Top Tech Startups in North Carolina, US in 2027

Gusto is a modern, online people platform that helps small businesses take care of their teams. On top of full-service payroll, Gusto offers health insurance, 401(k)s, expert HR, and team management tools. Today, Gusto offices in Denver, San Francisco, and New York serve more than 100,000 businesses nationwide. Our customers come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because it's the right thing to do, but because it makes our company stronger. If you share our values and our enthusiasm for small businesses, you will find a home at Gusto.

TrialSpark is transforming the way new medical treatments are brought to market. We’re a technology company that runs end-to-end clinical trials through a network of our own TrialSpark-operated trial sites, making the entire lifecycle of clinical trials more efficient, accessible, and patient-centric. We're growing quickly and would love to have you join us!

MongoDB is the leading modern, general purpose database platform, designed to unleash the power of software and data for developers and the applications they build. Headquartered in New York, MongoDB has more than 15,000 customers over 100 countries. The MongoDB database platform has been downloaded over 60 million times and there have been more than one million MongoDB University registrations.

We are a technology company that builds coordinated care networks of health and human service providers. Our company was founded to help the people who risked their lives to protect us all, and we continue to meet the needs of veterans—never forgetting where we started. With us, providers across sectors can send and receive secure referrals, track every person’s total health journey, and report on tangible outcomes across a full range of services in a centralized, cohesive, and collaborative ecosystem. Also, our dedicated team builds authentic, lasting partnerships to ensure their networks have a solid foundation, launch successfully, and continue to grow and thrive. This social infrastructure helps communities transform their ability to work together and measure impact.

Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopause, with long-term preventive care and condition management. Our model delivers 24/7 multispecialty care to address the medical, behavioral, and social factors that most significantly impact outcomes for women and children. We partner with payers, employers, and providers to expand access to quality healthcare across the system. To search career opportunities or to learn more, head to pomelocare.com.

There will be a shortage of 1.5 million healthcare workers in 5 years. There are 37 million workers who could double their income with short vocational training. Stepful will bridge this gap. Stepful is the first online school disrupting healthcare vocational training by offering a new student experience, and guaranteeing job outcomes.

Built for organizations that need more control over their communications; it enables collaboration between colleagues, partners, customers, communities, and even platforms without compromises on data ownership, customizations, or integrations. Tens of millions of users in over 150 countries and organizations such as Deutsche Bahn, The US Navy, and Credit Suisse trust Rocket.Chat every day to keep their communications completely private and secure. Rocket.Chat is an enterprise communication hub that offers numerous solutions: Omnichannel Customer Experience, Team Collaboration, and DevOps. The main benefit is to centralize organizational communication and boost productivity by bringing messages, video calls, file sharing, and all team communication into one place. Built-in JavaScript, using the Meteor full-stack framework, the tool offers omnichannel customer engagement through LiveChat widget and integrations with Whatsapp, Twilio, Messenger, SMS, Emails, among others. Team collaboration can be improved by chat messaging, video conferences, audio messages, file sharing, threads, discussion groups, direct or group messages, real-time translation, audit messaging panel, and custom user permissions. DevOps can be accelerated with native integrations offered in Rocket.Chat`s marketplace, real-time LDAP, webhooks, and powerful APIs.

We believe learning differences are parallel ways of thinking that should be celebrated. Our mission is to provide students with the resources and encouragement to succeed in the classroom and beyond. To us, this means helping them build confidence in their unique strengths and create strategies to work around their weaknesses.

One platform. One API. All Channels - from Pure-Play Webstore to Omnichannel infrastructure.

AirGarage is repurposing the 30% of real estate in the average American city currently dedicated to parking. We are building a future where real estate is digitized and can be transitioned from one use to another seamlessly on-demand, moving every piece of urban real estate toward its highest and best use. We are starting with the $131 billion US parking real estate market because it is one of the most offline and mismanaged commercial real estate asset types. As a full-stack parking operator, we automate the operation of parking lots and parking garages. We handle everything from advertising to collecting payments from drivers and enforcing against illegal parking. We already operate 150+ parking lots and parking garages across 30 US states and we are growing quickly. We are backed by top tier investors including Andreessen Horowitz, Floodgate, Founders Fund, and angel investors who have founded or worked at companies like Uber, Opendoor, Flexport, and more.