Outsource Healthcare Fractional CTO Services
Your startup just raised Series A. Growth is urgent, but your tech debt is slowing everything down. Engineers are stuck patching systems instead of building the features investors expect.
It’s time to bring in leadership that’s done this before.
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At Pi Tech, we provide fractional CTO services built for healthcare startups facing technical crossroads. Our CTO steps in when your internal team needs strategic leadership, regulatory guidance, and hands-on architecture decisions that keep you shipping while staying compliant.
Let's get your tech house in order.
How We Transform Healthcare Technology Leadership
So what does that look like in practice? Here’s how we step in to keep your startup moving fast while staying compliant.
Technology Strategy & Architecture
Most healthcare startups hit walls when their initial architecture can't handle growth, compliance requirements, or integration demands.
We assess your current tech stack and design systems that actually work for healthcare.
- We evaluate existing architecture and identify critical bottlenecks
- We design scalable systems that handle patient data securely
- We create technology roadmaps aligned with business milestones
- We establish development processes that prevent future technical debt
Team Leadership & Development Process
Your developers are talented, but they need direction on healthcare-specific challenges, regulatory constraints, and architectural decisions.
We provide the senior technical leadership your team needs to excel.
- We establish development workflows optimized for healthcare
- We mentor your engineering team on compliance and architecture
- We implement code review processes that catch regulatory issues
- We create technical specifications that prevent costly rework
Regulatory Technology Leadership
HIPAA, FDA, SOC 2 — these can paralyze teams unfamiliar with compliant software development.
We guide your team through regulatory requirements while maintaining development velocity.
- We implement HIPAA-compliant architecture from day one
- We establish FDA-ready development processes for medical devices
- We create audit trails and documentation that satisfy regulators
- We design security frameworks that protect patient data
Vendor Management & Technical Due Diligence
Healthcare startups often struggle with vendor selection, technical partnerships, and integration decisions that have long-term consequences.
We help you make smart technical decisions based on real experience.
- We evaluate third-party integrations for security and compliance
- We conduct technical due diligence on potential partnerships
- We negotiate technical requirements with healthcare vendors
- We assess acquisition targets for technical compatibility
The Pi Tech Advantage for Healthcare Fractional CTO Services
Senior-Only Healthcare CTOs
Our fractional CTOs bring years of healthcare technology experience. They've built HIPAA-compliant systems, navigated FDA submissions, and scaled healthcare platforms. No learning curve.
Specless Engineering Integration
Our fractional CTOs use Pi Tech's proven methodology, focusing on outcomes over documentation, weekly progress over lengthy planning cycles, and adaptive solutions over rigid specifications.
Regulatory-First Technology Strategy
We design technology strategies with compliance built in, not bolted on. Your systems meet regulatory requirements without sacrificing performance or development speed.
Hands-On Execution
Our fractional CTOs don't just strategize,they review architecture, and work directly with your team to implement solutions and solve problems.
Building FDA-Ready Software for Xenter
Xenter developed the SmartWire, a dual-sensor guidewire for TAVR procedures. It was a revolutionary device, but they faced a major hurdle. They needed software that could stream real-time device data while staying fully compliant with both FDA and HIPAA requirements.
Most teams would hit a trade-off: move fast and risk regulatory delays, or slow down to build compliance in. Xenter couldn’t afford either.
Our Solution
Pi Tech's fractional CTO used our Specless Engineering approach to deliver both speed and compliance:
- Built real-time data interfaces that display aortic and ventricular pressure data for clinicians during procedures
- Architected HIPAA-compliant systems with role-based access controls and audit trails built in
- Designed AI-ready platforms that support future predictive analytics without disrupting current workflows
- Used API mocks and hardware simulation to accelerate development while backend systems evolved
- Met FDA 510(k) requirements without delaying clinical trials or product launch
The result? Xenter launched with compliant, real-time software that clinicians use in procedures today while satisfying FDA requirements on time.
Technologies: React Native (iOS & Android), React (web), HIPAA-compliant cloud architecture, FDA-ready documentation processes.
If your healthcare startup needs technology leadership that understands both innovation and regulation, we can help.
When to Outsource Fractional CTO Services
Your Team Knows Code, Not Compliance
Your developers can build features, but healthcare regulations are foreign territory. When technical decisions start impacting compliance timelines, specialized leadership makes the difference.
You're Scaling Beyond Your Architecture
Your MVP worked for 100 users. Now you have 10,000 and everything's breaking. Rather than throwing hardware at the problem, strategic architectural changes solve the root issues.
Investors Want Technical Leadership
Your Series A depends on demonstrating technical competency and scalable architecture. A fractional CTO provides the credibility and expertise investors expect to see.
Your Engineering Manager Needs Support
Your engineering manager handles team coordination well, but strategic technology decisions and regulatory guidance require different experience. Fractional CTO services provide that missing expertise.
Our Fractional CTO Services
Healthcare startups face a unique mix of challenges — from compliance hurdles to scaling architecture and leading growing teams.
Our fractional CTO services are built to address these exact pain points, giving you strategic guidance and hands-on execution when you need it most:
Technology Strategy Development
We work with your leadership team to create technology roadmaps that support business goals while meeting regulatory requirements and scaling with growth.
Architecture Assessment & Design
We evaluate your current systems, identify technical risks, and design architectures that handle healthcare data securely while supporting rapid feature development.
Team Leadership & Mentoring
We provide direct leadership to your engineering team, establishing best practices, code review processes, and development workflows optimized for healthcare.
Regulatory Technology Guidance
We help you navigate HIPAA, FDA, SOC 2, and other healthcare technology requirements, implementing compliant systems without slowing development.
Vendor & Partnership Evaluation
We assess technical partnerships, vendor integrations, and acquisition opportunities, helping you make informed decisions about your technology ecosystem.
What Our Clients Say
“In my 20 years of working at technology companies such as Amazon, Groupon, Opendoor, and Jawbone, if I had to pick one person to solve a complicated technology challenge in the shortest time possible, Michael [CTO @ Pi Tech] would be at the top of my list. He is resourceful, scrappy, and has focus, unlike anyone I have ever seen.”
Jason Child
CFO, Arm - Former CFO, Splunk, OpenDoor, Groupon
“In my 20 years of working at technology companies such as Amazon, Groupon, Opendoor, and Jawbone, if I had to pick one person to solve a complicated technology challenge in the shortest time possible, Michael [CTO @ Pi Tech] would be at the top of my list. He is resourceful, scrappy, and has focus, unlike anyone I have ever seen.”
Jason Child
CFO, Arm - Former CFO, Splunk, OpenDoor, Groupon
"We’re impressed with their ability to exceed our expectations and go beyond the scope of the project. In addition, they’re very flexible and highly capable of delivering quality work."
David Hose
COO, Blockware Solutions
"Working with Pi Tech was very easy. They streamlined and managed their engineering time to avoid a large bill, and I was pleasantly surprised with their delivery."
Pat Downing
CTO, Action Title Research
"Michael [Pi Tech CTO] relishes tackling and solving the toughest technical problems. He has the ability to almost intuitively find the core of a solution to a difficult problem, but understands and practices the principle that the core idea to solving a difficult problem is often the first step in a long process to achieve a fully workable solution. He has an extraordinary work ethic, and focuses until the job is completely done."
Ross Bott
President & CEO, SEVEN Networks
"For anyone who is looking to get the job done, Michael [Pi Tech CTO] has never let me down. He’s a 24/7 soldier, from experimentation to design to hard-crafted one-offs. Michael is a jack-of-all-trades in addition to being a great manager and leader. You would be lucky to have his hands and mind in translating your vision into a tangible device or solution."
Steven Goldstein
CEO, MYTI.ai
Ready to Get Your Technology Strategy on Track?
Your healthcare startup doesn’t have time for missteps. You need leadership that understands both innovation and compliance and can deliver results fast.
With Pi Tech’s fractional CTO services, you get senior healthcare technology expertise that combines strategic guidance with hands-on execution. We’ll help you build scalable, compliant systems while keeping your team focused on growth.
Let’s solve your technology challenges and accelerate your growth.
FAQ
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