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

OhMD

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