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 founder partnership opportunity with significant equity, not a paid executive position.

Concordance AI is designed to review every healthcare chart in real time, identify payer-specific documentation gaps before billing, and remove the manual quality-assurance burden that currently drives major denial and clawback losses for healthcare organizations. At present, manual QA teams consume more than 25% of operating labor budgets while reviewing only around 10% of charts, which leaves substantial risk uncovered.

Market Context

The opportunity has already been tested with the market through direct conversations with Compliance Directors, QA Leaders, and Revenue Cycle Directors in behavioral health organizations. The feedback points to a strong need:

• Demand is explicit: prospects described the exact solution being built — a pre-billing, real-time, EHR-connected alert layer that checks documentation against payer rules before claims are submitted.
• Financial impact is severe: the biggest pain comes from post-payment recoupments and payer clawbacks, with organizations reporting weekly or monthly audits and single events creating losses between $150,000 and $850,000.
• Budget is not the obstacle: buyers indicated that if the product integrates smoothly with their EHR and achieves strong accuracy, funding the purchase should be feasible.

The target market is large and fragmented, with revenue cycle teams under growing pressure to manage denials at scale. The estimated total addressable market is $4.0B-$6.0B+, covering more than 20,000 organizations such as multispecialty groups, behavioral health providers, and health systems. The business case is strong: at current pricing, the product could quickly pay for itself by reducing manual audit labor by roughly 80-85% while also avoiding clawback losses that can run into millions.

About FutureSight

FutureSight is a venture studio that partners with purpose-driven founders to create software companies from the earliest stages through exit. The team combines founders, operators, and designers with experience taking products to market at scale.

You would build alongside a seasoned studio team led by John Carbrey, a 4x entrepreneur with $100M ARR experience; Krista LaRiviere, a 3x exited founder and E&Y Top Women Entrepreneur; Alan Smith, Strategyzer co-founder with $120M in products built; Prathna Ramesh, former Managing Director of Maple Leaf Angels with $275M in follow-on capital; and Johnny Tong, a 0-to-1 builder whose work was acquired by SAP and Stripe.

The Partnership

• Meaningful founder equity from day one.
• Pre-seed capital already committed by FutureSight to support early hiring and MVP work, with possible follow-on funding.
• Access to venture-building support across design, engineering, growth, and fundraising from the start.
• Support from an investor and advisor network in vertical AI and early-stage capital.
• A genuine co-creation setup where you serve as CEO and FutureSight operates as your cross-functional partner.

What You'll Own

• Setting the overall strategy, including ICP refinement, pricing, and product positioning.
• Driving customer development by running pilots with compliance and revenue cycle leaders, converting pilots into paid work, and shaping the go-to-market approach.
• Working with the FutureSight product and engineering team to launch V1 and improve it based on user feedback.
• Leading the seed fundraising process with support from FutureSight’s network and early traction.
• Hiring and leading the founding team while shaping the company’s culture.

Co-Founder Profile

• Prior experience founding a venture-backed company.
• Strong B2B SaaS or B2B AI go-to-market experience, including sales and customer-facing execution.
• Comfort with fundraising, including building investor stories and closing capital.
• Proven ability to recruit, grow, and keep high-performing talent.
• Realistic understanding of the intensity and risk involved in co-founding a venture-backed business.
• Deep operational knowledge of healthcare revenue cycle management, medical billing, or denial management, including the difference between clinical/coding denials and administrative blockers and familiarity with the fragmented EHR/PM systems and workaround-heavy billing environments used by many providers.

How to Apply

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

Diversity & Inclusion

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