low-latency, high-availability systems

  • Ensure systems are secure, resilient, and production-ready

Cloud & Infrastructure

  • Build and maintain services on AWS

  • Support CI/CD pipelines and automated deployments

  • Optimize for performance, cost, and scalability

Reliability & Operations

  • Implement monitoring, logging, and alerting

  • Troubleshoot and resolve production issues quickly

  • Ensure high system uptime and performance

Collaboration & Ownership

  • Work closely with:

    • Product managers

    • Engineers

    • Stakeholders

  • Participate in:

    • Code reviews

    • Design discussions

    • Technical decision-making

  • Take ownership of critical backend systems

⚡ Interview Process

  • 2 stages only (fast turnaround):

    1. Technical interview (includes light live coding)

    2. Hiring manager conversation

📌 Submission Requirements (MANDATORY)

Please include a short 3–5 bullet summary covering:

  • Java + AWS experience

  • Key project highlights (especially backend / distributed systems)

  • Availability & interest level

  • Confirmation of hybrid (San Jose) alignment

🎯 Ideal Candidate

  • Strong backend engineer first (not full-stack leaning frontend)

  • Hands-on builder of distributed, cloud-native systems

  • Experience working in high-scale or transaction-heavy environments

  • Comfortable owning systems end-to-end in production

 

Your new job awaits.

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