Senior Software Engineer I, Care Innovation

Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. This is a high-visibility, high-impact role as a Senior Software Engineer for a new product initiative. You will have autonomy to drive technical decisions and influence the direction of product development, collaborating closely with R&D leadership to design and execute high-priority projects. This is a unique opportunity to be a foundational member of an empowered, purpose-driven team working on an innovative early-stage product. This is a hybrid role based in San Francisco, with expectation to be in the office 2–3 days per week.

Responsibilities

Write, review, and optimize production-ready code daily while making key technical decisions and holding a high bar for code quality; Lead technical design reviews and produce technical designs as a primary author—delivering elegant solutions to complex problems; Use AI tools (e.g., Claude, Copilot, Cursor etc) to support technical design, explore tradeoffs, accelerate delivery, and augment code reviews—while critically evaluating all AI-generated output to ensure it meets team quality and security standards; Identify repeatable tasks that can be accelerated with AI; guide junior engineers on effective and responsible AI usage; Design and build scalable backend services in Ruby on Rails, owning provider-facing APIs across the profile, onboarding, and offboarding lifecycle; Lead multi-person, multi-sprint projects: coordinate execution, manage dependencies and tradeoffs, and build alignment across stakeholders; Mentor and actively develop engineers at earlier career stages through code reviews, pairing, and direct coaching; Own operational excellence: exemplify best practices in logging, alerting, and monitoring; methodically investigate incidents and provide root cause analyses, including participating in an on-call rotation

Requirements

5+ years of professional software development experience with a focus on backend development; Strong proficiency in Ruby on Rails, Python, or equivalent object-oriented backend language; Experience leading technical designs and multi-person engineering projects end-to-end; Strong SQL skills and familiarity with relational databases like PostgreSQL; Actively uses AI coding tools (e.g., Claude, Copilot) and iterates on prompts to get high-quality outputs—while critically reviewing AI-generated code for correctness, security, and standards compliance; Embraces writing well-designed tests that accompany all code; Proven ability to mentor and develop engineers at earlier career stages; Comfortable working on an agile team; curious about learning new things, including evolving AI capabilities; Candidates must be based in the San Francisco metro area or able to relocate independently within 90 days of their start date; Occasional travel will be required for team on-sites

Nice to have

Experience integrating AI/ML features or LLM-powered services in production; Background in healthcare or regulated environments

Benefits

Health, Dental, Vision benefits start on first day; Access to One Medical accounts; HSA and FSA plans available with Spring contributing up to $1K for HSAs; Employer sponsored 401(k) match of up to 2% for retirement planning; Yearly allotment of no cost visits to Spring Health network of therapists, coaches, and medication management providers; Competitive paid time off including vacation, sick leave and company holidays; Parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents; Access to Noom; Access to fertility care support through Carrot plus $4,000 reimbursement for related fertility expenses; Access to Wellhub; Access to BrightHorizons sponsored child care, back-up care, and elder care; Up to $1,000 Professional Development Reimbursement a year; $200 per year donation matching; Equity