Founding CTO (New Healthcare Startup)

Red Cell Partners

$200K — $300K *
US-AnywhereRemote in United States
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years of software engineering experience with a successful product delivery track record.
  • Strong backend and infrastructure expertise across system architecture, APIs, and databases.
  • Experience with health data integrations and complexities surrounding lab data, EHR systems, and interoperability standards.
  • Proficient in building data pipelines and managing ETL processes, particularly with healthcare data integration.
  • Hands-on experience with cloud infrastructure like AWS, GCP, or Azure for secure and compliant architecture.
  • Demonstrated experience in implementing AI and ML products, including recommendation systems and conversational AI.
  • Security and compliance knowledge, particularly in HIPAA regulations and protecting sensitive health data.
  • Startup mentality with a focus on ownership and ability to thrive in fast-paced, ambiguous environments.

Responsibilities

  • Take ownership of the existing live product and enhance its reliability and capabilities.
  • Architect the backend health intelligence engine for personalized health insights.
  • Develop and extend data integration pipelines that secure diverse healthcare data sources.
  • Build AI-powered features for user health check-ins and personalized treatment recommendations.
  • Ensure compliance with HIPAA while maintaining security protocols for sensitive data.
  • Utilize AI-native development tools to speed up product development processes.
  • Mentor and guide junior engineers, shaping the engineering culture as the team grows.

Benefits

  • Career track opportunity for rapid advancement based on performance.
  • 100% employer-paid comprehensive healthcare for you and your family.
  • Paid maternity and paternity leave for 14 weeks at full pay.
  • Unlimited PTO available with management approval.
  • Professional development and continued learning opportunities.
  • Optional 401K, FSA, and equity incentives.
  • Mental health benefits provided through Tara Mind services.
  • Cost-effective GLP-1 solutions available through Crux.
Full Job Description
The Role

MyPattern's beta is live. Real users are in the product. Now we need the hands-on engineering leader who will take it from here.

As Founding CTO, you'll partner directly with our founder to scale and deepen the platform that's already in users' hands. This is a high-impact, founder-level role - you're not starting from zero, but you're shaping everything that comes next. You'll inherit and evolve a live codebase, accelerate feature development, and harden the infrastructure as we grow from beta into our full product launch.

Expect to wear many hats, move fast, and have significant influence over our product, team, and company as we scale. The technical decisions you make now will define MyPattern for years.
What You'll Do

Take Ownership of a Live Product

Inherit a working beta with real users and make it better - faster, more reliable, and more capable. You'll assess the existing architecture, close gaps, and build on a foundation that's already delivering value.

Architect the Health Intelligence Engine

Evolve and deepen the backend infrastructure, APIs, and data models that power personalized health insights. Design systems that synthesize lab results, wearable data, symptoms, and medical history into actionable intelligence at scale.

Develop and Extend Data Integration Pipelines

Build on and expand robust ETL pipelines ingesting data from diverse sources: lab providers (Quest, LabCorp), wearables (Oura, Apple Health, Whoop, Garmin), medical records, and user-entered data. Ensure data integrity, security, and HIPAA compliance.

Build AI-Powered Features

Implement and refine the conversational AI health check-ins, treatment recommendation engine, and predictive models that surface insights and guide users through their health journey. Work with Claude and other AI tools to accelerate development.

Own Security and Compliance

Build with HIPAA compliance as a first-class concern. Implement and maintain encryption, access controls, audit logging, and security best practices for handling sensitive health data.

Leverage AI-Native Development Tools

Use Claude, Claude Code, Cursor, and other AI-assisted development tools to accelerate building. Embrace vibe coding and rapid prototyping to move quickly from concept to working product.

Technical Leadership

As we scale, mentor and guide additional engineers. Help establish engineering culture, practices, and standards. This role has a clear path to engineering leadership.
Who You Are
  • 10+ years of software engineering experience, with a track record of building and shipping complex products. You've worked across the stack and can own technical decisions end-to-end.
  • Strong backend and infrastructure expertise. Deep experience with system architecture, APIs, databases, and building scalable, reliable systems. Comfortable with Python, Node.js, or similar.
  • Experience with health data and integrations. You've worked with lab data, EHR systems, wearable APIs, or healthcare interoperability standards (HL7, FHIR). You understand the complexity of health data.
  • Data pipeline and ETL experience. You've built pipelines that ingest, transform, and normalize data from multiple sources. Experience with healthcare data integration is a strong plus.
  • Cloud infrastructure proficiency. Hands-on experience with AWS, GCP, or Azure. You can architect and deploy secure, compliant infrastructure.
  • AI/ML implementation experience. You've built products that leverage AI-whether recommendation systems, NLP, conversational AI, or predictive models. Experience with LLMs and prompt engineering is valuable.
  • Security and compliance mindset. You understand HIPAA requirements and can build systems that protect sensitive health data from the start.
  • Comfortable with AI-native development workflows. You use Claude Code, Cursor, GitHub, or similar tools to accelerate your work.
  • Preference on experience with Python and Typescript. Experience with Cloud platforms like AWS, JCP, etc
  • Experience in healthcare technology and an understanding of technology health data privacy regulations (HIPAA, state telemedicine laws)
  • Startup mentality. You've thrived in early-stage environments where you wear many hats, move fast, and take ownership. You're energized by ambiguity and building from zero to one.
  • Passion for the mission. You care about building technology that improves women's health outcomes. You're motivated by the impact this product can have on real people's lives.
Bonus Points
  • Experience building consumer health or clinical products
  • Familiarity with lab data standards (LOINC codes) and medical terminology
  • Experience with wearable device integrations (Oura, Apple HealthKit, Whoop, Garmin)
  • Background in building conversational AI or chatbot experiences
  • Experience with mobile development (React Native, Flutter) or mobile-first web apps
  • Previous founding engineer or technical co-founder experience

Salary Range:$200,000-300,000. This represents the typical salary range for this position based on experience, skills, and other factors.

#LI-RCP

Our Red Cell Partners Benefits:

For full-time roles
  • Career track opportunity with potential for rapid advancement with strong performance as the firm grows
  • 100% employer paid, comprehensive health care including medical, dental, and vision for you and your family.
  • Paid maternity and paternity for 14 weeks at employees' normal pay.
  • Unlimited PTO, with management approval.
  • Opportunities for professional development and continued learning.
  • Optional 401K, FSA, and equity incentives available.
  • Mental health benefits are available through Tara Mind.
  • Cost effective GLP-1 solutions available through Crux.

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