Next Step Systems

Healthcare

ChiefTechnologyOfficer(CTO)

$250–450k ~AI est. New York, New York, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for mid candidates.

The Brief

“Chief Technology Officer (CTO) at Next Step Systems. Skills: AI, Product development, Team leadership. Own technology vision. Own architecture”

What You'll Achieve.

Move quickly from MVP to scalable product

Industry & Context.

Healthcare
Problems you'll solve

Root cause analysis

What They're Looking For.

Must Have

Coding background, Experience designing scalable systems, Experience designing secure systems, Experience building AI-powered products, Experience building automation platforms, Experience building intelligent workflow systems, Experience hiring engineering teams, Experience building engineering teams, Experience leading engineering teams, Experience owning technology roadmap, Former founder experience, Early technical leadership experience, Structured technical training, Ability to personally build, Comfort working with customers, Comfort working with commercial leaders, Comfort working with investors, Comfort working with advisors

Nice to Have

Graduate of top 10 schools, Experience in top-tier engineering environments, Experience in high-growth startups, Experience in complex technical organizations, Palantir experience in Health Tech, Healthcare payments experience preferred

What You'll Do.

Own technology vision

Own engineering roadmap

Build initial product

Launch initial product

Evaluate technical stack

Select technical stack

Design secure systems

Design scalable systems

Build AI-enabled workflow automation

Recruit engineering team

Lead engineering team

Turn thesis into product

Turn thesis into company

How You'll Work.

Team & Collaboration

Work with CEO; Work with investors; Work with advisors; Work with customers

Communication Scope

Investor communications

Process & Methodology

Roadmap planning

Full Job Description

Chief Technology Officer (CTO), Onsite in New York, NY Our client is looking for an exceptional hand-on CTO to lead technology, product architecture, and engineering execution for a new AI healthcare payments company. This is a funded, early-stage venture built around a high-conviction thesis at the intersection of healthcare, payments, revenue cycle, and AI. The company is focused on improving complex financial workflows across the healthcare ecosystem, including provider-payer payment processes, claims workflows, revenue cycle operations, payment reconciliation, denials, and administrative automation. We are looking for a hands-on technical leader who can build the product, architect the platform, recruit the early engineering team, and move quickly from Minimum Viable Product (MVP) to scalable commercial product. The company is developing an AI-enabled healthcare payments application designed to improve how healthcare organizations manage payment, claims, and revenue-cycle workflows. The platform will use AI, workflow automation, data integrations, and secure infrastructure to reduce manual work, improve accuracy, accelerate payment processes, and create better visibility across healthcare financial operations. This position is 100% Onsite in New York, NY. Chief Technology Officer (CTO) Responsibilities: - Own the technology vision, architecture, and engineering roadmap. - Build and launch the initial product. - Evaluate and select the technical stack. - Design secure, scalable systems for healthcare payment workflows. - Build AI-enabled workflow automation into the product from the beginning. - Lead integrations with healthcare, claims, payment, billing, and data systems. - Recruit and lead the early engineering team. - Work directly with the CEO, investors, advisors, and early customers. - Turn a validated thesis into a scalable commercial product and company. ## Qualifications Chief Technology Officer (CTO) Qualifications: - Experience building products from c

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