Co-Founder & CEO - AI Healthcare Revenue Recovery

About the role

FutureSight is seeking a Co-Founder & CEO to lead Reclaim, an AI-native denial management and revenue recovery venture. This is a co-founder partnership with meaningful founder equity, not a salaried executive role.

Market Context

We are entering a $16B+ Total Addressable Market with a gaping $7.5B–$10B whitespace, targeting the highly underserved mid-market segment. Currently, 30–40% of denied medical claims go uncontested because practices lack the staff and capital to contest them. This systemic failure leaves between $50,000 and $300,000 in legally earned revenue permanently abandoned at each practice every year.

Reclaim AI resolves denied and aged claims end-to-end, embedding outcome-based contingency pricing—practices pay zero upfront, and we only take a cut of the dollars we successfully recover, for our target ideal customer profile (practices with $80K+ in annual recoverable claims).

The dysfunction we uncovered is staggering:

• Practices are building their own tech: medical billers are hiring part-time software engineers to build in-house robotic process automation (RPA) scrapers just to check claim statuses.
• Massive, emotional write-offs: staff carry immense guilt over administrative losses. One small-practice assistant noted writing off “probably close to a million dollars” simply because they couldn’t keep up with manual follow-ups.
• Payer-side inversion: insurance companies are drowning in the same claims dysfunction they generate. One major payer reported a backlog of 31,000 contested claims that consumed 80% of their staff’s operational capacity, forcing emergency hires.

The competition is distracted: well-funded Tier-1 competitors are charging $15K+ upfront licensing fees and fighting over enterprise health systems. The competitive window to capture the mid-market with a contingency-priced autonomous agent is wide open.

About FutureSight

FutureSight is a leading venture builder that co-creates world-class software companies with values-driven entrepreneurs from inception to exit. You’ll co-create with a proven studio team led by John Carbrey (4× entrepreneur, $100M ARR), Krista LaRiviere (3× exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe), bringing a rare combination of operator exits, institutional investing, and AI product depth.

The Partnership

• Founder equity with meaningful ownership from inception
• Pre-seed capital committed by FutureSight for early hires and MVP development, with potential for follow-on funding
• Venture-building resources, including embedded design, engineering, growth, and fundraising support from day one
• Investor and advisor network across vertical AI and early-stage capital markets
• A true co-creation model in which you operate as CEO with FutureSight’s cross-functional team as your partner

What You'll Own

• Strategy: Refine the ICP, pricing model, and product positioning
• Customer Development: Lead pilots with practice owners 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

Co-Founder Profile

• Domain & Workflow Depth: Direct exposure to healthcare revenue cycle, medical billing, or denial management; understanding of denial codes, administrative denials (e.g., credentialing gaps), and fragmented systems (e.g., Tebra, eClinicalWorks, Availity)
• Founding Experience: Previous founding experience at a venture-backed company
• Go-to-Market: Demonstrated success in B2B AI or B2B SaaS go-to-market, including sales and customer engagement
• Fundraising Fluency: Ability to develop investor narratives and close capital
• Talent Leadership: Proven ability to attract, develop, and retain top talent
• Risk Awareness: Clear-eyed understanding of the risks and demands of co-founding a venture-backed company