About the role

CTO building AI-first systems for Total Life, a behavioral health telehealth platform serving older adults. Leading hands-on engineering, healthcare integrations and product growth.

Responsibilities

Write, review and ship code across the stack
Set the technical vision for the company
Design and scale AI systems for clinical and operational workflows
Build intelligent intake, automated eligibility and agentic back-office operations
Partner with leadership to turn company strategy into a technical roadmap
Make build-vs-buy decisions and determine sequencing and platform bets
Champion simple, warm and accessible patient, clinician and partner experiences
Build features and tools that drive acquisition, activation, retention and session completion
Develop referral loops, partner dashboards, re-engagement flows and in-platform care experiences
Integrate attribution, CRM, messaging, conversion funnels and paid acquisition data
Lead payer and eligibility integrations, including CMS HETS 270/271
Lead interoperability, PointClickCare integrations and revenue cycle data flows
Maintain HIPAA compliance, security, uptime and data integrity
Set engineering culture and quality standards
Manage in-house and contract developers
Hire and lead the engineering team through Series A and beyond

8+ years of software engineering experience
Meaningful experience as a technical leader (CTO, VP Engineering, founding engineer or head of engineering) at a startup or high-growth company
Active hands-on coding and enjoyment of shipping
Deep experience with modern backend systems, cloud infrastructure and API design
Experience with Go is a strong plus
Fluency in modern frontend frameworks
Production experience shipping AI and LLM-powered products
Experience with agentic workflows, voice or conversational AI, and retrieval systems
Strong product and design instincts
Track record of building systems from zero to one and scaling them through rapid growth
Ability to translate business strategy into technical execution
Clear communication with the CEO, clinicians, partners and investors
Ability to thrive with ambiguity, urgency and ownership
Healthcare technology experience, including EHRs, telehealth, HIPAA, HL7/FHIR, payer integrations, eligibility and claims, or revenue cycle systems, is a major plus
Experience with marketing technology and growth infrastructure, such as attribution, CRM platforms, lifecycle messaging and experimentation frameworks, is a plus
Experience building products for older adults, caregivers or accessibility-first audiences is valued
Experience at a startup through a Series A or later raise is valued
Background in behavioral health, Medicare or value-based care is valued