Lead engineering efforts for an AI-enabled mental health platform, defining system architecture and overseeing development, integrations, and compliance.
Senior Software Engineer / ArchitectAbout FamilyWell
FamilyWell Health is an AI-enabled mental health start-up dedicated to solving the women’s mental health crisis by seamlessly embedding high quality, equitable, & affordable mental health care into OB/Gyn practices. FamilyWell provides comprehensive virtual mental health services designed specifically for integration into OB/Gyn practices utilizing the psychiatric collaborative care model. FamilyWell’s virtual care team model delivers evidence-based coaching, therapy, care coordination, and psychiatric services with specialized expertise in perinatal mental health and perimenopause/menopause.
Why this roleFamilyWell is scaling a tech-enabled mental health platform for women. Our custom Registry (Postgres) orchestrates care across our EMR (Healthie), Spruce messaging, RCM, and patient engagement tools. Next up: a BI layer, data warehouse, and workflow automation. We’re hiring a hands-on senior engineer who owns the whole stack—design it, build it, instrument it, secure it—while partnering on system design, reliability, and data architecture.
What you’ll own- Platform & architecture
- Define and evolve our system architecture (service boundaries, data model, integration strategy, security/identity).
- Choose the right patterns (events/queues, caching, REST/FHIR/GraphQL contracts) and document them clearly.
- Create reference implementations and guardrails (linting, testing, codegen, libraries).
- Product engineering
- Lead development of Registry features: care-team workflows, scheduling, cohorting, rules/automation, and patient program logic.
- Build and maintain integrations with Healthie, Spruce, Slack, Google Workspace, RCM, and data/BI tools; design for idempotency, retries, and reconciliation.
- Data & reliability
- Own all schema design, migrations, and performance; set patterns for read replicas and CDC to the data warehouse (Snowflake).
- Mature observability (metrics, logs, traces), SLOs, and error budgets; drive incident response.
- Security & compliance
- Champion HIPAA/SOC 2 best practices: PHI handling, audit logging, least-privilege, encryption, key rotation, SSO (SAML/OIDC).
- Partner with ops/compliance on evidence collection and vendor risk reviews.
- DevOps & delivery
- Shape CI/CD, infrastructure-as-code, environment strategy, and release practices; guide cost/perf tradeoffs.
- Establish SDLC rituals (PR review, ADRs, release notes) and quality bars (unit/integration/e2e).
- Technical leadership
- Be the technical owner for the platform; mentor engineers; collaborate tightly with Product, Data, and Clinical Ops; translate requirements into clear technical plans.
- Backend: TypeScript/Node (or Python), Postgres (SQL, indexing, EXPLAIN), Redis, queues (SQS/Kafka/Rabbit)
- APIs/Interop: REST, webhooks, OAuth2, SAML/OIDC; familiarity with FHIR/HL7, X12 (RCM) is a plus
- Frontend: React/Next.js (Vercel), Tailwind (nice to have)
- Infra: AWS or GCP, Fly.io/Vercel, Docker, Terraform (or Pulumi), CI/CD (GitHub Actions)
- Data: CDC (Debezium/Logical Replication), dbt, Snowflake/BigQuery (with an Analytics/BI Eng partner)
- Obs/Sec: Datadog/CloudWatch, OpenTelemetry, Vault/KMS, SAST/DAST
- 7–10+ years building production systems; 3+ years owning architecture or complex service design.
- Shipped secure, reliable systems in healthcare or another regulated space; comfort with HIPAA.
- Led integrations with 3rd-party SaaS/EMRs; handled idempotency, rate limits, retries, reconciliation.
- Scaled Postgres (schemas, migrations, vacuum/ANALYZE, partitioning, read replicas).
- Proven track record of turning ambiguous requirements into shipping software on tight timelines.
- Excellent code quality, testing discipline (unit/integration/e2e), and documentation habits.
- Experience with Healthie, Spruce, athenahealth, Canvas, or RCM systems.
- Event-driven architectures; rules engines or workflow orchestration (Temporal/Cadence).
- Security certifications or SOC 2 audit experience.
- Prior startup, 0→1 and 1→n scaling.
Top Skills
AWS
BigQuery
Cloudwatch
Dast
Datadog
Docker
Fhir
GCP
Github Actions
Hl7
Kafka
Kms
Next.Js
Node.js
Oauth2
Opentelemetry
Postgres
Python
RabbitMQ
React
Redis
Rest
SAML
Sast
Snowflake
Sqs
Tailwind
Terraform
Typescript
Vault
FamilyWell Health Boston, Massachusetts, USA Office
Boston, Massachusetts, United States
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