Founding CTO / Founding Engineer

New York, NY | On-Site

We are seeking a highly technical Founding CTO to help build an AI-powered healthcare payments company from the ground up.

This is an opportunity for an exceptional engineer, architect, or technical founder who wants to own technology strategy, product development, and engineering execution from day one.

The ideal candidate is not a career executive. We are looking for a builder with strong technical fundamentals, startup experience, and the ability to move quickly from concept to product.

You may currently be a Founding Engineer, Staff Engineer, Principal Engineer, Head of Engineering, VP Engineering, or CTO at an early-stage company.

Must Have

• Built and launched a software product from concept or MVP to production
• Strong software engineering and system architecture experience
• Experience building AI-powered products, workflow automation systems, or intelligent platforms
• Experience operating in startup or high-growth environments
• Ability to code, architect, and lead simultaneously
• Experience hiring and mentoring engineers while owning technical direction
• Bachelor’s, Master’s, or PhD from a top-tier university

Preferred

• Healthcare technology experience
• Revenue cycle management, claims, payments, or healthcare financial operations experience
• FinTech or transaction-processing platform experience
• Experience working with investors, founders, and executive stakeholders
• Prior startup founder or founding engineer experience

Compensation

• Competitive
• 15-20% equity ownership
• Day-one committed capital
• Direct access to experienced operators, advisors, and investors
• Opportunity to build a category-defining healthcare AI company