About Birches Health:

Online gambling has taken over the US. Over 200 million Americans now regularly bet on sports and the rates of gambling addiction have skyrocketed since online gambling’s legalization. As widespread gambling creates record levels of addiction, debt, and bankruptcy, millions of problem gamblers still cannot access specialized, comprehensive care that they desperately need.

At Birches Health, we’re beating the online gambling epidemic with virtual therapy for gambling addiction from specialized clinicians. Our care is covered by insurance and state funding to ensure access to treatment for problem gamblers. We work with patients throughout their gambling addiction journey to improve clinical outcomes and reduce healthcare costs.

Our mission is to build the medical and technological infrastructure for behavioral addiction in the US to make sure millions of patients receive the highest quality clinical outcomes and path to recovery they deserve. We’re backed by leading healthcare and gaming investors including General Catalyst, AlleyCorp, Will Ventures, Defy, Haystack, Operator Partners, and C-suite angels at private and public companies.

Join us to bring addiction care into the present day.

About The Role:

The founding engineer is a crucial position that will directly influence Birches Health’s success by owning software development across our business operations, patient facing website and applications, and our provider network. This is an opportunity to be an important part of a small but highly efficient engineering team we are building. You’ll work closely with the founder, have a say in key technical and product decisions, and build a platform that helps people access care for behavioral and process addictions.

• Own aspects of end-to-end implementation of Birches Health’s platform from scoping of initial features to launch of final product.
• Develop and iterate on a user-facing, two-sided platform (for both patients and clinicians)
• Work closely with our CEO, Engineering, and Product teams to make key platform decisions, iterate on company roadmap, and expand the technical capabilities and team.
• Exercise ownership and initiative, and work with the Product team to drive product improvements, build a track record of shipping a great product.
• Write clean, scalable code and establish standards that will shape the future of the engineering org.

Who You Are:

• Full Stack engineer with 4+ years experience architecting, developing and testing business-critical applications end-to-end.
• Experienced at early-stage startups, with bias for action. You’ve built the technical foundation for startups and have specific experiences going from 0 to 1 on product and business infrastructure development..
• Experience in regulatory-heavy environments, with knowledge of compliance frameworks such as SOC2 and HIPAA.
• Experience working with EHR integrations, connecting the patient journey through enterprise-grade automation and connectivity through the different patient journey stages.
• Strong experience with modern full-stack development (ideally TypeScript, Next.js, TailwindCSS, Python/FastAPI, or similar technologies).
• Knack for designing interfaces that are elegant and usable. This role will require a keen eye for standard interface design and implementation.
• Working knowledge of CI/CD, feature flags, and API first architecture and ability to build these from-scratch.
• Experience in healthcare (or other industries with complex regulatory and compliance frameworks) or at early stage companies.
• Strong communication skills, ability to collaborate effectively with technical and non-technical counterparts.
• Working knowledge of GCP and infrastructure-as-code via Terraform.
• Experience with AI coding tools (Claude, Cursor).