
SEnterprise Sverige AB · Stockholm
Are you ready to help shape the future of healthcare through technology? This is an opportunity to join a company solving one of the biggest challenges in healt...
Are you ready to help shape the future of healthcare through technology?
This is an opportunity to join a company solving one of the biggest challenges in healthcare - how to deliver high-quality care in a world where healthcare resources are becoming increasingly limited.
The Mission
Medoma is building the future of hospital-at-home care. Their platform enables healthcare providers to deliver hospital-level care remotely, orchestrating everything from patient monitoring and care workflows to coordination between healthcare professionals.
The ambition is clear: to build the world’s largest hospital in patients’ homes - improving outcomes, efficiency, and quality of life for both patients and healthcare professionals.
Medoma is now looking for a CTO who wants to take technical ownership of this mission and help shape the next phase of the company’s growth across Europe.
The Role
As CTO at Medoma, you will take overall responsibility for the company’s technical direction, engineering team, and long-term technology strategy.
You will lead a highly skilled and self-driven engineering team of around 8-9 people across backend, frontend and QA. Your role will be to act as a technical leader and partner - creating clarity, enabling the team, and helping build a scalable healthcare platform.
This is a hands-on leadership role for someone who enjoys staying close to technology, understanding complex systems, and making thoughtful decisions around architecture, product, and engineering practices.
Define and drive Medoma’s technical strategy, architecture vision, and long-term technology direction
Lead and develop the engineering team, including people responsibility and team growth
Translate business and product goals into technical priorities and scalable solutions
Own key decisions around architecture, security, reliability, and technical trade-offs
Shape Medoma’s approach to AI, automation, integrations, and future technology opportunities
Collaborate closely with CEO, CPO, COO, product, and clinical stakeholders
You will not be joining to simply maintain an existing organization - you will help shape how a completely new category of healthcare technology evolves.
Technical Environment
Medoma's platform supports healthcare delivery around the clock, connecting patients, care teams, command centres, and clinical systems. This means availability, robustness, security, and responsible handling of sensitive healthcare data are essential.
Event-sourced architecture built primarily in F#
Azure-based infrastructure
Infrastructure as Code, Git-based workflows, and modern deployment pipelines
Integrations across the healthcare ecosystem with complex workflows, data, and regulated environments
Going forward, you will also play an important role in exploring how AI can strengthen the platform - from predictive capabilities and automation to smarter workflows and decision support.
Who You Are
We are looking for someone who combines strong technical depth with the ability to lead and inspire others.
You are someone who enjoys solving complex problems, builds trust with experienced engineers rather than leading through hierarchy, is comfortable balancing innovation, speed, quality, and regulation, and thrives in an entrepreneurial environment where not everything is already defined.
A strong background as a software engineer, with experience building and scaling complex software products
Experience leading engineering teams, ideally with people responsibility
A track record of making architectural decisions and guiding technical direction
Experience working close to product development and translating business needs into technology
Experience from regulated, safety-critical, or complex environments is highly valuable (medtech is a plus)
Why Join Medoma?
Join at a key stage of growth, with product-market fit, international traction, and a clear path to profitability
Take genuine ownership in shaping the technical direction of a platform where there are still important decisions to make
Build the technical backbone of what could become a defining piece of European healthcare infrastructure
Work closely with a management team that moves fast, values direct communication, and makes thoughtful decisions
Be part of the company’s long-term journey through equity ownership and the opportunity to create meaningful impact
At Medoma, you are not building another digital product. You are helping create the infrastructure for a new way of delivering healthcare.
Interview Process
Senterprise is supporting Medoma in this recruitment.
Initial screening interview with Senterprise A first conversation to understand your background, experience, and motivation for the role.
Interview with COO & CPO Discussion about Medoma’s mission, company journey, and the CTO role.
Technical discussion with senior engineers Deep dive into technical leadership, architecture, engineering practices, and problem-solving.
Final interview with founders/leadership team Focus on vision, leadership, culture, and long-term fit.
About Senterprise
If you have any questions about the role, feel free to reach out to Erik Larsson at erik.larsson@senterprise.se.
Senterprise is a niche technology recruitment company specializing in recruiting experienced software developers, technical leaders, and engineering managers. We support some of Sweden’s most attractive technology companies with recruitment and consulting solutions.
The Chief Technology Officer (CTO) will be responsible for defining and delivering the technology vision and strategy of the company, ensuring alignment with business goals and regulatory obligations. As a member of the executive leadership team, the CTO will oversee the development, security, and scalability of the firm’s payment platforms, ensuring innovation, compliance, and resilience in a competitive environment. Roles & Responsibilities · Define and execute the company’s technology vision, roadmap, and long-term engineering strategy. · Ensure all systems and platforms are scalable, secure, and resilient to meet customer demand and regulatory expectations. · Advise the CEO and Board on technology trends, risks, and opportunities that impact the payments industry. · Champion innovation and the adoption of emerging technologies that enhance competitive advantage. · Lead the design, build, and optimisation of acquiring and issuing platforms, including transaction processing, settlement, reconciliation, and chargeback management. · Oversee integrations with card schemes (Visa, Mastercard, etc.). · Ensure full compliance with card scheme rules, PSD2 and other regulatory requirements. · Support the launch and scaling of existing and new product. · Develop technical solutions to optimise merchant onboarding, KYC, and payment acceptance capabilities across channels. · Manage vendor and scheme relationships, ensuring strong connectivity, performance, and resilience of payment rails. · Lead the end-to-end design and development of the company’s core payments platform, ensuring scalability, resilience, and innovation. · Oversee the full product lifecycle for technology solutions. · Collaborate with Product, Business Development, and Operations to define product roadmaps aligned with customer needs and commercial goals · Implement robust platform architecture to support acquiring, issuing, risk management, and reporting functions. · Ensure effective integration of APIs, partner solutions, and third-party services into the platform. · Drive a culture of customer-centric product development, ensuring technology directly supports business growth. · Oversee day-to-day operations of IT and payments infrastructure, ensuring system stability and uptime. Maintain strong relationships with processors, acquirers, issuers, and external technology vendors. · Build, lead, and mentor a high-performing technology team (engineering, IT operations, architecture, security). · Oversee IT budgets, vendor contracts, and resource planning to ensure effective use of company resources. Key Skills & Competencies Proven leadership in technology strategy within a FinTech, payments, or financial services organisation. Strong expertise in acquiring and card issuing technology, including scheme integrations, BIN sponsorship, and transaction processing. Deep experience in platform architecture and product lifecycle management. In-depth knowledge of regulatory frameworks (e.g., PSD2, FCA, PCI-DSS, AML, GDPR). Excellent stakeholder management and board-level communication skills. Strategic thinker with the ability to translate vision into execution. Deep understanding of cybersecurity, fraud prevention, and data protection in payments. Strong vendor and scheme relationship management skills.
Hacksaw Studios is looking for a highly experienced CTO / Lead Developer to join and lead our platform team. The platform team is responsible for building, maintaining, and continuously improving the core remote gaming server platform used across the group. This is a high-volume, transactional system operating in the online gaming industry, where scalability, security, reliability, and code quality are critical. This is a senior, hands-on technical leadership role. You will take ownership of the ongoing development and maintenance of the remote gaming server platform, as well as other platform-related services including API gateway solutions, back-office systems, integrations, and future unannounced projects. The role As CTO / Lead Developer for the platform team, you will be expected to combine strong technical leadership with hands-on development. You will work closely with the engineering team, senior management, and other departments to ensure that our platform continues to scale, perform, and meet the high standards required in a regulated industry. You will be responsible for driving technical decisions, improving architecture, reviewing and writing code, mentoring developers, and ensuring that the platform remains stable, secure, and maintainable as the business grows. A key part of the role will also be communication. You will need to clearly explain technical decisions, platform changes, risks, priorities, and ongoing work to both technical and non-technical stakeholders. This includes regular reporting to senior management, as well as close collaboration with departments such as Frontend, DevOps, Sysadmin, and Support to ensure they understand the platform, upcoming changes, operational impact, and how best to support the systems in production. Responsibilities Lead the technical direction and development of the remote gaming server platform Take ownership of platform architecture, scalability, performance, and security Write, review, and deliver high-quality C# code Maintain and improve core transactional systems handling high volumes of traffic Work with SQL databases and ensure strong data integrity, performance, and reliability Support and improve related platform services, including API gateways and back-office systems Report progress, priorities, risks, and technical decisions to senior management Communicate clearly with DevOps, sysadmin, support, and other departments about platform functionality, changes, incidents, and operational requirements Help educate relevant teams on how the platform works and how changes may affect their areas Promote strong engineering practices, including unit testing, code reviews, and maintainable architecture Help the team operate effectively in a highly regulated industry Mentor and support developers while remaining deeply involved in day-to-day implementation Contribute to future platform initiatives and new technical projects Requirements Extensive professional experience with C# and .NET Strong experience building scalable, production-grade backend systems Very strong SQL skills, including performance optimization and data modelling Understanding of caching principles in Redis or similar Experience working with transaction-based systems, ideally in online gaming, fintech, payments, trading, or similar industries Experience designing and operating horizontally scaled systems Strong understanding of system architecture, API design, reliability, and security Experience working with high-volume systems where uptime and correctness are critical A strong focus on code quality, testing, and maintainability Comfortable being hands-on and spending a significant amount of time coding Strong communication skills, with the ability to explain complex technical topics clearly to both technical and non-technical audiences Experience working across departments such as DevOps, infrastructure, support, product, or operations Ability to make pragmatic technical decisions in a fast-moving environment Nice to have Experience from the online gaming or gambling industry Experience working in regulated environments Experience with remote gaming server platforms, payment systems, or other mission-critical transactional platforms Experience designing analytics systems for handling very large data sets for reporting purposes Experience leading engineering teams or acting as a technical owner for a major platform Experience with back-office systems, API gateways and integrations into third-party systems Experience reporting to or working directly with senior management What we are looking for We are looking for someone who enjoys taking real technical ownership who is a strong, hands-on developer. You should be excited by complex backend systems, care deeply about quality, and be comfortable balancing long-term architecture with hands-on delivery. You should be able to lead from the front, contribute directly to the codebase, and help the team make good technical decisions while keeping the platform secure, scalable, and reliable. Just as importantly, you should be a strong communicator. The platform team works closely with DevOps, sysadmin, support, and senior management, and this role will be expected to create clarity across those teams. You should be comfortable explaining what the platform team is doing, why certain technical decisions are being made, what risks or priorities exist, and how other departments are affected. About Hacksaw Hacksaw is a fast-growing company in the online gaming industry, building products and platforms used by operators and players across multiple markets. We work in a highly regulated environment and place strong emphasis on quality, reliability, and responsible technical delivery. If you are an experienced C# developer and technical leader who wants to take ownership of a critical high-volume gaming platform, we would like to hear from you.
We're looking for someone who leads and sets technical direction in equal measure. Someone who can make hard calls, navigate business trade-offs, and still walk into a room and have a genuinely useful conversation about architecture, credit decisioning, or how AI is changing the way great engineering teams work.That combination is rare. That's why we're writing this. Few companies at this stage have this much cool stuff ahead of them.The foundation is built. The real expansion starts now. We've already helped a lot of people in debt take back control of their finances. But we're moving to a much larger scale, extending the journey toward lasting financial stability and wellbeing for more people across Europe. We're profitable. We're regulated as a kreditmarknadsbolag, a licence that lets us operate across the entire EU. Germany is growing fast and Sweden and Finland is strong markets. Our 2030 ambition is to be a pan-European company. That future is genuinely exciting and not fully written yet. The team is small and intentionally so. We're not trying to build a massive organisation. We'd rather have fewer people who want to do the exceptional and sometimes the unthinkable. People who trust each other, move fast and care about doing things properly. That's the culture we've built and it's something we're protective of. AI is a big part of how we work. Not just as a strategy, but something that's lived and breathed across engineering, analytics, operations and product development. We're building internal tooling on frontier models and we believe the way strong product and engineering organisations operate is changing quickly. This role requires someone who genuinely believes that too. What the role actually is You'll own the full technology function. That means setting direction, building the team, making trade-offs between speed and quality, and being a real contributor in leadership discussions about the business, not just the technical ones. This role is inherently cross-functional. The CTO's scope isn't tech alone, it's how technology creates value across every part of the business. How engineering decisions shape customer behaviour and the product experience. How technical choices affect our ability to expand, comply, and compete. We don't really think of "the business" and "tech" as separate conversations. You'll be close to the work. Not because we expect you to write production code every day, but because we think good technical leadership requires genuine proximity. Something that's just lived and breathed, not performed. You must be the kind of person who finds that energising rather than beneath them. The problems ahead of us are not just engineering problems. They're business problems, AI problems, regulatory problems and organisational problems at the same time. Credit decisioning across markets. Payments infrastructure. Scaling internationally. Multilingual AI systems. Understanding how customers actually behave and interact with financial products. Building a team that stays strong as we grow. You'll need to hold all of that. What we think matters You've been here before. You've sat in a leadership team, made decisions that affected the whole business and have managed other leaders. You've scaled an organisation from scrappy to structured, without losing what made it good. If your experience is primarily hands-on engineering management, this probably isn't the right next step. You've scaled a modern B2C product company in fintech, lending, payments or another regulated financial environment where product, risk and engineering constantly influence each other. You understand the business well enough to have a real opinion in any room, not just the technical ones. You lead well. Not in a "strong leader" the LinkedIn way. People actually want to work for you and with you. You make decisions, give direction, and create clarity without creating politics. You understand systems, trade-offs and leverage. You're comfortable making difficult calls with incomplete information and you don't need the picture to be fully clear before you act. You care about impact. Not just shipping things but actually moving the needle for customers and the business. You know what good looks like and it bothers you when things aren't and you don't really know how to turn that off. That's just how you're wired. And you're genuinely excited by AI. Not just following the discourse, but actually building with it, thinking about it, and probably annoying people at dinner parties with it. You're the person who can't stop thinking about what it changes. For products, for engineering teams, for financial services, and probably for a lot of other things too. Technically, we work with TypeScript, Python, Go, GraphQL, React Native, Kubernetes, BigQuery and GCP. The stack matters less than the judgment you bring to it. This role is based in Stockholm. We're at a stage where leadership needs to be embedded, close to the teams and part of how the culture develops. That's not negotiable, but we think if this role is right for you, it won't feel like a compromise. We offer a competitive salary and meaningful equity. This is real skin in the game, we're profitable and growing, and we want you to feel that. If this sounds like the kind of problem you want to work on, we'd like to hear from you.