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N-21.ai

Chief Growth & Capital Officer (CGCO)

northern, KY

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Job description

The Chief Growth & Capital Officer (CGCO) is a seed-stage, C-level executive responsible for revenue creation, market entry, and early capital formation. This is a hands‑on growth builder role combining enterprise sales, business development, and fundraising responsibilities. The CGCO works closely with the Chairman & CEO to establish commercial credibility, secure lighthouse customers, and prepare the company for a Series A raise.

Company Overview:

We are an early-stage healthcare AI startup building agentic AI-driven managed outcomes platforms for Medicare Advantage and Medicaid. Our focus is on improving clinical outcomes, reducing medical costs, and driving operational efficiency for payers and risk‑bearing providers. The company operates at the intersection of AI, risk adjustment, value-based care, and managed care economics.

Core Mandate:

Personally close the first few enterprise customers, drive market traction, sales and growth for the company

Establish commercial proof points and ROI narrative

Shape pricing and outcomes-linked contracting models

Lead seed extension or Series A readiness fundraising

Position the company credibly with investors and strategic partners

Key Responsibilities:

Lead founder-level enterprise sales to MA plans, Medicaid MCOs, and risk-bearing providers, MSOs, others.

Convert pilots into multi-year platform contracts, establish and drive ARR models

Design early GTM motion and ideal customer profile

Identify early strategic partners and co-sell opportunitiesSupport entry into priority states and lines of business

Lead seed extension and Series A fundraising efforts

Own investor narrative around outcomes, ROI, and AI leverage

Manage investor meetings, diligence, and pitch materials

Act as a core member of the executive leadership team

Support board communication and strategic planning

What We're Looking For:

10+ years in healthcare sales, growth, or corporate development

Direct experience selling to MA plans, Medicaid MCOs, or risk-bearing providers

Prior experience at an early-stage healthcare or health‑tech startup

Exposure to venture fundraising (seed or Series A)

Strong understanding of MA and Medicaid economics

Familiarity with risk adjustment, quality, utilization, and value-based care

Ability to translate AI and clinical value into CFO-level ROI narratives

Comfortable operating with ambiguity

Strong executive presence with customers and investors

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