CTO Wanted for AI-Native EHR Startup

Join as Co-Founder and CTO of a healthcare AI platform with massive market potential ($170B+ TAM across clinical operations, education, and research). You'll own the technical vision and execution of technology that addresses the #1 complaint in healthcare: EHR inefficiency and provider burnout. This isn't just another healthtech startup-it's a platform with innovations that competitors will struggle to replicate. What You'll Do Technical Leadership: Partner with the founder on the technical roadmap and architecture decisions Scale the platform from MVP to multi-tenant enterprise solution Build and lead the engineering team as we grow Establish engineering culture, processes, and best practices Make critical technology stack and infrastructure decisions Product Development: Refine and optimize existing codebase (Python/FastAPI backend, React/TypeScript frontend) Lead development of advanced AI features (proactive monitoring, AI-to-action workflows) Implement production-grade security, compliance (HIPAA), and performance optimization Architect scalable microservices and data infrastructure Oversee integration of clinical AI systems with vector databases Strategic Execution: Partner with founder (clinical domain expert) on product strategy Translate clinical workflows into elegant technical solutions Guide technical due diligence for fundraising Present technical vision to investors, partners, and customers Advise on technical aspects of IP strategy and competitive positioning What We're Looking For Required: 7+ years software engineering experience with 3+ years in leadership roles Deep expertise in Python, SQLAlchemy, Pydantic, FastAPI (or similar), React/TypeScript Experience with AI/ML systems, particularly LLMs and vector databases Track record of building and scaling production systems Strong architectural thinking and system design capabilities Startup experience or demonstrated ability to move fast and execute Passion for healthcare and solving real-world clinical problems Highly Desired: Healthcare technology experience (EHR, clinical systems, HIPAA compliance) Experience with Azure cloud infrastructure and Kubernetes Background in AI/ML applications in healthcare Previous co-founder or founding team experience Understanding of clinical workflows and medical terminology Track record of successful exits or significant value creation Essential Qualities: Builder Mentality: You love getting your hands dirty and shipping code Ownership: You take full responsibility for technical outcomes Clinical Curiosity: You want to deeply understand healthcare workflows Startup Grit: You thrive in ambiguity and rapid iteration Communication: You can translate complex technical concepts for non-technical stakeholders What We Offer Equity & Compensation: Significant co-founder equity stake (negotiable based on experience and commitment) Competitive salary once seed funding closes (currently pre-seed stage) Opportunity to own and shape the technical direction of a revolutionary platform Impact: Address provider burnout affecting millions of clinicians Transform clinical decision-making with evidence-based AI Build technology that directly improves patient outcomes Create the future of healthcare delivery Team & Culture: Work directly with clinical domain expert founder who understands the problem intimately Shape company culture and values from day one Freedom to make architectural and technical decisions Collaborative partnership with complementary skill sets Stage & Timing: Platform foundation already built and validated Preparing for seed fundraising with initial traction Perfect timing to join: past founding risk, before scaling phase Opportunity to establish technical foundation before rapid growth Why This Role is Unique Unlike typical CTO roles, you're joining: Validated Technology: Enterprise-grade platform already built, not starting from scratch Clear Market Need: Founder has lived the problem for 10 years in oncology Revolutionary IP: ICM, ZenTrace, and dual context architecture create true moat Clinical Partnership: Founder provides domain expertise you won't find elsewhere Timing: Early enough for significant equity, late enough to de-risk technology Location & Commitment Remote-friendly with preference for Portland, OR area Full-time commitment required Some travel for fundraising, partnerships, and team building Next Steps If you're excited about revolutionizing healthcare technology and want to be part of something transformative from the ground up, we'd love to hear from you.

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