CTO/Co-founder (Digital Health, Ambient AI, SaaS, Mobile)

Alloy Partners

2d • Remote

About The Position

Alloy Partners is a venture builder with a radical thesis: that we can build and scale advantaged companies in partnership with corporations and entrepreneurs.
Alloy Partners and the University of Notre Dame partnered to establish a first-of-its-kind venture studio (the 1842 Studio) and venture fund (the 1842 Fund) that aligns with Notre Dame’s mission of serving as a “Force for Good” in the world. In close partnership with the University and its vast “ND Family” of alumni, corporate, community, and academic leaders, the 1842 Studio aims to co-create startups that address important societal challenges, such as improving health access and outcomes for our most vulnerable populations.
We are seeking a CTO & Co-Founder to own StealthCo’s technical vision, architecture, and execution from MVP through scale. This is a rare opportunity to build a category-defining healthcare AI platform from the ground up, working closely with a world-class clinical partner and shaping the long-term product, data, and AI strategy of the company.
StealthCo is an AI-powered recovery and discharge platform addressing the hospital capacity crisis by helping patients recover faster and care teams work more efficiently. Using ambient listening and AI, StealthCo captures patient - care team conversations and translates them into personalized recovery tasks, goals, and guidance for patients and caregivers, while giving care teams real-time visibility without adding work.
StealthCo is building its MVP in partnership with a top medical academic center, with the goal of validating measurable reductions in length of stay, improved patient experience, and reduced care team burden.
As CTO & Co-Founder, you will be responsible for designing, building, and scaling StealthCo’s technology platform, while serving as a strategic partner to the CEO. You will lead all technical decisions across application architecture, AI/ML systems, integrations, security, and compliance, initially as a hands-on builder, and over time as a technical leader who hires and mentors a world-class team
This role is ideal for a builder who thrives at the intersection of AI/ML, healthcare systems, and real-world product delivery, and who wants true co-founder ownership.

Requirements

• 15+ years of experience building and shipping production software, including early-stage or zero-to-one products. Experience building patient facing applications is preferred.
• Strong full-stack engineering background (frontend + backend).
• Hands-on experience with AI/ML systems in production, including LLMs, NLP, or speech-to-text pipelines.
• Experience designing scalable cloud architectures (AWS, Azure, or GCP).
• Experience building mobile applications (iOS and Android)
• Comfort operating in ambiguous, fast-moving startup environments.
• Deep ownership mindset—you build it, you run it, you fix it.
• Experience in healthcare technology, digital health, or regulated environments.
• Familiarity with HIPAA, PHI handling, and enterprise healthcare security requirements.
• Experience integrating with hospital systems, devices, or clinical workflows, including experience integrating software products with hospital EHRs.
• Prior founder or early-stage startup leadership experience.

Nice To Haves

• Experience building PWAs, real-time audio applications, or conversational AI products.

Responsibilities

• Technical Strategy & Architecture
• Define and own StealthCo’s end-to-end technical architecture, including:
• Patient and care team applications (likely PWA-first)
• Ambient listening and speech-to-text pipelines
• AI/ML systems for task extraction, summarization, and conversational AI
• Data storage, deployment, and retention strategies aligned with health system requirements
• Make pragmatic build vs. buy decisions (e.g., Whisper/Azure, LLMs, NLP tooling, vendors).
• Design for device-agnostic use across smartphones, tablets, and in-room hospital displays.
• Establish a scalable foundation that can evolve from MVP to enterprise deployments across health systems.
• Hands-On MVP Execution
• Personally build and ship large portions of the MVP during the Design Partnership Build phase.
• Implement real-time or near-real-time ambient audio capture, transcription, and summarization.
• Build text-to-text pipelines that convert transcripts into patient recovery tasks and insights.
• Support early integrations with Design Partner’s infrastructure and EHR (e.g., in-room displays, Epic, ambient listening hardware like Hellocare).
• Ensure the MVP can reliably measure product and outcome metrics (e.g., LOS reduction, activation rates).
• AI/ML & Applied Intelligence
• Architect the AI stack, including:
• Speech-to-text ingestion
• Task extraction and goal linkage using LLMs and medical NLP
• Retrieval-augmented generation (RAG) grounded in health-system-approved content
• Design guardrails, prompt strategies, and evaluation frameworks to ensure safe, reliable, patient-facing AI.
• Plan for future AI capabilities such as predictive discharge readiness, readmission risk, and care team AI agents.
• Healthcare Compliance, Privacy & Security
• Own HIPAA-compliant system design across data collection, storage, transmission, and access.
• Implement patient consent flows for ambient listening and AI use.
• Define data de-identification, access controls, audit logging, and retention policies.
• Lay the groundwork for SOC 2 compliance and enterprise security reviews.
• Navigate health system preferences around data sovereignty and cloud deployment.
• Cross-Functional & External Leadership
• Partner closely with the CEO on product strategy, roadmap, and investor discussions.
• Serve as the primary technical counterpart to Design Partner’s IT, innovation, and data stakeholders.
• Translate clinical and operational needs into technical requirements and solutions.
• Communicate technical tradeoffs clearly to non-technical stakeholders.
• Team & Company Building
• Hire and lead StealthCos initial engineering and ML team over time.
• Establish engineering culture, development practices, and quality standards.
• Contribute as a true co-founder to company strategy, fundraising, and long-term vision.

Benefits

• Salary plus equity plan
• Health Benefit Plan
• Remote first position, work from anywhere in the continental United States
• A collaborative, entrepreneurial environment with a proven venture studio playbook
• A highly validated concept and business model hypothesis developed by our team, including verbal pilot commitments
• Pre-seed funding committed by the 1842 Fund
• The support of the venture studio and platform services, we surround the startup with world-class expertise in every discipline required to build a market-leading company

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: No Education Listed
• Number of Employees: 51-100 employees