Chief Technology Officer (CTO), Onsite in New York, NY
About The Position
Our client is looking for an exceptional hand-on CTO 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. 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 Minimum Viable Product (MVP) to scalable commercial product. 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.
Requirements
- Experience building products from concept to production.
- Strong coding background with experience designing scalable, secure systems.
- Experience building AI-powered products, automation platforms, or intelligent workflow systems.
- Understanding of claims, payments, reimbursement workflows, financial operations, or other transaction-heavy regulated environments.
- Experience hiring, building, and leading engineering teams while owning the technology roadmap.
- Former founder or early technical leadership experience.
- Structured technical training in computer science, engineering, or a related field.
- Graduate of top 10 schools (e.g., 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.
- 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.
Responsibilities
- 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.
Benefits
- medical insurance
- retirement plan
- PTO
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What This Job Offers
Job Type
Full-time
Career Level
Senior
