Founding CTO/Co-Founder - AI Healthcare Payments Startup

Our client is seeking a hands-on CTO/Co-Founder to own the technology vision, platform architecture, and end-to-end engineering execution for a new AI-driven healthcare payments platform. This is a true builder role for someone early in their career who wants to take a product from concept to commercial scale. You will work directly with the CEO, early customers, and investors to turn a validated thesis into a production-grade platform and a scalable company. This is not an advisory or oversight CTO role, it requires someone who can write code, design systems, ship products, and recruit the early engineering team., * Recruit, hire, and lead the early engineering team.

• Implement AI-enabled workflow automation and decisioning.
• Own the technical vision, architecture, and engineering roadmap.
• Design secure, reliable systems for healthcare financial workflows.
• Build and launch the initial MVP, then evolve it into a scalable platform.
• Establish engineering best practices, infrastructure, and technical culture.
• Collaborate directly with customers, advisors, and commercial leaders.

• Lead integrations with claims, billing, payment, and healthcare data systems., CTO Co-Founder Healthcare Payments AI Startup New York, NY

  In-Person Our client is looking for an exceptional CTO (This is not an advisory CTO role, but hands-on) to lead tec…

• 5 days ago, Chief Technology Officer (CTO), Onsite in New York, NY Our client is looking for an exceptional hand-on CTO to lead technology, product architecture, and engineering execution fo…
• 8 days ago +

This role is designed for someone early in their career, typically a recent graduate up to ~10 years out of school who has strong technical depth, founder-level urgency, and a desire to build a company from the ground up. Onsite | No Visa Sponsorship | No Relocation Assistance, * Strong technical depth with founder-level urgency.

• Ability to operate with ambiguity and move quickly.
• Strong product instincts and customer orientation.
• Interest in healthcare, payments, or financial operations.
• Experience in early-stage or high-growth environments.
• Bachelor’s degree in Computer Science, Engineering, or related field preferred.
• 01 Product Development - built and launched a software product from concept/MVP into production.
• AI & Workflow Automation - experience building AI-powered products, workflow automation, or intelligent decisioning systems.
• Hands-On Software Engineering & Architecture - strong coding background with experience designing scalable, secure systems.
• Engineering Leadership - experience hiring, managing, or developing engineers while owning the technology roadmap.
• Domain Knowledge - understanding of claims, payments, reimbursement workflows, or other transaction-heavy, regulated environments.

Preferred Backgrounds:

• Payments/FinTech
• AI Workflow Automation
• Healthcare Technology
• Claims or Billing Platforms
• B2B SaaS or Enterprise Software
• Revenue Cycle Management (RCM)
• Regulated, transaction-heavy systems
• Data Infrastructure or Interoperability Platforms

Compensation: $141,000-$150,000 + 15-20% equity Please Note: Local candidates within a practical commuting distance (up to 90 minutes) will only be considered What You’ll Build: The platform will focus on improving end-to-end healthcare financial operations through:

• AI-driven workflow automation
• Claims and payment lifecycle optimization
• Revenue-cycle and reimbursement workflows
• Denials, reconciliation, and exception handling
• Secure data ingestion, normalization, and interoperability
• Integrations with billing, claims, payment, and healthcare data systems