Co-Founder / CTO (RCM Automation)

3 days ago


Bengaluru, Karnataka, India Drz Management Private Limited Full time ₹ 12,00,000 - ₹ 36,00,000 per year

Were hiring a co-founder/CTO to start from a blank repo and ship an EHR-agnostic RCM automation platform. No hand-holding, no legacy. You will choose the stack, set up cloud, design the data model, and personally build v1: 837/835 ingestion + ERA auto-posting, denial intelligence, eligibility/status bots, AR workqueues, and dashboardswith HIPAA-grade security. First 6090 days are hands-on; then youll hire and lead a small team.

This is an equity-led partnership (salary is secondary). We want a builder who cares about outcomescollections up, denials down—and can turn payer rules into reliable software.

You'll thrive here if you:

  • Own systems end-to-end and ship fast without supervision
  • Have built file/queue pipelines (835/837 or fintech-like reconciliation)
  • Can stand up infra, CI/CD, observability, RBAC, and PHI audit trails
  • Enjoy translating ops pain into clean services and simple UIs

Youll own

  • Core rails: X12 837/835 pipelines, ERA auto-posting rules, reconciliation & unapplied cash.
  • Denial intelligence: Rules + LLM assist for triage, appeal drafts, payer playbooks.
  • Eligibility/status: Clearinghouse APIs + Playwright portal bots (with MFA handoffs).
  • AR ops: Smart workqueues, call/status logging, patient responsibility flows.
  • Data & dashboards: First-pass %, denial rate (by payer/CARC), payer mix, $/claim, AR aging.
  • Security & scale: HIPAA-grade architecture, audit trails, PHI boundary design, CI/CD.

What youve done

  • 712 yrs building production systems end-to-end (backend + React).
  • Strong with Python/FastAPI (or Node), Postgres, queues, file pipelines; shipped data products.
  • Hands-on with any of: 835/837, clearinghouse/payer integrations, fintech-style reconciliation, high-reliability RPA.
  • Proven security mindset (encryption, least privilege, audit). Bonus: Azure/OpenAI under BAA, ClickHouse/DuckDB, Terraform, k8s.

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