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.

What We’re Building
The company is developing an AI-enabled healthcare payments application designed to improve how healthcare organizations manage payment, claims, and revenue-cycle workflows. The platform will use AI, workflow automation, data integrations, and secure infrastructure to reduce manual work, improve accuracy, accelerate payment processes, and create better visibility across healthcare financial operations.

Areas of focus may include:

• Claims and payment workflow automation
• Provider-payer financial operations
• Revenue cycle and reimbursement workflows
• Denials, reconciliation, and payment exceptions
• Healthcare data ingestion and normalization
• Secure integrations with healthcare, billing, claims, and payment systems
• AI-assisted decisioning, workflow routing, and operational intelligence

We are looking for a CTO Co-Founder who combines strong technical depth with founder-level urgency.

The Ideal candidates will have:

• 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

Healthcare payments experience is strongly preferred, but not required if the candidate has strong technical leadership experience in a regulated, data-heavy, workflow-heavy, or transaction-oriented environment.

• 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

Salary Range: $140,000 - $150,000
Benefit package as per company policy