Remote (USA) Remote (Country) Full-time USD 200,000 – 300,000 / year

Trase Systems is hiring a Founding CTO (New Healthcare Startup)

Responsibilities

  • Take ownership of a live product with real users and make it faster, more reliable, and more capable
  • Assess the existing architecture, close gaps, and build on a foundation that's already delivering value
  • Architect the Health Intelligence Engine by evolving and deepening 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 for lab providers (Quest, LabCorp), wearables (Oura, Apple Health, Whoop, Garmin), medical records, and user-entered data
  • Ensure data integrity, security, and HIPAA compliance in data pipelines
  • Build AI-powered features including conversational AI health check-ins, treatment recommendation engine, and predictive models
  • Work with Claude and other AI tools to accelerate development
  • Own security and compliance by building with HIPAA 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 such as Claude, Claude Code, Cursor, and similar to accelerate building
  • Embrace vibe coding and rapid prototyping to move quickly from concept to working product
  • Mentor and guide additional engineers as the company scales
  • Help establish engineering culture, practices, and standards

Requirements

  • 10+ years of software engineering experience with a track record of building and shipping complex products
  • Proven ability to work across the stack and own technical decisions end-to-end
  • Strong backend and infrastructure expertise
  • Deep experience with system architecture, APIs, databases, and building scalable, reliable systems
  • Proficiency in Python, Node.js, or similar languages
  • Experience with health data and integrations, including lab data, EHR systems, wearable APIs, or healthcare interoperability standards (HL7, FHIR)
  • Understanding of the complexity of health data
  • Data pipeline and ETL experience, including building pipelines that ingest, transform, and normalize data from multiple sources
  • Cloud infrastructure proficiency with hands-on experience in AWS, GCP, or Azure
  • Ability to architect and deploy secure, compliant infrastructure
  • AI/ML implementation experience in products leveraging AI such as recommendation systems, NLP, conversational AI, or predictive models
  • Security and compliance mindset with understanding of HIPAA requirements
  • Ability to build systems that protect sensitive health data from the start
  • Comfort with AI-native development workflows using tools like Claude Code, Cursor, GitHub, or similar
  • Preference for experience with Python and Typescript
  • Experience with cloud platforms like AWS, GCP, etc
  • Understanding of technology health data privacy regulations including HIPAA and state telemedicine laws
  • Startup mentality with experience thriving in early-stage environments where one wears many hats, moves fast, and takes ownership
  • Passion for the mission of improving women's health outcomes through technology

Nice to Have

  • 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
Required Skills
System ArchitectureAPIsDatabasesPythonNode.jsGoogle Cloud PlatformAzureTypeScript
About company
Trase Systems
Trase Systems is AI, Uncomplicated. Trase empowers enterprise leaders to harness the full potential of AI without the associated complexity and risks. It is an end-to-end solution for deploying, managing, and optimizing AI in the enterprise, specializing in bridging the 'last mile' of AI adoption.
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Job Details
Category management
Posted 15 hours ago