Chief Technology Officer
Foodsmart
Apply to this jobFoodsmart is the leading telenutrition and foodcare platform, serving more than 3 million members across employer-sponsored health plans, Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers. Backed by a national network of registered dietitians, the platform pairs personalized nutrition care with a benefits marketplace that drives measurable, lasting health outcomes.
In 2024, TPG's The Rise Fund invested $200M into Foodsmart. We are in a high-growth phase where technology is a direct driver of commercial results, member experience, and clinical impact. Our published outcomes include 42% of food-insecure members becoming food-secure within six months, meaningful weight loss and HbA1c improvement at 24 months, and an NPS of 86.
This is a hands-on CTO role for a leader who stays close to the work and builds alongside the team. We are building a focused, fast-moving engineering organization at a moment when the business needs technology to move faster, ship higher-quality products, and translate directly into commercial, clinical, and member value. We recently moved to a pod-based operating model and brought on a strong Chief Product Officer who will be the CTO's closest counterpart in building and shipping products.
What You Will Own
- Get and stay close to the work. Establish yourself as a leader who is directly engaged in the product day to day, so quality issues are caught early, decisions reach closure quickly, and urgency is felt across the whole organization.
- Deliver a step-change in product and interface quality. Put in place the standards, ownership, and follow-through that eliminate recurring member- and client-facing defects, so fixes hold the first time.
- Build a true partnership with the CPO and the broader business. Operate as one product-and-engineering leadership unit, converting a shared roadmap into shipped software with clear trade-offs, realistic capacity, and predictable delivery.
- Make delivery visible and accountable. Stand up lightweight, real cadences — weekly shipped-work demos, engineering metrics, and a simple capacity view — that build business and board confidence without heavy process.
- Build and retain a high-caliber team. Assess, develop, and level the engineering, data, IT, and security organization, and attract the talent needed to scale, while managing infrastructure cost against benchmarks.
- Set the domestic and offshore staffing strategy. Develop the long-range plan for the US and India-based organization, shaping how and where the team grows to balance capability, cost, and speed as we scale.
- Make AI a real productivity and product advantage. Move the organization from talking about AI to shipping with it — in the development process and in the member and partner experience — with pragmatic judgment about where it adds value.
- Keep the platform secure and compliant. Ensure security, IT, and infrastructure continue to meet HIPAA, SOC 2, and the standards expected of a healthcare platform at scale.
- Full ownership of Engineering, Data, IT, and Security across the US and India-based organization.
- Technical vision mapped directly to business strategy and commercial outcomes.
- The health, standards, and cost efficiency of the software development organization.
- Reliability, performance, and scalability of the web and mobile platform serving members and partners.
Who you are
- Mission-driven — genuinely energized by the problem we are solving; who believes in bringing foodcare to underserved populations and is motivated by using technology to expand access to affordable, healthy food and help people build sustainably healthier lives.
- A hands-on builder who leads from inside the work, with a real fire in the belly and a strong bias for action; close to the product, the team, and the details, and stays hands-on as the organization scales.
- Strong consumer technology experience and a record of building commercially viable products, with a track record of shipping consumer or consumer-grade experiences that customers love and that move the business.
- An accountable owner who owns outcomes end to end, drives decisions to closure, holds themselves and their team to a high standard, and does not deflect accountability to other teams. Brings urgency to what matters most.
- A genuine product partner, energized by working with a strong Chief Product Officer and other business leaders; sees product and engineering as a single delivery unit.
- Business-minded; prioritizes the work that drives business impact, speaks in terms of outcomes rather than activity and makes clear trade-offs against commercial and clinical goals.
- A talent magnet and builder of teams who can attract, assess, develop, and retain excellent technical talent, and who sets and holds a high standard across the organization.
- An excellent communicator, written and verbal, able to translate between technical and business audiences and build alignment across the executive team and the board.
- Fluent and pragmatic on AI, with early-adopter instincts with the judgment to apply AI where it creates leverage in product and development, and the ambition to help lead the company's broader transformation into a truly AI-enabled business.
- Healthcare or digital health experience, and comfort with the compliance and security realities of the space (HIPAA, SOC 2).
- Experience scaling engineering in a growth-stage, PE- or VC-backed company, with an appreciation for cost discipline alongside growth.
- Experience leading distributed engineering organizations across US and offshore teams, and building the staffing strategy for both.
- Experience with two-sided marketplace or multi-stakeholder platforms.
- A self-aware, feedback-seeking growth mindset, and a kind, collaborative style that fits our values.
Typically 15+ years of relevant industry experience, including direct responsibility for setting org structure and technical vision across multiple products, and a track record of leading and coaching engineering organizations through scale. What matters most is not the size of the largest team led, but a demonstrated pattern of staying close to the work, shipping quality product, and driving commercial outcomes in partnership with product.
How we work
Foodsmart offers:
🏠 Remote-First Culture — Work from anywhere with a flexible schedule.
🏝️ Unlimited PTO — We prioritize rest and recharging.
🏥 Comprehensive Healthcare — Robust medical, dental, and vision coverage.
💰 Financial Wellness — 401k, performance bonuses, and equity options.
🥗 Personalized Nutrition — Access to our network of Registered Dietitians.
Foodsmart is an equal opportunity employer committed to fostering an inclusive environment. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability, or any other protected characteristic.
Compensation is determined by role, level, and geography. The stated range reflects the target for new hires based at our San Francisco headquarters; individual offers are tailored to work location, professional expertise, and educational background.
Summary
Lead technology, product, and team to scale healthcare platform with AI and security.
Job title
Chief Technology Officer
Experience level
15+ years
Minimum experience
15+ years exp
Industry
healthcare
Location requirements
San Francisco, remote work allowed
Salary
The stated range reflects the target for new hires based at our San Francisco headquarters; individual offers are tailored to work location, professional expertise, and educational background.
Management role
Yes
Required skills
Preferred skills
Specializations
Structured locations inferred from the posting.
San Francisco, CA, USA