Founding Engineer — AI-Native Mental Health Startup

Founding Engineer — AI-Native Mental Health Startup

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Location

San Francisco, CA (Onsite, in-person at SF HQ — no remote)

Compensation

$130,000 – $250,000 base + 0.20%–0.80% equity

Visa Sponsorship

None available

Relocation

No relocation assistance provided

Employment Type

Full-Time

Headcount

2 open seats

### About the Company

A YC-backed startup building AI-native mental health care. The team uses modern language models and data tooling to expand access to high-quality psychiatric care and to streamline clinical operations, integrating AI across the patient and provider experience.

### About the Role

As a Founding Engineer, you'll own core product and agent systems end-to-end — the layer that coordinates patients, clinicians, and AI agents as one coherent system. This is not "just infra": it's the product heart of an autonomous care system, including the workflows, agent behaviors, guardrails, integrations, the UX that makes it usable, and the reliability that makes it trusted. Roles evolve quickly here, and top performers on the founding team are expected to grow into running major parts of the system.

### Tech Stack

• Backend: Node.js, TypeScript, Supabase (Postgres), AWS (ECS, Lambda, S3)
• Frontend: Next.js 15 (App Router), Tailwind, Vercel
• AI: OpenAI, Anthropic, tool-calling agents, embeddings + vector databases, observability tooling
• Other: PHI security, audit trails, real-time schedulers, transcript ingestion

### What You'll Own

• Architect and scale an event-driven backend on Node.js / TypeScript / Supabase (Postgres) / AWS — designing schemas, invariants, and workflows that encode how care actually operates, turning messy real-world processes into clean state machines and event streams
• Build real LLM agents as coworkers — tool use, retries, memory, safety rails, action schemas, and evaluat...