Co-Founder & CEO, HealthTech AI Clinical Documentation Compliance

The opportunity

FutureSight is looking for a Co-Founder & CEO to build Concordance, an AI-native company focused on clinical documentation compliance. This is a true co-founder partnership with meaningful founder equity rather than a paid executive position.

Concordance AI is designed to review every healthcare chart in real time, detect payer-specific documentation gaps before claims are submitted, and remove the manual quality-assurance burden that leads to costly denials and clawbacks. At present, manual QA teams absorb more than 25% of operating labor budgets while checking only about 10% of charts, which leaves organizations heavily exposed.

Market context

FutureSight has already validated the problem directly with the market by speaking with Compliance Directors, QA Leaders, and Revenue Cycle Directors across behavioral health organizations. The demand signal is strong and consistent.

• Teams repeatedly described the exact product concept: an EHR-connected, real-time layer that flags documentation issues before billing and checks them against payer-specific rules.
• The financial damage is severe, especially from post-payment recoupments and clawbacks. Buyers reported frequent payer audits, sometimes weekly or monthly, with individual audit events creating losses between $150,000 and $850,000.
• Budget is not the main hurdle. Buyers said that if the solution integrates smoothly with their EHR and maintains a very high accuracy standard, funding is generally achievable.

The company is targeting a large and fragmented market where revenue cycle teams are increasingly stretched while managing denials at scale. The total addressable market is estimated at $4.0B–$6.0B+, covering more than 20,000 organizations, including multispecialty groups, behavioral health providers, and health systems. The ROI is compelling because the software can reduce manual auditing labor by roughly 80%–85% and help prevent clawbacks that can otherwise result in millions of dollars in avoided losses.

About FutureSight

FutureSight is a venture studio that builds software companies in partnership with values-driven founders from idea to exit. The team includes founders, operators, and designers who have experience launching and scaling software businesses.

You would be co-creating alongside an experienced studio team led by John Carbrey, a 4-time entrepreneur with $100M ARR experience; Krista LaRiviere, a 3-time exited founder and E&Y Top Women Entrepreneur; Alan Smith, co-founder of Strategyzer with $120M in products built; Prathna Ramesh, former Managing Director of Maple Leaf Angels with $275M in follow-on capital; and Johnny Tong, an early-stage builder whose work was acquired by SAP and Stripe. Together, they bring a strong mix of operating exits, institutional investing, and AI product expertise.

The partnership

• Meaningful founder equity from the start.
• Committed pre-seed capital to support early hires and MVP development, with possible follow-on funding.
• Venture-building support from day one, including embedded design, engineering, growth, and fundraising resources.
• Access to an investor and advisor network across vertical AI and early-stage capital markets.
• A genuine co-creation setup where you act as CEO alongside FutureSight's cross-functional team.

What you'll own

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

• Strategy: sharpen the ICP, pricing approach, and product positioning.
• Customer development: run pilots with compliance and revenue cycle leaders, turn them into paid engagements, and build the go-to-market engine.
• Product: work with FutureSight's product and engineering team to launch V1 and improve the product based on user feedback.
• Capital: take the lead on the seed fundraise, supported by FutureSight's network and initial traction.
• Team: hire and guide the founding team while shaping the company's culture from the beginning.

Ideal founder profile

• You have previously founded a venture-backed company.
• You have proven success in B2B SaaS or B2B AI go-to-market, including sales and customer engagement.
• You are comfortable with fundraising, can craft investor narratives, and can close capital.
• You know how to attract, develop, and retain strong talent.
• You understand the realities and risks of building a venture-backed company.
• You have deep operational exposure to healthcare revenue cycle, medical billing, or denial management, and can clearly distinguish clinical/coding denials from administrative issues.
• You understand the fragmented setup of smaller EHR/PM systems and the workaround-heavy tech stacks used by billing teams.

How to apply

Submit your resume, LinkedIn profile, and a short note explaining why this opportunity aligns with your founder goals. FutureSight intends to move quickly for the right person.

Diversity, equity, and inclusion

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