CTO

Upcoresolutions; New York (NY); On-site; USD 150,000 - 250,000; Full time

Job summary

Upcoresolutions is seeking an exceptional CTO (not advisory) to lead technology, product architecture, and engineering for a new AI healthcare payments company. This hands-on position involves building the product, architecting the platform, and recruiting an engineering team.

Ideal candidates will have experience in healthcare tech, product development from zero to one, and a strong bias toward action. The role offers an opportunity to shape a scalable commercial product and work closely with the CEO and early stakeholders.

Qualifications

• Experience building products from zero to one.
• Ability to personally build while also recruiting and leading an engineering team.
• Interest or experience in healthcare, payments, fintech, or revenue cycle.

Responsibilities

• Own the technology vision, architecture, and engineering roadmap.
• Build and launch the initial product.
• Recruit and lead the early engineering team.

Skills

Hands-on technical leadership

Product development from scratch

Experience in healthcare technology

Strong product instincts

Education

Structured technical training in computer science or engineering

Job description

Our client is looking for an exceptional CTO (This is not an advisory CTO role, but hands‑on) to lead technology, product architecture, and engineering execution for a new AI healthcare payments company.

This is not an advisory CTO role. 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 MVP to scalable commercial product.

What We’re Building

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.

Areas of Focus May Include

• Claims and payment workflow automation
• Provider‑payer financial operations
• Revenue cycle and reimbursement workflows
• Denials, reconciliation, and payment exceptions
• Healthcare data ingestion and normalization
• Secure integrations with healthcare, billing, claims, and payment systems
• AI‑assisted decisioning, workflow routing, and operational intelligence

What We’re Looking For

We are looking for a CTO Co‑Founder who combines strong technical depth with founder‑level urgency.

Ideal Candidates Will Have

• Experience building products from zero to one
• Former founder or early technical leadership experience (Not Required)
• Structured technical training in computer science, engineering, or a related field
• Experience in top‑tier engineering environments, high‑growth startups, or complex technical organizations (think 1‑2 years with Palantir in a Health Tech role)
• Ability to personally build while also recruiting and leading an engineering team
• Strong product instincts and comfort working with customers, commercial leaders, investors, and advisors
• Interest or experience in healthcare, payments, fintech, revenue cycle, or healthcare infrastructure
• A strong bias toward action and comfort operating with ambiguity

Relevant Backgrounds

• Healthcare technology
• Revenue cycle management
• Claims technology
• Payments / fintech
• AI workflow automation
• B2B SaaS
• Enterprise software
• Data infrastructure
• Healthcare interoperability
• Provider, payer, billing, or financial operations platforms

What You’ll Do

• 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.