CTO Co-FounderWe're building a stealth primary care management services organization (MSO) from the ground up, backed by institutional capital. The company centralizes and automates non-clinical operations for primary care practices (including insurance workflows, billing, revenue cycle management, and administrative tooling) so providers can focus on patient care.This is a true 0 to 1 founding role for an engineer who wants real ownership and is comfortable building in ambiguity. Early work is foundational and operational, focused on system architecture and integrating best-in-class EHR and RCM tools rather than building everything from scratch.This is a co-founder role in every sense, with equity, influence, and responsibility from day one.Responsibilities:Own the initial technical strategy and stackSelect and integrate core systems (EHR, RCM, scheduling, internal tooling)Build the glue that makes clinics operational and scalableMake pragmatic build vs buy decisionsSet security, data, and compliance foundationsHire and lead a small, high-caliber engineering teamPartner closely with the CEO and clinical leadership on sequencing and tradeoffsWho This Role Is ForThis role is a strong fit if you are:An engineer first, founder secondSomeone who has already chosen risk (started a company, left comfort, built without permission)Comfortable being hands-on earlyOpinionated, but pragmaticMotivated by ownership and responsibility, not titlesYou don't need deep healthcare experience - but you do need respect for regulated, high-stakes environments and the willingness to learn fast.Must-Haves:Former founders only - we look exclusively for people who have started companies before (short, messy, or early attempts are fine)Structured training - experience in top-tier engineering environments (FAANG or late-stage, high-growth startups)Elite education - undergraduate CS or closely related degree from a top-20 universityBias toward action - hungry, resourceful, relentlessly execution-orientedLocation: New York CityBackground:Strong SWE foundation (backend, infra, systems, integrations)Experience shipping and owning critical systemsComfort with boring, foundational work that compounds over timeAbility to operate closely with non-technical stakeholdersStage + Compensation:Stage: Pre-product, pre-team, capital committedCompensation: Meaningful equity + competitive founding salary