Senior Software Engineer , Care Innovation

Our mission: eliminating every barrier to mental health.

Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. We're building a world where getting support is simple, personal, and built around the person, so care can continue through every job, move, health plan, and life stage.

Our AI-native platform helps us deliver personalized support across self-guided tools, coaching, therapy, medication management, and specialty care. With outcomes independently validated by JAMA Network Open and the Validation Institute, Spring Health reaches more than 170 million people worldwide through leading employers, health plans, and partners.

As an AI-native company, we believe technology should expand the reach, quality, and humanity of care. Every Spring Health team member is expected to use AI tools thoughtfully, apply human judgment to AI outputs, and keep building AI fluency in ways that support their role and our mission.

There are many positions open within the Care Innovation team, so depending on your skills and team needs, we'll route you to the appropriate team! You will take on a high-visibility, high-impact role as a Senior Software Engineer for a new product initiative. In this key technical position within a high impact team, you’ll have the autonomy to drive technical decisions and influence the direction of product development.

You'll collaborate closely with R&D leadership to design and execute high-priority projects that support our company’s mission of transforming mental healthcare.

This is a unique opportunity to be a foundational member of an empowered, purpose-driven team working on an innovative early-stage product. You will engage with a collaborative group focused on building solutions that make a lasting difference in mental healthcare.

Please note that this is a hybrid role based in San Francisco, with an expectation to be in the office 2-3 days per week at our 44 Montgomery Street location. 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.

• 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.

• Coding Excellence – Deliver clean, efficient, and scalable code that enhances system performance, maintainability, and reliability. Your code quality serves as a model for the team.
• Technical Leadership – Lead high-impact projects from ideation to delivery, driving technical direction while making…