CTO Co-Founder – Healthcare AI & Payments

CTO Co-Founder – Healthcare AI & Payments

Location: New York, NY
Work Type: Full-Time, In-Person
Industry: Healthcare Technology, Artificial Intelligence, Payments, FinTech
Experience: Senior / Founding-Level Technical Leadership
Visa Sponsorship: Not Available
Relocation Assistance: Not Available

Job Summary

We are seeking a hands-on CTO Co-Founder to help build and scale an early-stage, funded Healthcare AI and Payments company in New York City.

This is not an advisory or purely executive CTO position. We are looking for a technical builder who can design architecture, write code, launch an MVP, build AI-enabled workflows, and recruit the early engineering team.

The platform will focus on improving healthcare financial operations using artificial intelligence, workflow automation, secure data infrastructure, claims technology, payment processing, and revenue cycle management solutions.

Key Responsibilities

• Own the technology strategy, architecture, and engineering roadmap
• Build and launch the initial software product from 0 to 1
• Personally contribute to software development and technical architecture
• Select the technology stack and engineering infrastructure
• Build scalable, secure, cloud-based systems
• Develop AI-powered workflow automation and intelligent decisioning
• Build integrations with healthcare, billing, claims, payment, and financial systems
• Support healthcare data ingestion, normalization, and processing
• Design solutions for claims, denials, reimbursement, reconciliation, and payment workflows
• Recruit and lead the initial engineering team
• Work directly with the CEO, customers, investors, advisors, and commercial partners
• Take the product from MVP to a scalable commercial SaaS platform

Required Qualifications

• Proven experience building and launching a software product from concept or MVP to production
• Strong hands-on software engineering and coding background
• Experience designing secure, scalable software architecture
• Experience building AI-powered applications, automation platforms, intelligent workflows, or data-intensive systems
• Experience owning technology strategy and product engineering roadmaps
• Experience hiring, building, or leading engineering teams
• Strong startup mindset with the ability to operate in a fast-moving, ambiguous environment
• Bachelor’s degree in Computer Science, Engineering, or a related technical field
• Strong communication skills with founders, customers, investors, and executive stakeholders

Preferred Experience

Candidates with experience in any of the following areas are strongly encouraged to apply:

• Healthcare technology
• Healthcare payments
• Revenue Cycle Management (RCM)
• Medical claims technology
• Provider-payer workflows
• Payment reconciliation
• Denials management
• Healthcare billing
• FinTech or payment technology
• B2B SaaS
• AI workflow automation
• Enterprise software
• Data infrastructure
• Healthcare interoperability
• Secure cloud platforms
• Transaction-heavy or regulated technology environments

Direct healthcare payments or revenue cycle experience is preferred, but candidates with strong experience in FinTech, payments, AI automation, enterprise SaaS, regulated systems, or transaction-heavy platforms will also be considered.

Ideal Candidate

The ideal candidate may currently or previously have worked as a:

• CTO
• Technical Co-Founder
• Founding Engineer
• Head of Engineering
• VP of Engineering
• Engineering Lead
• Principal Engineer
• Senior Software Architect

We are particularly interested in candidates who have worked in early-stage startups or high-growth technology companies and can demonstrate strong hands-on ownership of product development.

A strong technical or academic background from a highly regarded computer science or engineering program is preferred.

What Success Looks Like

You will help transform a validated healthcare technology thesis into a commercial product by:

• Shipping the first production-ready platform
• Building secure and scalable infrastructure
• Introducing AI and automation into healthcare payment workflows
• Establishing the early engineering organization
• Developing integrations across healthcare financial systems
• Creating the technical foundation for long-term company growth

Work Location

This role is in-person in New York City.

Candidates already located in the New York metro…