Be our CTO’s technical partner: Own many domains, deliver work across entire platform, debate roadmap and technical approaches. This is a leadership role without management responsibility.
Real ownership + hard problems + proven team = rare career opportunity. What We’re Building Nesso is an AI-powered platform for therapists running private practices.
We combine practice management tools (scheduling, billing, documentation, communication) with AI-driven business insights that help therapists grow as business owners.
Our goal isn’t just to automate paperwork — we’re building an assistant that helps therapists understand their business:
“Should I raise my rates?” “Why is revenue down?” “Is this client at risk of dropping out?”
Stage: pre-launch, building V1. Why This Is Interesting Proven founders who know this space: * Fletcher Dennison (CEO) and Will Morales (CPO) were the first employees at SimplePractice (the current market leader, IPO in 2021) * Spent 10+ years building software used by 200,000+ therapists and millions of clients * Self-funded = accountable to customers, not investors
Technical partnership, not just senior IC: * CTO’s right hand, driving toward V1 * Earn ownership of many technical domains * Autonomous decision-making * Critical input in roadmap prioritization, technical, and architectural approaches * Must thrive in debate culture (decisions challenged to find best solutions)
Hard technical problems you’ll solve: * Building AI therapists can trust with business & clinical judgment * Designing a HIPAA-compliant architecture from the ground up * Proactive intelligence that feels like a smart assistant * Structured, secure clinical data pipeline * Personalization engine at scale (100K+ therapists, 1M+ clients) * Secure, responsive architecture across platforms
Unique breadth and leadership impossible at larger companies: * No technical challenge is out of bounds. From custom UI interactions → financial reporting → AI pipelines → security architecture → data modeling * Learn and grow by shipping products across the entire platform
What We’re Looking For Technical: * 10+ years experience
Must have: * Led architecture decisions (designed systems from scratch or major refactors) * Deep React/Node expertise * Clean Architecture principles
Nice to have: * Scaling experience * HIPAA/regulated industry experience * experience integrating payment systems such as Stripe
Mindset: * Ownership mentality — you build things end-to-end, problem-solve, and are adaptable * Intellectually honest — you want decisions challenged to get to the best one * Breadth-seeking (not narrow specialization), * Thrive in ambiguity and startup environments
Not for you if: * Need hierarchy/approval processes * See debate as conflict * Want narrow specialization * Want to manage people now