Chief Technology Officer (Hands-On AI & Engineering Leader)

About this role

At NIVA Health, we're not looking for a traditional corporate CTO.
We're looking for a builder.
This is an opportunity for an experienced technology executive who still enjoys architecting systems, solving technical problems, mentoring engineers, and building products—not simply managing them.
You will lead our technology strategy while remaining closely connected to engineering execution, AI innovation, data platforms, automation, and product development. You'll work directly alongside executive leadership to shape the future of our healthcare technology ecosystem, helping us scale intelligent products that improve patient outcomes and operational efficiency.
This role combines executive leadership with hands-on technical influence. If your passion lies in creating high-performing engineering teams, designing scalable architectures, leveraging AI to solve real-world problems, and building products from concept to production, we'd love to hear from you.
What You'll Lead
Define and execute NIVA's technology strategy and roadmap
Lead Engineering, AI, Data & Platform teams
Build and mentor a high-performing global engineering organization
Drive software architecture, AI initiatives, automation, cloud infrastructure, and platform scalability
Establish engineering standards, governance, CI/CD, security, and development best practices
Partner with executive leadership to align technology investments with business priorities
Evaluate emerging technologies, AI models, and product opportunities
Balance strategic leadership with technical architecture and solution design
Foster a culture of innovation, accountability, and continuous improvement
Requirements
What We're Looking For
We're looking for someone who has successfully built technology organizations—not simply managed them.
You should have:
7yrs+ years in software engineering and technology leadership
Experience serving as CTO, Head of Engineering, VP Engineering, or Fractional CTO
Proven experience building products from concept through production
Strong background leading distributed engineering teams
Deep experience with AI and LLM technologies
Experience designing scalable cloud architectures
Strong software engineering background
Experience hiring, mentoring and growing engineering teams
Healthcare, MedTech or regulated industry experience is advantageous
Technical Expertise
We're looking for a technology leader who can confidently lead architecture, engineering, AI, and platform decisions across a modern cloud-based technology environment. Deep experience designing and scaling solutions within the Google Cloud Platform (GCP) ecosystem is essential, as this is the foundation of NIVA's current technology environment.
Required Experience
Google Cloud Platform (GCP), including cloud-native architecture, infrastructure, and data services
AI/LLMs, prompt engineering, agentic AI, retrieval-augmented generation (RAG), and workflow automation
Software architecture and scalable system design
Python and modern backend development
API design and integration (REST/FastAPI or similar)
CI/CD, DevOps, and engineering best practices
Git/GitHub, version control, and engineering governance
PostgreSQL or equivalent relational databases
Docker and containerized deployments
Strongly Preferred
Cloud data platforms (BigQuery and modern analytics architectures)
Front-end technologies (React or similar)
Mobile application architecture (Flutter, Kotlin, Swift)
Cloud security and identity management
Observability, monitoring, and system reliability
Engineering quality practices, code reviews, and technical mentoring
Beneficial
IoT and connected-device ecosystems
Edge computing
Healthcare or MedTech platforms
Computer vision and AI-enabled imaging
Wearables and Bluetooth Low Energy (BLE) integrations