Founding Engineering Lead @ Behavioral Health Startup
Role Overview
As a Founding Engineering Lead, you will work closely with the team to make prototype code reliable and scalable, owning two products end-to-end. This senior-level role involves architecting and implementing core experiences using TypeScript, React, Next.js, and Supabase/Postgres, while creating data pipelines and AI infrastructure to process large volumes of data. You'll have a significant impact by building MVPs and features that enhance a behavioral health platform, contributing to a company with clear product-market fit.
Perks & Benefits
This role offers remote work with a location preference for San Francisco, likely requiring flexibility for time zone coordination. Compensation includes a salary range of $150-250k and co-founder level equity, indicating high growth potential and ownership. The culture emphasizes high agency, scrappy execution, and impact in mental health, with opportunities for career advancement in a startup environment.
Full Job Description
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
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