CTO (Chief Technology Officer) in Vancouver

Total Life is a national behavioral health telehealth platform built for adults later in life, the fastest-growing and most underserved population in American healthcare. We offer therapy in all 50 states plus Washington, DC, through a network of 200+ licensed clinicians. We have expanded into psychiatry, longevity, weight loss and cognitive care, and we bill Original Medicare Part B directly. We are in-network nationally with Aetna, Cigna, UnitedHealthcare and Humana, and with most Blue Cross Blue Shield and regional plans. We are growing quickly.

This is not a CTO role where you manage from a distance. We want a builder-leader who will write production code every week and also set the technical vision for the company. You will work directly with leadership, on the strategic roadmap. You will own the architecture, and you will build AI-first systems that change how older adults find, start and stay in care. The role is high-profile, high-impact and hands-on. It suits someone who is all in, energized by an intense, fast-moving environment, and excited to build a category-defining company from the ground up.

What You'll Do

• Build and ship. You will write, review and ship code across the stack.
• Lead AI-first product development. You will design and scale AI systems that run in real clinical and operational workflows.
• Co-own the strategic roadmap. You will partner with leadership to turn company strategy into a technical roadmap.
• Champion product design and customer experience. You'll bring a sharp design eye to every patient, clinician and partner touchpoint.
• Engineer for growth and engagement. You will build the features and tools that drive acquisition, activation, retention and session completion.
• Integrate marketing technology. You will connect the platform to our growth engine.
• Own healthcare infrastructure. You will lead our work on payer and eligibility integrations.
• Secure and scale the platform. You will keep HIPAA compliance, security, uptime and data integrity strong.
• Build and lead the team. You will set the engineering culture, raise the bar for quality and speed, manage in-house and contract developers.

What You Bring

• You have 8+ years of software engineering experience, including meaningful time as a technical leader at a startup or high-growth company.
• You are still an active hands-on coder and enjoy shipping.
• You have deep experience with modern backend systems, cloud infrastructure and API design.
• You have shipped AI and LLM-powered products in production.
• You have strong product and design instincts.
• You have a track record of building systems from zero to one and then scaling them through rapid growth.
• You thrive with ambiguity, urgency and ownership.

Huge Pluses

• Healthcare technology experience is a major plus.
• Experience with marketing technology and growth infrastructure.
• Experience building products for older adults, caregivers or accessibility-first audiences.

Why Total Life

• You’ll do meaningful work that directly improves access to care for people who have long been overlooked.
• You’ll join proven momentum as one of the fastest-growing companies in North America.
• You’ll have real ownership and shape both the technology and the company.
• You’ll get meaningful equity with a competitive salary.
• You’ll build from the ground floor and architect the platform that defines tech-enabled care for aging adults.