Chief Technology Officer

CTO of Scaling AI-Powered Patient Engagement Software

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)

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