Co-Founder & CEO, HealthTech AI Clinical Documentation Compliance

The 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 with significant equity ownership, not a paid executive position.

Concordance AI is designed to review every healthcare chart in real time, identify payer-specific documentation gaps before billing happens, and remove the manual quality-assurance work that leads to expensive denials and clawbacks each year. At present, manual QA teams consume more than 25% of operating labor budgets while checking only about 10% of patient charts, which leaves organizations heavily exposed.

Market Context

The team has already validated the problem directly with the market by speaking with Compliance Directors, QA Leaders, and Revenue Cycle Directors across behavioral health organizations.

• Strong product pull: Every lead independently described the same solution the venture aims to build — a pre-billing, real-time, EHR-connected alerting layer that evaluates documentation against payer-specific requirements before claims are sent.
• Severe financial impact: The most painful issue is post-payment recoupment. Buyers reported frequent payer audits, often weekly or monthly, and single events can trigger losses in the range of $150,000 to $850,000.
• Funding is not the main obstacle: Buyers said that if the product integrates smoothly with their EHR and delivers a high level of accuracy, budget approval is achievable.

The target market is large and fragmented, with revenue cycle teams under growing pressure to handle denials at scale. Estimated total addressable market is $4.0B to $6.0B+, covering more than 20,000 organizations, including multispecialty groups, behavioral health providers, and health systems. The business case is strong: at current pricing, the software can pay back quickly by cutting manual audit labor by roughly 80% to 85% while also preventing clawbacks that can save millions.

About FutureSight

FutureSight is a venture builder that partners with values-driven founders to create software companies from inception through exit. The team includes founders, operators, and designers with experience scaling software businesses.

You will build alongside a studio team led by John Carbrey, a 4-time entrepreneur with $100M ARR; Krista LaRiviere, a 3-time exit 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

• Founder equity with meaningful ownership from day one
• Pre-seed capital already committed by FutureSight for early hiring and MVP work, with room for follow-on funding
• Venture-building support from embedded design, engineering, growth, and fundraising resources starting immediately
• Access to an investor and advisor network across vertical AI and early-stage capital markets
• A true co-building model where you serve as CEO while FutureSight operates as your cross-functional partner

What You'll Own

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

• Strategy: sharpen the ICP, pricing structure, and market 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 teams to launch V1 and improve it based on user feedback
• Capital: lead the seed fundraise with support from FutureSight’s network and early traction
• Team: hire and guide the founding team while setting the company’s culture

Co-Founder Profile

• Prior experience founding a venture-backed company
• Proven performance in B2B SaaS or B2B AI go-to-market, including selling and working with customers
• Comfort with fundraising, including shaping investor stories and closing capital
• Ability to recruit, grow, and keep strong talent
• Realistic understanding of the risks and demands that come with building a venture-backed company
• Deep healthcare revenue cycle knowledge and operational exposure, including medical billing and denial management. You should naturally understand the difference between clinical/coding denials and administrative blockers, and be familiar with the fragmented EHR/PM environment and the patchwork tools billers rely on to operate.

How to Apply

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

Equal Opportunity

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

Additional Information

This opportunity is based in Seattle, WA. It is a full-time onsite role. There is no salary or stipend; compensation is through founder equity as part of the co-founder partnership. FutureSight notes that it will move quickly for the right candidate. The equity arrangement is meaningful and the role is intended for a founder-operator, not a conventional executive hire.

FutureSight repeats its commitment to diversity, equity, and inclusion and welcomes applicants from all backgrounds and experiences.