Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Systems Architecture Conversational AI Full Stack Development Natural Language Processing (NLP) Communicating With Patients Front End Design Code Analysis Electronic Health Record Applications Release Builds Computer Systems Systems Design Custom Attributes Clinical System Operations Technical Leadership Cross-Functional Collaboration Agile Software Development

Other Skills

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Communication
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Leadership
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Teamwork
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Mentorship
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Empathy
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Problem Solving

Roles & Responsibilities

4+ years of engineering experience in fast-paced, high-ownership environments, ideally at startups or founder-facing roles
Fluent across the full stack, capable of architecting scalable end-to-end backend and frontend solutions
Mission-driven leader who cares about solving the mental health crisis for older adults and inspires others to move fast with purpose
Track record of excellence with a drive to win and deliver with urgency and precision

Requirements:

Build the V1 clinical operations layer by designing and shipping core systems across patient experience, therapist workflows, and EHR from code to production-ready tools
Lead AI innovation by building and scaling AI-native features such as speech-to-text triage, care navigation copilots, auto-summarized progress notes, intelligent intake, and real-time voice agents for families
Set the technical bar and grow the engineering team by owning architecture and major technical decisions while coding, reviewing, and shipping; mentor and inspire teammates
Move at the speed of light by collaborating directly with clinicians, designers, and founders to ship, iterate, and improve in real-time with minimal bureaucracy

Job description

🏥 About Sailor Health

Sailor Health is on a mission to solve the mental health crisis among older adults. In the United States, older adults have the highest suicide rates of any age group yet receive the least mental health care. By 2030, over 65 million seniors will make up nearly a quarter of the U.S. population, creating one of the largest and most urgent challenges in healthcare.

Sailor is building the platform for senior mental health, connecting older adults, therapists, healthcare professionals, and insurance plans. Our AI-native operating system powers seamless care coordination, real-time clinical insights, and insurance billing - enabling therapists to spend more time delivering compassionate care.

We are growing quickly and have partnered with Medicare to offer affordable and exceptional psychotherapy to hundreds of patients. We are honored to have the support and backing of world-class founders from Ramp, Nourish, Headway, Charlie Health, and Spring Health.

⭐ About the Role

Location: HQ - New York City - Remote.

We’re looking for a Founding Full-Stack Engineer to lead our AI-powered full stack from architecture to launch. You’ll work side-by-side with our co-founders to build the systems and AI infrastructure that power our platform – from therapist tooling to care navigation copilots.

This is a ground-floor opportunity to design and launch an AI-first product from scratch at a startup with extreme PMF. You’ll own major technical decisions, shape our engineering culture, and bring bold ideas to life – fast. If you’re eager to move with speed and autonomy, and want your code to drive meaningful, measurable impact at scale, we’d love to meet you.

💻 Your Key Responsibilities

Build our V1 clinical operations layer: Design and ship core systems across our patient experience, therapist workflows, and EHR – from first line of code to production-ready tools.
Lead AI innovation: Build and scale AI-native features including speech-to-text triage, care navigation copilots, auto-summarized progress notes, intelligent intake, and real-time voice agents that speak with families
Set the technical bar and grow the engineering team: Own architecture and major technical decisions while rolling up your sleeves to code, review, and ship. Mentor and inspire teammates, shaping a culture of speed, excellence, and impact.
Move at the speed of light: Collaborate directly with clinicians, designers, and founders to ship, iterate, and improve in real-time – with no bureaucratic drag

✅ Ideal Qualifications & Skills

You’re an A+ player. You have a burning desire to win, a track record of excellence, and a drive to build with urgency and precision. You want to be the best and you want your team win.
You have 4+ years of experience. You’ve contributed meaningfully to engineering teams in fast-paced, high-ownership settings – ideally at startups or in founder-facing roles.
You’re fluent across the stack. You move confidently between backend and frontend systems and can architect elegant, scalable solutions end-to-end.
You’re a mission-driven leader. You care deeply about solving the mental health crisis for older adults and want your work to have life-changing impact. You lead with empathy, set a high bar for excellence, and inspire those around you to move fast with purpose.