Job Description

Chief Technology Officer (CTO)

Locations:
Burlington, VT · Waterloo, ON · Jahor, MY · or a future Mach7 micro-HQ (e.g., Houston, Dallas, Seattle, Salt Lake City)

Hybrid preferred; remote considered with strong proximity to one of our hubs

Reports to : Chief Executive Officer

About Mach7 Technologies

Mach7 Technologies is on a mission to become the EMR of medical imaging—bringing together every image that tells a patient’s story. From radiology to wound photos, ultrasounds, videos, and even digital pathology images clinicians increasingly rely on, we help complete the patient picture with patient pictures. We are a global leader in enterprise imaging for healthcare, powering interoperability, streamlining clinical workflows, and unlocking AI-driven insights across some of the world’s largest health systems. Our software is mission-critical, operating at scale in highly regulated environments to support better, faster, safer patient care.

Our culture is guided by a simple but powerful code:

• C — Customer First
  Every decision starts with the customer’s perspective. Success = customer outcomes and satisfaction.
• L — Learn & Grow
  Curiosity keeps us climbing. We embrace continuous learning, share knowledge freely, and invest in each other’s development.
• I — Innovate for Impact
  We value meaningful, outcome-driven innovation over activity. We challenge the status quo and align behind real customer benefit.
• M — Minimize Complexity & Move
  As complex as needed but no more . Agility beats bureaucracy. We move fast and stay focused on what matters.
• B — Build Good Sh*t
  (Yes, intentionally memorable.) Extreme ownership, craftsmanship, and pride in high-quality work.
• S — Everyone Sells
  Not just Sales—Engineering, Product, Support, Finance, IT. We align behind commercial success to enable company success.

We move quickly, challenge each other, and take pride in building software that truly matters. This won’t be the easiest job you’ve had—but we are aiming for something better: the best job you’ve ever had.

Role Overview

As Mach7 enters its next phase of growth and modernization, we are seeking a hands-on, execution-oriented Chief Technology Officer to lead the delivery of our technology roadmap.

This role is not about redefining Mach7’s strategy—it is about executing it with excellence.

The CTO will be accountable for delivering on Mach7’s Flamingo architecture plan, advancing our cloud-native, AI-enabled platform, and building an engineering organization that delivers speed, reliability, security, and scale—while keeping customers and outcomes at the center of every decision.

You will unify architecture, engineering, platform, and execution into a single high-performing function, leveraging global, cost-effective development centers to accelerate innovation and modernization.

Key Responsibilities

Technology Strategy Execution

• Execute Mach7’s established technology strategy, architecture vision, and multi-year roadmap, ensuring disciplined delivery against defined priorities.
  
• Translate strategic objectives into clear execution plans, milestones, and measurable outcomes.
  
• Maintain alignment between business goals, product priorities, and engineering delivery.
  
• Champion modernization initiatives: cloud‑native re‑architecture, performance tuning, reliability engineering, automation, use of AI and observability.
  

Architecture & Platform Modernization

• Lead execution of Mach7’s broader roadmap including:
  
• Cloud‑native infrastructure (AWS/Azure/GCP), microservices, container orchestration (Kubernetes), and API‑first design.
  
• Interoperability standards and workflows (DICOM, HL7, FHIR; VNA/PACS concepts; clinical workflow integration).
  
• AI/ML‑driven features and data pipelines for imaging insights.
  
• Drive modernization initiatives including:
  
• Legacy refactoring and cloud migration
  
• Reliability engineering, automation, observability, and performance tuning
  
• Secure, compliant architectures for regulated healthcare environments
  
• Advance AI-enabled capabilities for development execution as well as data pipelines that unlock imaging insights at scale.
  

Engineering Leadership & Global Delivery

• Build a high-performing, execution-driven engineering organization with:
  
• Strong SDLC discipline, CI/CD, automated testing, and release governance
  
• Clear ownership, accountability, and delivery metrics
  
• Leverage low-cost development centers (including Malaysia or other offshore assets) to:
  
• Increase delivery velocity
  
• Improve cost efficiency
  
• Unlock innovation capacity
  
• Improve quality
  
• Establish consistent engineering standards, tooling, and expectations across all regions.
  
• Mentor leaders and teams to build depth, resilience, and succession.
  

Product & Technology Alignment

• Partner closely with Product leadership to translate customer needs into:
  
• Clear requirements
  
• Prioritized roadmaps
  
• Well-defined definitions of done
  
• Implement portfolio and roadmap processes that balance innovation, reliability, and compliance.
  
• Assess current leadership structures across Product and Engineering; recommend and implement org design changes or consolidation to optimize execution.
  
• Champion customer-focused innovation including direct engagement of development/engineers with customers when possible.
  

Security, Compliance & Operational Excellence

• Partner with Security, IT, and QA to:
  
• Maintain strong security posture and incident readiness
  
• Embed privacy, data protection, and compliance into platform design
  
• Ensure ongoing audit readiness and adherence to healthcare regulatory requirements.
  
• Establish operational rigor across availability, performance, and supportability.
  

Stakeholder & Executive Collaboration

• Serve as a trusted technical partner to the CEO, an engaged member of the executive team, and occasionally report out to the Board.
  
• Support Sales, Customer Success, and Implementation with technical guidance on roadmap, feasibility, and solutioning.
  
• Represent Mach7 technology leadership in key customer and partner engagements that involve new product development.
  
• Support strong vendor and partner relationships by acceleration of delivery while controlling cost and risk.
  

Qualifications

Must Have

• 8+ years in software engineering and platform development, including 5+ years in senior leadership roles (CTO, VP Engineering, Chief Architect, or equivalent). Programmer background.
  
• Proven experience executing large-scale platform modernization initiatives in cloud-native, distributed systems.
  
• Deep hands-on understanding of microservices, Kubernetes, APIs, CI/CD, observability, and automation.
  
• Experience in healthcare imaging (VNA, PACS, DICOM, clinical workflows) or adjacent regulated, high-availability domains.
  
• Demonstrated success improving execution discipline, delivery velocity, and engineering quality.
  
• Experience leading globally distributed teams, including leveraging offshore or low-cost development centers.
  
• A hand-on leader who is willing to invest in understanding the teams, the products, and the market, driven by wanting to make a clear and positive impact.
  

Preferred

• Experience integrating AI/ML capabilities into enterprise platforms.
  
• Background aligning Product and Engineering under a unified operating model.
  
• Executive presence with the ability to communicate clearly with key stakeholders.
  
• Experience assessing and restructuring organizations to improve execution and outcomes.
  

Education

• Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field.
  

What Success Looks Like (First 6–12 Months)

• Innovation roadmap execution is underway with clear milestones and momentum.
  
• Measurable improvements in delivery performance (deployment frequency, lead time, defect rates), with the best measure being customer delight
  
• A modernized platform foundation with demonstrable gains in reliability, scalability, and security.
  
• A clear, aligned Product–Engineering operating model with predictable delivery.
  
• An optimized global org structure leveraging offshore teams effectively
  
• Clear leadership accountability and succession plans.
  

Why Join Mach7

• Lead execution of a mission-critical platform that directly impacts patient care worldwide.
  
• Operate at the intersection of healthcare, cloud, and AI in a role with real authority and accountability.
  
• Build and scale a modern, global engineering organization focused on outcomes—not activity.
  
• Work alongside smart, driven leaders in a culture that values ownership, craftsmanship, and impact.
  
• Competitive compensation and benefits with flexibility and travel for collaboration, customers, and leadership sessions.
  
• We are fun. 
  

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