Chief Technology Officer

Chief Technology Officer (CTO)

AI-Native Healthcare Platform \| Remote / Flexible \| Full-Time

About the Role

We are building an AI-native healthcare software platform. The environment is HIPAA-regulated and handles PHI at scale. We 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're Looking For

Required

• 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; you're 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 Us

• 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. Our team is international, and non-U.S. candidates are welcome to apply.

This search is being managed by EliteConnect on behalf of a growing healthcare company. To apply, please submit your resume and a brief note on a production AI system you've architected or led.