Chief Technology Officer (CTO)
AI-Native Healthcare Platform | Remote / Flexible | Full-Time
$150,000 -$200,000 +
Our Client is building an AI-native healthcare software platform. The environment is HIPAA-regulated and handles PHI at scale. They are seeking a visionary Chief Technology Officer to own the technical strategy and lead a team of AI software engineers building and shipping production features across this platform.The CTO will be the technical co-pilot of the company, translating business goals into reliable, scalable software across our native EMR, CRM, clinical documentation pipelines, billing integrations, and ML-powered workflow automation.
What You'll Own:
Technical Strategy & Architecture:
• Define and drive the overall architecture of our AI orchestration layer, integrating frontier
model providers (Anthropic, OpenAI, Google) behind a unified abstraction.
• Set technical standards, establish engineering best practices, and ensure the system is
built for long-term scale and maintainability.
• Lead architectural decisions for clinical data modeling, FHIR/HL7 integration boundaries,
and data pipeline design.
• Evaluate and own the cloud infrastructure strategy (Azure preferred; AWS or GCP
considered).
Team Leadership:
• Recruit, manage, and grow a team of AI/ML engineers, full-stack engineers, and data
engineers.
• Translate complex product and business requirements into clear engineering goals,
milestones, and delivery plans.
• Foster a culture of ownership, quality, and continuous improvement; where engineers
ship reliably with high autonomy.
• Conduct code reviews, technical mentorship, and hands-on collaboration when needed.
Product & Platform Delivery:
• Oversee the build-out of production features including LLM- and ML-powered workflows,
clinical documentation, audio transcription pipelines, and task automation.
• Drive integrations with external clinical, billing, payroll, and clearinghouse systems.
• Own parallel-run and shadow-mode validation against legacy systems being replaced.
• Ensure all services are deployed, monitored, optimized, and maintained to production
standards.
Compliance & Security:
• Ensure all systems are built to HIPAA standards with PHI handled responsibly;
auditability, access control, and security from day one.
• Partner with legal and compliance stakeholders to maintain and evolve the security
posture of the platform.
What We are looking For:
• 5+ years of software engineering experience, with at least 3 years in a senior technical
leadership or CTO-equivalent role.
• Deep, hands-on experience building and integrating LLM APIs (Anthropic, OpenAI, or
similar) into production systems; not just prototypes.
• Strong Python engineering background; working proficiency in JavaScript/TypeScript for
full-stack or frontend contexts.
• Proven track record building and managing high-performing engineering teams.
• Experience building data pipelines and complex third-party API integrations.
• Cloud infrastructure experience (Azure strongly preferred; AWS or GCP acceptable).
• Demonstrated experience shipping software in regulated environments.
Strongly Preferred:
• HIPAA/PHI compliance experience in a production healthcare context.
• Healthcare interoperability exposure: FHIR and/or HL7 integration patterns.
• Experience in behavioral health, clinical systems, EMR/EHR platforms, or adjacent
healthcare verticals.
• Familiarity with audio transcription pipelines, clinical NLP, or similar applied ML
workflows.
Who You Are:
• A builder at heart : not just a manager, you can roll up your sleeves and contribute
directly when it matters.
• Decisive under uncertainty; you can make sound architecture decisions with incomplete
information and course-correct quickly.
• Mission-driven; you care about the impact of healthcare technology and the
responsibility that comes with handling sensitive patient data.
• Operationally excellent; you ship reliably, care about production quality, and hold the
team to a high bar.
Why Join The team:
• Meaningful domain: healthcare is underserved by technology; your work will directly
affect patient outcomes.
• True ownership: this is a foundational leadership role with significant influence over
product, culture, and company direction.
• Competitive compensation including equity commensurate with the scope and seniority
of the role.
• Remote-first, flexible work environment.
Benafits:
PTO
Health insurance