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Chief Technology Officer | Head of Engineering - Part-time to start, clear path to full-time

Wellfound
Remote (United States); San Francisco, CA; Las Vegas, NV; Saint Louis, MO Posted Aug 25, 2026
HybridUSD 50,000 - 120,000 / year

About this role

The short version

We've built a live, TEFCA-aligned healthcare interoperability platform with real physician users and customers signing on pre-launch. What we haven't done is find the person who wants to own the architecture as much as we own the business and clinical side. If that's you, keep reading.

Why this exists

Healthcare data is scattered across EHRs, payers, and providers who don't talk to each other, and the people who pay for that are patients waiting on delayed care and clinicians drowning in denials and prior-auth back-and-forth. One of our cofounders had a surgery delayed because a record sat in the wrong system. That's the problem. We're not guessing at it, one of us spent four years inside RCM watching it happen daily, and our other two cofounders are practicing physicians who live it from the clinical side.

What you'd actually be doing

Owning the technical architecture of the platform end to end, not just shipping features on someone else's spec

Building and scaling FHIR-based integrations (we're currently working with providers via Metriport/Fasten-style connectors) across EHRs, payers, and health systems

Designing our TEFCA-compliant data pipelines, including how clinical and billing data gets normalized, matched, and moved securely between systems

Leading us toward our own QHIN (Qualified Health Information Network) and Carequality Implementer designations, so we're not permanently dependent on intermediaries

Setting up and eventually managing an engineering team as we grow past MVP into the product layer

Making the calls on stack, infra, and technical tradeoffs that we currently make by best guess and want someone with real conviction on instead

What we're working with today

Early-stage but not from-scratch: a live product, real usage data from physician users, and a customer pipeline forming pre-launch. You wouldn't be starting from a whiteboard, you'd be inheriting something real and shaping where it goes next, including rebuilding or hardening pieces you think deserve it.

What we're looking for

Real technical depth, ideally with exposure to healthcare data, FHIR, HL7, or complex data infrastructure at a similar level of regulatory weight

Experience building or scaling integrations across third-party systems, not just internal tooling

Comfortable being the first and only technical voice in the room, then building the team under you as we grow

Wants to be a partner in this, not a hire executing a roadmap someone else wrote

What you'd be walking into

Two cofounders who've spent their careers in medicine, one who's spent his figuring out how to survive and grow across industries he had no business being in. We move fast, we've already proven people will use and pay for this, and we're looking for someone who wants to build the hard, unglamorous infrastructure that makes healthcare data actually move the way it should.

About the company

elevAID

TEFCA-aligned healthcare interoperability platform fixing the data silos behind denials and delayed11-50 Employees

Las Vegas

11-50

United States

Learn more about elevAID

Founders

Muhammad Ali Afzal Founder

View the team

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