Co-Founder & CEO - AI Clinical Documentation Compliance

FutureSight • Chicago, IL

8d

About The Position

FutureSight is seeking a Co-Founder & CEO to lead Concordance, an AI-native clinical documentation compliance venture. This is a co-founder partnership with meaningful founder equity, not a salaried executive role. Concordance AI audits 100% of healthcare charts in real-time, catches payer-specific gaps before they hit billing, and eliminates the manual QA overhead that costs organizations millions in denials and clawbacks every year. Currently, manual QA teams consume 25%+ of operational labour budgets, yet audit only about 10% of patient charts, leaving organizations massively exposed. The market signal is incredibly strong: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted. The real pain comes from post-payment recoupments (clawbacks). Buyers cited chronic, aggressive payer audits happening weekly or monthly, with single audit events causing catastrophic losses ranging from $150,000 to $850,000. Buyers explicitly stated that if the tool integrates cleanly with their EHR and meets a high accuracy bar, securing the budget is not a problem. We are targeting a large, highly fragmented market where revenue cycle teams are increasingly struggling to manage denials at scale. The total addressable market is estimated at $4.0B–$6.0B+, spanning more than 20,000 organizations, including multispecialty groups, behavioural health providers, and health systems. The ROI case is compelling: at current price points, the software can quickly pay for itself by reducing manual auditing labour by an estimated 80–85% while also preventing clawbacks that translate into millions in avoided losses.

Requirements

• Previous founding experience at a venture-backed company.
• Demonstrated success in B2B SaaS or B2B AI go-to-market, including sales and customer engagement.
• Fundraising fluency, with the ability to develop investor narratives and close capital.
• Proven ability to attract, develop, and retain top talent.
• Clear-eyed understanding of the risks and demands of co-founding a venture-backed company.
• Deep, operational exposure to healthcare revenue cycle, medical billing, or denial management.
• Intuitively understand the operational differences between clinical/coding denials and administrative roadblocks.
• Familiarity with the fragmented realities of smaller EHR/PM systems and the "band-aid" tech stacks billers use to survive.

Responsibilities

• Set the venture's direction and lead its execution.
• Refine the ICP, pricing model, and product positioning.
• Lead pilots with compliance and revenue cycle leaders, convert them to paid engagements, and build the go-to-market motion.
• Partner with the FutureSight product and engineering team to ship V1 and iterate on user feedback.
• Lead the seed raise, supported by FutureSight's network and traction.
• Recruit and lead the founding team, and establish the cultural foundation of the company.

Benefits

• Founder equity with meaningful ownership from inception.
• Pre-seed capital committed by FutureSight for early hires and MVP development, with potential for follow-on funding.
• Venture building resources, including embedded design, engineering, growth, and fundraising support from day one.
• Investor and advisor network across vertical AI and early-stage capital markets.
• A true co-creation model in which you operate as CEO with FutureSight's cross-functional team as your partner.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: No Education Listed