Remote Fractional CTO — Architecture & Platform Builder

elevAID; San Francisco, Las Vegas, St. Louis (CA, NV, MO); Hybrid; USD 50,000 - 120,000; Part time

Job summary

Go Fractional seeks a Chief Technology Officer to own the architecture and lead engineering for a TEFCA-aligned healthcare interoperability platform. This is a part-time role with a clear path to full-time, remote across the United States.

You will drive the technical strategy, build scalable FHIR-based integrations, and guide the team as we move from MVP to a production-ready product focused on physicians and payers.

Qualifications

• Strong technical depth and architectural ownership in healthcare data environments.
• Experience building or scaling integrations across EHRs, payers, and health systems.
• Comfort as the sole technical voice early on and ability to grow a team.
• Demonstrated ability to design and implement scalable data pipelines and security controls.

Responsibilities

• Own the platform's technical architecture end to end.
• Design and scale FHIR-based integrations with providers and health systems.
• Lead TEFCA-compliant data pipelines and data normalization/matching.
• End-to-end ownership as MVP evolves into product layer; set tech stack directions.

Skills

Technical leadership

FHIR/HL7 knowledge

Healthcare data

Systems integration

Data pipelines

Cloud/infra decisions

Job description

Go Fractional seeks a Chief Technology Officer to own the architecture and lead engineering for a TEFCA-aligned healthcare interoperability platform. This is a part-time role with a clear path to full-time, remote across the United States.

You will drive the technical strategy, build scalable FHIR-based integrations, and guide the team as we move from MVP to a production-ready product focused on physicians and payers.