Remote CTO or VP of Engineering, owning architecture, delivery and the engineering organisation end to end. Strongest in regulated software - medical device and clinical products, including a Class I SaMD taken through validation and audit - and in cloud platforms where reliability and cost both have to hold. Bologna, Italy; fully remote, with a solid overlap with US Eastern mornings.

Federico Lelli
@federicolelli
CTO at Mooltiverse building LLM prototypes and Nyx, while delivering clinical software, platform reliability, and post-M&A integration.
What I'm looking for
At Mooltiverse, my technology practice, I build LLM-based prototypes for finance, administration, and trading workflows, and maintain Nyx, my open-source semantic release automation tool written in Java and Go.
At Osteocom S.R.L., I designed and delivered an AI video localization pipeline for dental-surgery content, cutting turnaround by over 98%. At Alira Health (PatchAI), I took a Class I Software as a Medical Device through production release under MDR, IEC 62304, and ISO 13485; the release passed validation and the pharmaceutical client's audit.
At NoemaLife, I merged 7 international software factories and consolidated 31 products across 6 countries. I also cut global IT infrastructure costs by 60% against a €2.5M budget, while owning operations for clinical and diagnostic systems.
Experience
Work history, roles, and key accomplishments
Fractional CTO & Technology Advisor
Mooltiverse
Jan 2017 - Present (9 years 9 months)
Independent practice for fractional advisory work, open-source maintenance, and applied-AI prototyping. Author and maintainer of Nyx, a semantic release automation tool.
Chief Technology Officer
Osteocom
Mar 2023 - Oct 2025 (2 years 7 months)
CTO of a EUR 2.3M EduTech and eCommerce SaaS serving ~30,000 dental professionals, leading a six-engineer team through scaling and then a company-wide cost reduction. Designed and delivered an AI video localization pipeline for clinical content, cutting turnaround by over 98%. Sustained delivery after a 30% team reduction by automating roughly 80% of operational toil.
CTO & Head of Engineering
Alira Health (PatchAI)
Feb 2022 - Feb 2023 (1 year)
Technology lead for a clinical research company developing Software as a Medical Device, taking a Class I SaMD from design input to production under MDR. Directed launch of flagship SaaS across 10 countries and 12 languages, achieving 90% patient engagement.
Senior Platform Engineer
Empirix (InfoVista)
Sep 2018 - Feb 2022 (3 years 5 months)
Platform engineering role on a carrier-grade telco analytics platform, leading migration to cloud-agnostic architecture on Docker and Kubernetes. Scaled infrastructure and delivery automation from 40% to 80% for 8 product teams.
Chief Technology Officer
Jun 2014 - Aug 2018 (4 years 2 months)
Drove enterprise-wide digital transformation for a global clinical and diagnostic software provider through a major
expansion phase, governing product strategy, global security and IT operations.
Area Executive & Chief Enterprise Architect
NoemaLife
Jul 2008 - Jun 2014 (5 years 11 months)
Led enterprise architecture and platform engineering, unifying technical strategy and establishing corporate-wide automation standards. Built the group's internal developer platform adopted as standard across engineering teams.
Education
Degrees, certifications, and relevant coursework
CSQA
ISO 27001 Lead Auditor, Information Security
2015 - 2015
Certified as an ISO 27001 Lead Auditor.
I.T.C. Salvemini
Computer Programming Diploma, Computer Programming
Earned a Computer Programming Diploma.
University of Bologna
Information Technology Engineering, Information Technology Engineering
Completed two years of study in Information Technology Engineering.
CSQA
ITIL Foundation, IT Service Management
2016 - 2016
Certified in ITIL Foundation.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Social media
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