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Full-stack Founding Engineer (AI/Healthcare)

ReClym Health | New York, United States | Today
full-time | remote | senior
skills: python, llm prompt engineering, conversational ai, typescript, next.js, amazon bedrock, amazon transcribe medical, elevenlabs, smallest ai, aurora postgresql, github actions, ci/cd, hipaa, clinical nlp, medical transcription, behavioral health technology

Company Description

ReClym is an early-stage (fundraising) startup building the AI-powered operating system for independent therapy practices. We're solving two of the biggest problems in behavioral health simultaneously: the administrative and billing burden that drives therapists out of insurance networks, and the 10,030 minutes between sessions where clinicians have zero visibility into their patients.

We're pre-seed, angel-funded, with 16 therapists signed for beta and a founding engineering team already in place. This is a ground-floor role.

Why this matters

80% of non-physician mental health providers practice out-of-network because insurance reimbursement is 22% lower than for medical providers. 40–60% of patients drop out of therapy before treatment works. 5.4 million young Americans already use AI chatbots for mental health support with zero clinical supervision.

ReClym is the only platform building a continuous data loop and doing it in a way that keeps therapists independent.

Compensation: Equity-first, with bridge salary introduced post-fundraise.

The Role

You will own the intelligence layer of the ReClym platform. Our Senior Founding Engineer owns the HIPAA-compliant infrastructure and full-stack foundation; your work runs on top of it.

This is not a research role. You will design, build, and iterate on production AI systems that real therapists and patients use from day one.

The Stack

  • Python microservice communicating via API with a TypeScript/Next.js backend
  • Amazon Bedrock (Claude Sonnet) for all LLM processing of PHI
  • Amazon Transcribe Medical for speech-to-text
  • ElevenLabs or Smallest AI for the conversational voice agents (BAA required)
  • Aurora PostgreSQL for structured data storage
  • GitHub Actions for CI/CD

What we're looking for

  • Strong Python and LLM prompt engineering - you've built production conversational AI systems, not just demos
  • Experience designing multi-agent architectures or complex conversational flows
  • Comfort with HIPAA or healthcare data constraints or the discipline to learn them fast and take them seriously
  • The product judgment to build AI that supports clinical decisions rather than replacing them

Nice to have: prior experience with clinical NLP, medical transcription, or behavioral health technology. Experience with Bedrock specifically.

Why Join Us

  • Founding-level equity in a company redefining mental health infrastructure 
  • Shape core product, engineering, and culture 
  • Ready-to-go product distribution model
  • Directly contribute to expanding access to mental healthcare 
  • Remote team or New York based
  • Build a category-defining product from zero to one

Benefits

equity · bridge salary · remote team
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