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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Founding CTO/Co-Founder - AI Healthcare Payments Startup - **Company:** Next Step Group, Inc. - **Location:** New York, NY, United States - **Salary:** $141,000.0 - $150,000.0 - **Contract:** Permanent contract - **Skills:** Artificial Intelligence, Data Infrastructure, Interoperability, Software Engineering, Trusted Systems, Enterprise Software Applications, Information Technology - **Published:** June 22, 2026 - **Apply:** https://www.careerjet.com/jobad/us021e6f87d712c3dca50c648f2e693ab4 ## About the Role 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 ## Description 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 + ## Related Videos - [AI in High-Stakes Industries: Lessons Learned](https://www.wearedevelopers.com/videos/100253-ai-in-high-stakes-industries-lessons-learned) - [Security Challenges of Breaking A Monolith](https://www.wearedevelopers.com/videos/362-security-challenges-of-breaking-a-monolith) - [From Bedside Beeps to Interoperable Bytes – Getting your medical devices ready to talk the IEEE 11073 language](https://www.wearedevelopers.com/videos/771-from-bedside-beeps-to-interoperable-bytes-getting-your-medical-devices-ready-to-talk-the-ieee-11073-language) - [Beyond Dashboards: Fixing Text-to-SQL with Semantic RAG](https://www.wearedevelopers.com/videos/2036-beyond-dashboards-fixing-text-to-sql-with-semantic-rag) - [The Day After the Robots Come. 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