Founding Engineering Lead @ Behavioral Health Startup

Role: Founding Engineering Lead – Full-Stack with LLM
Location: San Francisco

Our client is building a new behavioral health workflow automation platform that eliminates administrative burden in mental health clinics. They've found a white space in behavioral health testing (ADHD, autism, concussion clinics) where there's minimal existing technology and high openness to new solutions. As a result, they've acheived early product-market fit working with top instuitions such as Harvard and large well-known clinics throughout the United States.

Position Overview:

As a Founding Engineering Lead, you’ll work closely with the existing team to make prototype code reliable and scalable. You'll own two products end to end, executing on a roadmap that has been validated by the market. This role is ideal for a high agency, scrappy engineer who wants to be part of a company with clear product market-fit doing something impactful.

Key Responsibilities:

• Own the product end-to-end: Help architect and implement the core experience using TypeScript, React, Next.js, and Supabase/Postgres.

• Reliability and scale: Make existing prototype code both reliable and scalable

• Data Pipeline: Create systems that ingest large amount of data, augment as needed, and apply AI rules around what's missed when needed

• AI infrastructure: Create systems that proces large volumes of data (including voice)

• Develop lightweight memory/state systems: Build ways to track user sentiment, patterns, and emotional state across sessions.

• Execute quickly, ship with care: Build MVPs and features that feel thoughtful and intentional — fast, but not sloppy.

Qualifications:

• 3–6+ years of full-stack experience (ideally React/TypeScript)

• Experience with LLM tools (e.g., OpenAI, LangChain, vector databases)

• Interest in mental health, journaling, inner work, or emotional design

• Bonus: background in NLP, affective computing, or human-computer interaction

What they offer:

• $150-250k, co-founder level equity for the right person