Co-Founder & CEO, HealthTech AI Clinical Documentation Compliance

Opportunity

FutureSight is looking for a Co-Founder & CEO to build and lead Concordance, an AI-first venture focused on clinical documentation compliance. This is a true founder partnership with significant equity from the start, rather than a paid executive position.

Concordance AI is designed to review every healthcare chart in real time, surface payer-specific documentation gaps before billing, and remove the manual quality-assurance burden that can cost healthcare organizations millions through denials and recoupments each year. Today, manual QA teams can account for more than a quarter of operating labor spend while reviewing only a small portion of charts, which leaves major compliance risk unaddressed.

Market Context

The opportunity has already been pressure-tested through conversations with Compliance Directors, QA leaders, and Revenue Cycle Directors in behavioral health organizations. Feedback from the market has been strongly aligned with the product vision.

• Strong product demand: prospects independently described the same solution need — a pre-billing, real-time, EHR-connected layer that checks documentation against payer rules before claims go out.
• Severe financial impact: buyers highlighted recurring payer audits and post-payment clawbacks, with individual audit events sometimes creating losses between $150,000 and $850,000.
• Funding is not the main obstacle: customers said that if the product integrates smoothly with their EHR and meets a high accuracy standard, they are willing to find budget for it.

The company is aimed at a large but fragmented market where revenue cycle teams are increasingly under pressure to control denials at scale. The estimated total addressable market is $4.0B to $6.0B+, covering more than 20,000 organizations such as multispecialty groups, behavioral health providers, and health systems. The value proposition is strong: the software can rapidly pay for itself by cutting manual audit labor by roughly 80% to 85% while also helping prevent clawbacks that can save millions in losses.

About FutureSight

FutureSight is a venture studio that partners with experienced operators and founders to create software companies from idea through exit. The team includes founders, operators, and designers with experience taking products to market at scale.

You will build alongside a seasoned studio team led by John Carbrey, Krista LaRiviere, Alan Smith, Prathna Ramesh, and Johnny Tong, bringing together entrepreneurship, exits, investing experience, and AI product expertise.

The Partnership

• Meaningful founder equity and ownership from day one
• Pre-seed funding already committed by FutureSight to support early hires and MVP work, with room for additional financing later
• Access to venture-building support across design, engineering, growth, and fundraising from the outset
• Support from an investor and advisor network spanning vertical AI and early-stage capital
• A collaborative operating model where you serve as CEO with the FutureSight team acting as your partner

What You Will Own

As Co-Founder & CEO, you will define the company direction and drive execution across the business.

• Strategy: sharpen the ideal customer profile, pricing structure, and product positioning
• Customer development: run pilots with compliance and revenue cycle leaders, turn them into paid relationships, and establish the go-to-market engine
• Product: work closely with FutureSight’s product and engineering resources to launch version 1 and improve it based on user feedback
• Capital: lead the seed fundraise with support from FutureSight’s network and traction
• Team building: hire and lead the founding team while shaping the company culture

Co-Founder Profile

• Experience previously founding a venture-backed company
• Proven ability to sell and build customer relationships in B2B SaaS or B2B AI
• Comfort and capability in fundraising, including building investor narratives and closing capital
• Track record of attracting, developing, and retaining strong talent
• Realistic understanding of the demands and risks involved in co-founding a venture-backed company
• Deep hands-on familiarity with healthcare revenue cycle operations, medical billing, or denial management
• Ability to distinguish between clinical/coding denials and administrative issues
• Awareness of the fragmented tools and workflows used by smaller EHR and practice management systems, including the patchwork solutions billers rely on

How to Apply

Submit your resume, LinkedIn profile, and a short note explaining why this venture fits your goals as a founder. The team intends to move quickly for the right person.

Equality Statement

FutureSight welcomes applicants from all backgrounds and is committed to diversity, equity, and inclusion.

Additional Information

This role is a co-founder partnership opportunity, not a salaried employment role. FutureSight is seeking a founder who will operate as CEO within a venture-building model.