Founding CTO (Healthcare)

TL;DR

Founding CTO (Healthcare/AI): Designing and building the technical foundation for a caregiving-first healthcare platform with an accent on AI-driven clinical signals, data infrastructure, and HIPAA compliance. Focus on leveraging LLMs for virtual rounding, building scalable ETL pipelines, and establishing the engineering organization from v0 to scale.

Location: Remote (USA)

Company

An incubation firm building technology-led companies in healthcare, cyber, and national security, currently developing Savoy Life to improve healthcare for seniors and caregivers.

What you will do

• Design, architect, and build the technical foundation, data infrastructure, and intelligence layer for the platform.
• Implement technical strategies for AI-enabled clinical signals, early-risk detection, and proactive care workflows using LLMs.
• Develop healthcare-grade ETL pipelines to ingest data from QHIN and HIEs.
• Establish and maintain HIPAA compliance, secure data storage, and operational reliability.
• Recruit, mentor, and scale the engineering team and establish SDLC practices.

Requirements

• 10+ years of engineering experience building and shipping complex, high-impact products.
• Expertise in backend systems, cloud infrastructure (AWS/Azure/GCP), and distributed architectures.
• Experience with clinical data structures (EHR, FHIR/HL7) and PHI handling.
• Proven experience building production features with LLMs (NLP, conversational AI).
• Deep understanding of secure system design and regulated industry compliance.
• Must be based in the USA.

Nice to have

• Experience building digital health, elder care, or care-enablement tools.
• Familiarity with LOINC/SNOMED codes.
• Experience with voice AI or ambient voice interfaces.
• Mobile development experience with React Native or Flutter.
• Previous experience as a founding engineer or technical co-founder.

Culture & Benefits

• 100% employer-paid comprehensive medical, dental, and vision insurance for employees and families.
• 14 weeks of paid maternity and paternity leave.
• Unlimited PTO.
• Optional 401K, FSA, and equity incentives.
• Mental health benefits and professional development opportunities.