Chief Technology Officer (CTO)

About the role

Chief Technology Officer (CTO) United States (Remote) $200,000–$300,000 Position Overview A growing healthcare services organization is seeking a highly technical, hands-on Chief Technology Officer to lead its technology strategy, software development, and AI initiatives. This is a build-and-own leadership role for someone who enjoys solving business problems through technology while remaining actively involved in architecture and development. The ideal candidate has current hands-on full-stack development experience, strong expertise with C#, ASP.NET Core, Azure, SQL Server, and modern JavaScript frameworks, and proven experience implementing AI-driven automation solutions in production environments. Healthcare technology experience is required.

Work setup: Remote

Requirements

• 7+ years of hands-on software development experience
• Experience leading technology strategy while remaining technically involved
• Strong C# / ASP.NET Core development experience
• Experience with React, Next.js, Angular, and/or TypeScript
• Advanced SQL Server and relational database experience
• Microsoft Azure cloud experience
• Experience designing and deploying AI / LLM automation solutions
• Experience modernizing existing applications and software platforms
• Strong API integration experience
• Authorized to work in the United States
• Healthcare or HIPAA experience required
• Azure OpenAI or similar AI platforms preferred
• DevOps / CI/CD experience preferred
• Experience building internal operational platforms preferred
• Experience leading technical teams in growing organizations preferred
• Responsibilities
• Technology Leadership
• Define and execute the company's technology roadmap
• Align technology initiatives with business objectives
• Make architectural and technology platform decisions
• Build and grow the engineering organization
• Software Development
• Own existing internal and client-facing software applications
• Design and build new business applications
• Improve existing codebases and system performance
• Develop integrations with third-party platforms and APIs
• AI & Automation
• Lead implementation of AI-powered business automation
• Identify opportunities to reduce manual processes
• Develop intelligent document processing and workflow automation