CTO of Scaling AI-Powered Patient Engagement Software
Burlington, Vermont (on-site)
About OhMD
OhMD is the AI communication platform for physician practices. We answer patient calls with AI, automate texting, and eliminate phone stress for 2,000+ practices and healthcare organizations. We launched our AI voice agent Nia in 2025, and Q1 2026 was our best quarter in company history.
We’re on a mission to improve the patient experience by simplifying communication between physicians and their patients: deflect calls, automate scheduling, and manage patient conversations by text or voice.
We have an incredible team of brilliant, energetic, impact-driven folks who are passionate about improving healthcare.
We’re a hybrid team with team members spread out across five states with a lakefront office at Hula in beautiful Burlington, Vermont.
The Role
We're hiring a CTO to own engineering execution, infrastructure reliability, security, and team management. This is a growth CTO role for someone you can be both an individual contributor (upgrades/upgrade support) and be accountable for uptime, scalability, shipping velocity, and building the engineering org to support our next phase of growth. You'll inherit a modern, extremely well-architected platform and a talented team.
What You'll Own
Engineering Management
- Lead and grow the engineering team
- Hiring, performance management, career development, 1:1s
- Sprint planning, delivery cadence, shipping velocity
- Engineering culture: accountability, quality, speed
Infrastructure & Reliability
- System uptime and incident response
- On-call rotation and escalation procedures
- Monitoring, alerting, and observability
- Upgrades, maintenance windows, deployment processes
- Disaster recovery and business continuity planning
Security & Compliance
- HIPAA compliance across all systems
- SOC 2
- Penetration testing, vulnerability management, security audits
- Vendor security reviews
- Incident response planning and breach notification procedures
Scalability & Architecture
- Platform scalability as we grow
- AWS Cloud experience
- Database performance and optimization
- API reliability and rate limiting for enterprise customers
- Voice AI infrastructure scaling
- Cost optimization across cloud infrastructure
Delivery & Process
- Ship cadence - features go from spec to production reliably and predictably
- QA processes, testing frameworks, CI/CD pipeline
- Technical debt management - balance new features with platform health
- Coordination with product on roadmap execution
You Should Have
- 10+ years in software engineering, 5+ years in engineering leadership
- Experience scaling a platform from startup to growth stage (2,000 to 20,000+ customers)
- Deep understanding of cloud infrastructure (AWS required)
- Experience with HIPAA compliance and healthcare data security
- Track record of building and managing engineering teams
- Experience with real-time systems (voice, messaging, telephony/Twilio a plus)
- A love for solving problems with AI
Nice to Have
- Experience with EHR integrations (HL7, FHIR)
- AI/ML infrastructure experience (model deployment, inference scaling)
- Prior CTO or VP Engineering role at a healthcare SaaS company
- SOC 2 and/or HITRUST certification experience
Location
- Burlington, Vermont and surrounding area
