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