April 21, 2026

Episode #211. Build Fast, Break Nothing: Inside a Healthcare CTO’s Balancing Act, with Josh Prince, CTO and VP of Engineering at Censinet

Episode #211. Build Fast, Break Nothing: Inside a Healthcare CTO’s Balancing Act, with Josh Prince, CTO and VP of Engineering at Censinet
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Great technology leadership in healthcare starts with curiosity, close contact with users, and a willingness to solve the right problems in fast-changing environments.

In this episode, Josh Prince, Chief Technology Officer and VP of Engineering at Censinet, shares his path from healthcare consulting and analytics into startup leadership and enterprise software development. He talks about what he loves most about startup environments, including the autonomy, stretch, and cross-functional problem-solving they demand. Josh also reflects on the lessons he has learned from building in healthcare for nearly two decades, why resource constraints can sharpen teams, and how staying close to customer needs keeps technology grounded in value. He closes with practical advice for aspiring engineering leaders: stay curious, keep experimenting, and never lose sight of real-world adoption.

Tune in to hear how a hands-on healthcare CTO thinks about startups, engineering leadership, and building technology that actually works in high-stakes environments.

Resources:

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