Co-Founder & CEO - AI Clinical Documentation Compliance

FutureSight is seeking a Co-Founder & CEO to lead Concordance , an AI-native clinical documentation compliance venture. This is a co-founder partnership with meaningful founder equity, not a salaried executive role.

Concordance AI audits 100% of healthcare charts in real-time, catches payer-specific gaps before they hit billing, and eliminates the manual QA overhead that costs organizations millions in denials and clawbacks every year. Currently, manual QA teams consume 25%+ of operational labour budgets, yet audit only about 10% of patient charts, leaving organizations massively exposed.

We didn't just build a thesis; we validated it directly with the market. We have spoken directly with Compliance Directors, QA Leaders, and Revenue Cycle Directors across behavioural health organizations. The market signal is incredibly strong:

- Unprompted Product Pull: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted. - Massive Financial Pain: The real pain comes from post-payment recoupments (clawbacks). Buyers cited chronic, aggressive payer audits happening weekly or monthly, with single audit events causing catastrophic losses ranging from $150,000 to $850,000. - Budget is NOT the Blocker: Buyers explicitly stated that if the tool integrates cleanly with their EHR and meets a high accuracy bar, securing the budget is not a problem.

We are targeting a large, highly fragmented market where revenue cycle teams are increasingly struggling to manage denials at scale. The total addressable market is estimated at $4.0B-$6.0B+, spanning more than 20,000 organizations, including multispecialty groups, behavioural health providers, and health systems. The ROI case is compelling: at current price points, the software can quickly pay for itself by reducing manual auditing labour by an estimated 80-85% while also preventing clawbacks that translate into millions in avoided losses.

- Strategy - Refine the ICP, pricing model, and product positioning - Customer Development - Lead pilots with compliance and revenue cycle leaders, convert them to paid engagements, and build the go-to-market motion - Product - Partner with the FutureSight product and engineering team to ship V1 and iterate on user feedback - Capital - Lead the seed raise, supported by FutureSight's network and traction - Team - Recruit and lead the founding team, and establish the cultural foundation of the company

- Previous founding experience at a venture-backed company - Demonstrated success in B2B SaaS or B2B AI go-to-market, including sales and customer engagement - Fundraising fluency, with the ability to develop investor narratives and close capital - Proven ability to attract, develop, and retain top talent - Clear-eyed understanding of the risks and demands of co-founding a venture-backed company - RCM Domain & Workflow Depth: Deep, operational exposure to healthcare revenue cycle, medical billing, or denial management.

You must intuitively understand the operational differences between clinical/coding denials and administrative roadblocks. You are familiar with the fragmented realities of smaller EHR/PM systems and the "band-aid" tech stacks billers use to survive