CTO/Co-founder (Healthcare Payment Systems)

Healthcare Payments AI Startup
New York, NY | On-site

Our client is looking for an exceptional CTO (This is not an advisory CTO role, but hands-on, we need a hands-on technical leader who can build the product,) to lead technology, product architecture, and engineering execution for a new AI healthcare payments company. This is a funded, early-stage venture built around a high-conviction thesis at the intersection of healthcare, payments, revenue cycle, and AI. The company is focused on improving complex financial workflows across the healthcare ecosystem, including provider-payer payment processes, claims workflows, revenue cycle operations, payment reconciliation, denials, and administrative automation.

This is not an advisory CTO role. We are looking for a hands-on technical leader who can build the product, architect the platform, recruit the early engineering team, and move quickly from MVP to scalable commercial product.

• Experience building products from zero to one
• Former founder or early technical leadership experience (Not Required)
• Structured technical training in computer science, engineering, or a related field
• Graduate of top 10 School (examples given Penn, Columbia, UChicago, etc.)
• Experience in top-tier engineering environments, high-growth startups, or complex technical organizations (think 1-2 years with Palantir in a Health Tech role)
• Ability to personally build while also recruiting and leading an engineering team
• Strong product instincts and comfort working with customers, commercial leaders, investors, and advisors
• Interest or experience in healthcare, payments, fintech, revenue cycle, or healthcare infrastructure
• A strong bias toward action and comfort operating with ambiguity

• Own the technology vision, architecture, and engineering roadmap
• Build and launch the initial product
• Evaluate and select the technical stack
• Design secure, scalable systems for healthcare payment workflows
• Build AI-enabled workflow automation into the product from the beginning
• Lead integrations with healthcare, claims, payment, billing, and data systems
• Recruit and lead the early engineering team
• Work directly with the CEO, investors, advisors, and early customers
• Turn a validated thesis into a scalable commercial product and company