Co-Founder / CTO (RCM Automation)

3 - 8 years

0 - 1 Lacs

Posted:1 week ago| Platform: Naukri logo

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Skills Required

react/next.js python/fastapi hipaa/phi rcm x12 837/835 carc/rarc cm postgres/redis/s3 rbac & audit logs.

Work Mode

Remote

Job Type

Full Time

Job Description

co-founder/CTO

equity-led partnership

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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