Chief Technology Officer - CTO

The Hardenbergh Group, Inc

$150K — $200K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years in technology leadership, including 4+ as CTO or equivalent in healthcare IT or SaaS.
  • Proven success in consolidating multi-product platforms, enhancing architecture and operational efficiency.
  • Hands-on experience with AI/ML deployment, emphasizing responsible governance in healthcare.
  • Demonstrated ability to ship commercially successful products and analytics that drive business outcomes.
  • Familiarity with healthcare data standards, regulatory compliance, and relevant technical stacks.

Responsibilities

  • Develop and execute technology strategy and product roadmap across the organization.
  • Build and lead a high-performing engineering and AI team, instilling best practices.
  • Establish robust engineering standards for cloud architecture and data governance.
  • Evaluate and make decisions on build-vs-buy-vs-partner strategies for technology.
  • Serve as a technical advisor for M&A integration and long-term platform strategy planning.
  • Ensure compliance with data security and privacy frameworks in the healthcare sector.
  • Represent technology strategy to clients and industry representatives.

Benefits

  • Comprehensive benefits package including generous PTO.
  • Medical, Dental, and Vision coverage.
  • Disability and Life insurance provisions.
  • Health Savings Account (HSA) and Flexible Spending Account (FSA) options.
  • 401(k) plan with 4% employer match.
Full Job Description
Chief Technology Officer (CTO)

Reports to: President
Location: Remote, U.S.*
Type: Full-Time, Exempt
Compensation: Commensurate with experience
Benefits: Comprehensive benefits package including generous PTO, Medical, Dental, Vision, Disability, Life, HSA/FSA accounts, and 401(k) with 4% employer match.

About the Role

Through a combination of internal development and acquisitions, Sentact has grown to offer a broad, high-value product portfolio - much of it designed to serve distinct clinical operations needs: rounding, safety huddles, event reporting, grievance management, analytics and benchmarking. That breadth is a competitive strength, but opportunity exists to further combine these assets for customers to gain additional benefits.

The CTO will be a member of the executive leadership team and be a key contributor and stakeholder in the company's overall strategy. Importantly, we are looking for an organized, practical, results-driven candidate that takes a hands-on approach, while being able to see the big picture and effectively communicate with the company's Board of Directors.

What You'll Do

High-level objectives include: the harmonization of the technology portfolio, deploying A.I. to improve efficiency, and the management of a short and long-term roadmap designed to bring differentiated product and analytics offerings to market.

Specifically, the role will own the technology and engineering strategy, architecture, and roadmap across Sentact's full product suite.
  • Build, mentor, and scale a high-performing engineering, data, and A.I. organization; add talent and best practices where needed.
  • Establish (or mature) engineering standards: cloud architecture, security, data governance, QA/testing, Continuous Integration / Continuous Delivery, and uptime/reliability practices appropriate for a healthcare SaaS company handling sensitive clinical and provider data.
  • Lead build-vs-buy-vs-partner decisions, including evaluation of platform consolidation, legacy system migration/sunset, and selective use of third-party or acquired technology.
  • Serve as a technical thought partner to the CEO and executive team on M&A technical due diligence, integration planning, and long-range platform strategy.
  • Support information security, data privacy, and compliance posture (HIPAA, SOC 2, HITRUST, and similar frameworks relevant to healthcare data) in partnership with legal/compliance.
  • Represent technology strategy externally with key health system clients, prospects, and at industry forums as needed.
  • Manage technology budget, vendor relationships, and working with CFO, build the business case for platform and A.I. investment in a way the CEO and board will find credible.


What We're Looking For / Preferred Qualifications
  • Experience. 10+ years of progressive technology leadership experience, including 4+ years as a CTO, VP Engineering, or equivalent senior technology executive, ideally in healthcare IT, health tech SaaS, or another data-intensive B2B software environment.
  • Platform unification track record. Demonstrated, hands-on success consolidating or re-platforming a multi-product portfolio (through M&A integration, technical debt reduction, or platform unification) into a coherent architecture - not just greenfield product-building.
  • AI fluency. Real, practical experience deploying AI/ML or generative AI into production products and/or internal operations, with a clear point of view on where AI creates genuine value versus hype, and how to govern it responsibly in a healthcare context.
  • Product and commercial instinct. A track record of shipping products or analytics capabilities that created measurable competitive differentiation and drove revenue, retention, or win rate.
  • Technical Requirements. Working knowledge of healthcare data, interoperability standards (e.g. HL7/FHIR), clinical workflows, and the compliance/regulatory environment (HIPAA, CMS conditions of participation, Joint Commission, etc.), React, Python, Tableau, Ruby on Rails, AWS, PHP, MySQL, Epic Clarity, and PostgreSQL.
  • Security and compliance. Experience with security and compliance programs (SOC 2, HITRUST, HIPAA) for a SaaS company serving hospitals or health systems.
  • Leadership / People Management. Proven ability to recruit, develop, and retain strong engineering and data talent, and to reset culture and standards where needed.
  • Executive presence. A collaborative, low-ego operating style; comfort operating in a company backed by private equity, with the discipline and communication skills that entails; ability to translate technical strategy into a business case for non-technical executives and stakeholders.


Why This Role

This is a rare opportunity to take a well-established, trusted healthcare technology company - one already serving a large share of the country's leading health systems - and shape its next chapter as a unified, AI-enabled platform. You'll be a member of the executive team, have a genuine mandate for change, and the chance to build products that materially improve patient safety and quality at scale.

*Note: We are unable to employ applicants located in the State of Hawaii at this time.

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