Fractional CTO for healthcare startups
A fractional CTO who has shipped health products, for digital health founders who need architecture, a HIPAA posture, vendor choices, hiring and investor technical due diligence.
What does a healthcare fractional CTO do?
A healthcare fractional CTO is a part-time technology leader for a digital health company that does not yet need a full-time CTO. Agnotic's fractional CTO owns architecture, the HIPAA posture, EHR and vendor choices, engineering hiring and investor technical due diligence, working a set number of days each week alongside your team or vendors.
Architecture and HIPAA posture
Designs PHI data flows, access control, audit logging and encryption against the HIPAA Security Rule, which requires administrative, physical and technical safeguards for ePHI (45 CFR Part 164 Subpart C).
EHR and interoperability strategy
Decides where HL7 FHIR, HL7 v2 and APIs from Epic or Oracle Health (Cerner) fit. ONC certification criterion 170.315(g)(10) requires certified EHRs to offer a standardized FHIR API, which shapes most integration plans.
Vendors and business associate agreements
Chooses cloud, messaging and AI vendors that will sign a business associate agreement. HHS guidance treats a cloud provider that stores ePHI for you as a business associate that needs a BAA.
Hiring and due diligence
Writes roles and technical assessments, interviews engineers and prepares the architecture documentation that investors and health-system security reviews ask for.
Real-Time Projects
How does a healthcare fractional CTO engagement work?
Agnotic starts with a scoping call, agrees the days per week and the outcomes, then reports progress to founders and the board.
Scoping call
We review your product, team, data flows and deadlines, and agree what the fractional CTO owns and how many days a week it needs.
Technical roadmap
Architecture, HIPAA posture, integration order and hiring plan, written down so your team can follow it without us in the room.
Fixed-scope first release
The fractional CTO leads your engineers, or Agnotic's, through the first release, with weekly demos to founders.
Due diligence support
Security questionnaires, BAA reviews and investor technical due diligence, answered with real documentation.
Handover
When you hire a full-time CTO, we help recruit them and hand over the architecture, standards and roadmap.
Who trusts our technical leadership?
Global businesses trust Agnotic to deliver reliable, compliant software that drives success and fosters growth.
We Are Technology-Agnostic
With a diverse technology stack, we deliver solutions using a technology-Agnostic approach to meet your unique needs.
Wireframe & Ideation
User Experience
Voice of success
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
“I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly.”
Aaron Phelan
Founder, Benchmark
“Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective.”
John Pasmore
Founder, Latimer
“Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together.”
Kim Smith
Founder, My Lauren
Healthcare fractional CTO FAQs
Let's build your Fractional CTO for Healthcare Startups.
Tell us where you are and what you're building. We'll map the fastest, most reliable path to a production-ready result, and how we'd approach it.