Talkiatry

Develop full-stack AI systems with agentic capabilities and ensure reliable production rollouts through evaluation and observability. | Requires 2+ years software engineering and 1+ year production AI system experience with proficiency in Python or TypeScript and modern frontend frameworks. | We're looking for an Senior AI Engineer to join a new AI Engineering team building foundational AI capabilities for mental healthcare at Talkiatry. You'll work across the AI lifecycle — from prototyping to production rollout, observability, and continuous improvement — building backend APIs, frontend interfaces, orchestration services, and internal tools that make AI useful, trustworthy, and actionable. You'll collaborate with senior engineers, product, clinical stakeholders, and data teams where your work directly impacts how AI is safely deployed in healthcare. This role is ideal for engineers with early LLM/agentic AI experience who want to deepen their skills on real production systems and grow into ownership of AI capabilities over time. About Talkiatry: Talkiatry is transforming mental health care by making high-quality psychiatry more accessible, human, and sustainable for both patients and clinicians. Co-founded by a patient and a triple-board-certified psychiatrist, we were built to solve one of healthcare’s most urgent challenges: millions of people struggle to access mental health care, while clinicians face growing administrative burden and burnout. Through our technology-powered, in-network platform, we’re changing that, creating a better experience for patients and empowering clinicians to focus on delivering exceptional care. Today, Talkiatry is the largest dedicated psychiatry practice in the U.S., with 750+ psychiatrists, 250+ therapists, and more than two million patient visits delivered nationwide. At our scale, every innovation has real impact. Every workflow we improve, every technology solution we build, and every patient experience we redesign helps thousands of clinicians provide better care to hundreds of thousands of patients. We’re not just growing quickly — we’re redefining how behavioral healthcare is delivered in America. Joining Talkiatry means joining a mission-driven team that is solving complex problems at scale, driving meaningful change in healthcare, and building the future of mental health care with compassion, innovation, and purpose. You will: Full-Stack AI Development: Build frontend interfaces, backend services, APIs, integrations, and data flows that make AI capabilities usable in patient, clinician, and internal workflows. Agentic AI Systems: Build and iterate on agentic systems that use reasoning, tool use, retrieval, memory, and multi-step workflows to solve healthcare problems. RAG & Knowledge Systems: Build and maintain RAG pipelines, ingestion workflows, retrieval tuning, semantic search, and knowledge quality improvements. Evaluation & Quality: Implement evaluation frameworks, automated tests, experiments, regression checks, and quality metrics to improve AI system performance over time. Safety, Guardrails & Observability: Implement guardrails, fallback flows, human-in-the-loop workflows, access controls, tracing, monitoring, and diagnostics for production AI systems. Production Delivery: Contribute to reliable production rollouts, CI/CD workflows, debugging, incident response, performance improvements, and operational efficiency. Cross-Functional Collaboration: Work with senior engineers, product, clinical, design, and data partners to translate real workflows into safe, reliable AI-powered experiences. You have: 2+ years of software engineering experience, including building, testing, and maintaining production software systems. 1+ year of experience building with LLMs, agentic AI, or production AI systems, ideally beyond simple chatbot or prompt-only use cases. Strong programming skills in Python and/or TypeScript, with experience building backend services, APIs, integrations, data flows, or full-stack product features. Experience with modern frontend or full-stack development using technologies such as React, Next.js, TypeScript, Node.js, or similar frameworks. Experience contributing to AI systems involving retrieval, tool use, workflow orchestration, structured outputs, context management, or multi-step execution. Familiarity with agentic frameworks and orchestration tools such as LangGraph, CrewAI, OpenAI Agents SDK, or similar frameworks. Familiarity with RAG systems, vector databases, semantic search, retrieval infrastructure, model serving, or knowledge pipelines. Familiarity with cloud-native development, containerized services, Kubernetes, CI/CD workflows, or scalable production environments. Strong debugging, communication, and collaboration skills, with the ability to work through ambiguity and make steady progress with guidance from senior engineers. Nice to have: Experience building AI systems in healthcare, clinical, safety-critical, or other regulated environments. Familiarity with HIPAA, clinical AI safety, FDA AI/ML guidance, or compliance-aware software development. Experience using tests, evaluation methods, quality metrics, experiments, observability, or release checks to improve system reliability and performance. Why Talkiatry: Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care Collaborative environment: be part of building something from the ground up at a fast-paced startup Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more! Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands It all comes back to care: we’re a mental health company, and we put our team’s well-being first Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work. At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us. We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.

Lead lifecycle marketing strategy integrating AI and machine learning to drive patient and provider engagement and retention. | 8+ years in lifecycle, growth, or CRM marketing with strong analytics and leadership in regulated industries. | We are seeking a Lifecycle Marketing Director to define, own, and evolve our end-to-end patient and provider lifecycle strategy, spanning onboarding, activation, early care, retention, and reactivation. This is a senior leadership role at a critical inflection point in Talkiatry's growth, with real scope to build the lifecycle engine that will carry the company through its next phase. You will set the vision and drive measurable impact across the lifecycle by improving activation rates, accelerating early care progression, strengthening retention, and increasing long-term patient value. You will establish a structured experimentation roadmap, build scalable lifecycle capabilities, and orchestrate cohesive end-to-end experiences across segments, channels, and cross-functional teams. You will also shape how Talkiatry applies AI and machine learning to lifecycle marketing, not as a future aspiration but as a near-term capability, from predictive engagement and propensity modeling to intelligent automation and real-time decisioning. This means building the data and infrastructure foundation that makes those capabilities possible, and leading a team that tests, validates, and scales them responsibly. You will partner closely with Marketing, Product, Engineering, Data, and Operations to ensure lifecycle strategy is tightly aligned with business priorities, regulatory requirements, and a consistent, high-quality experience for both patients and providers. About Talkiatry: Talkiatry transforms psychiatry with accessible, human, and responsible care. We’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment. 60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low, and paperwork is unduly burdensome. With innovative technology and a human-centered philosophy, we provide patients with the care they need—and allow psychiatrists to focus on why they got into medicine. You will: Lifecycle Strategy and Ownership Own the lifecycle vision and roadmap across the full patient journey, from Intake through Booking, Visit, Retention, and Reactivation, ensuring each stage is connected, instrumented, and optimized Define lifecycle KPIs including No show late cancel, visit completion, retention, and LTV, and align them explicitly to company goals and investor priorities Establish a structured experimentation framework that generates compounding learning and drives incremental lift across the lifecycle Balance short-term performance optimization with longer-term infrastructure investment, making explicit tradeoffs and communicating them clearly to leadership Define and maintain the governance model for lifecycle communications, including naming conventions, suppression logic, frequency controls, and documentation standards Experimentation, AI, and Growth Develop and prioritize a test roadmap grounded in behavioral insight, data analysis, and a clear theory of where the highest-leverage opportunities exist Partner with Analytics and Data Engineering to measure incremental impact, define success metrics, and hold experiments to a rigorous incrementality standard before scaling Actively drive the integration of AI and machine learning capabilities into the lifecycle stack, including send-time optimization, propensity modeling, predictive segmentation, and dynamic content, treating each as a hypothesis to validate rather than a capability to adopt uncritically Partner with Data Science and Engineering to bring machine learning signals, including no-show risk, churn risk, and engagement propensity, into lifecycle triggers and journeys in ways that are measurable, compliant, and incrementally proven Identify lifecycle gaps and friction points across the funnel and translate them into a prioritized roadmap with clear expected impact Scale high-performing experiments into durable, automated programs Cross-Functional Leadership Partner with Product and Engineering to define event coverage needs, data requirements, and lifecycle infrastructure priorities, ensuring the platform can support the strategy Align with Clinical Operations and PCC teams to ensure the lifecycle experience is consistent, coordinated, and appropriate for a healthcare context Collaborate with Marketing Technology and Systems teams to ensure scalable, compliant activation across all channels Represent lifecycle strategy and performance in executive reviews, translating complex data and program performance into clear, concise narratives that drive alignment and decisions Team Leadership and Operational Rigor Build, lead, and mentor a multidisciplinary lifecycle team spanning creative, analytical, and technical functions, with a focus on developing ownership and strategic capability at every level Establish documentation, governance, and operational frameworks that reduce dependency on tribal knowledge and make the team more scalable and resilient Develop quarterly planning and resource allocation frameworks that connect team priorities directly to business outcomes Create a culture of experimentation, learning, and accountability where the team iterates quickly, measures honestly, and builds on what works You have: 8 or more years of experience in lifecycle, growth, or CRM marketing, with a track record of driving measurable outcomes at scale in high-growth environments Demonstrated experience leading and developing multidisciplinary teams, with the ability to coach both analytical and creative talent Strong experimentation background with deep fluency in incrementality measurement, KPI modeling, and funnel diagnostics A genuine point of view on how AI and machine learning can and should be applied in lifecycle marketing, paired with the analytical rigor to evaluate new capabilities critically, the judgment to sequence them correctly, and the credibility to bring skeptical stakeholders along Comfort navigating regulated environments, with HIPAA familiarity strongly preferred Deep understanding of CRM platforms, marketing automation, and data-driven lifecycle strategy, including how data infrastructure and platform decisions enable or constrain marketing capability Exceptional stakeholder management and executive communication skills, including the ability to distill complex programs into clear narratives that drive alignment and decisions at the leadership level Analytical fluency and strong commercial judgment, with the ability to connect lifecycle performance directly to business and financial outcomes Why Talkiatry: Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care Collaborative environment: be part of building something from the ground up at a fast-paced startup Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more! Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands It all comes back to care: we’re a mental health company, and we put our team’s well-being first Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work. At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us. We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.

Provide high-quality psychotherapy and coordinated care to patients, collaborate with a team of behavioral health providers, and utilize custom technology for patient management. | Must have active and unrestricted state license to practice independently as a therapist, demonstrated clinical experience with mental health patients, and technical proficiency with EMR tools. | Talkiatry’s mission is to transform psychiatry with accessible, human, and responsible care. We’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment. 60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low, and paperwork is unduly burdensome. With innovative technology and a human-centered philosophy, we provide patients with the care they need. Talkiatry is seeking experienced licensed Therapists, including social workers, counselors, and marriage and family therapists (LCSWs, LMFTs, LMHCs, LPCs, LCPCs, LPCCs) to join our team of providers. You will: • Provide the best, high-quality psychotherapy and coordinated care for your patients. • Collaborate with our dynamic team of Providers including psychiatrists and nurse practitioners to diagnose, manage and treat our patients, employing a wide variety of interventions and modalities. • Work independently and collaborate with a team of behavioral health providers and support staff. • Utilize our custom technology, including an integrated EMR, to support providers with patient messaging, track patient progress, and gain insights into outcomes You have: • Demonstrated experience caring for diverse mix of patients receiving mental health treatment for anxiety, depression, and other mental health conditions. • Excellent clinical knowledge,communication and organizational skills. • Ensure patient needs are met by listening, communicating clearly, addressing concerns, coordinating care, and taking accountability for outcomes • Engage in continuous improvement by seeking feedback, participating in professional development, and implementing evidence-based practices to enhance the quality of care • Practice to the highest ethical standards in your discipline • A commitment to high-quality, accessible, cost-effective health care. Your Qualifications: • Therapists employed by Talkiatry must already have the necessary licensure to practice independently in the state(s) where they intend to work. Practice supervision and supervision toward independent licensure is not provided. • Technical proficiency with the ability to learn new or streamlined EMR tools. • Active and unrestricted state license; willingness and ability to obtain additional state licensure, as requested, paid for by Talkiatry. Why Talkiatry: • W2 employment with employer-paid Health, Dental, Vision Insurance: Up to 100% of insurance premiums • Flexible hours and scheduling- 100% remote telehealth- all equipment is provided • Accessible clinical support from a dedicated clinical lead and peers. • A dedicated administrative support team that offers comprehensive services, including scheduling, billing, patient communication and other essential tasks. • 100% employer paid malpractice coverage • 401k with match, generous PTO plus paid holidays, CEU days and stipend, paid parental leave, and more! • Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands • It all comes back to care: we’re a mental health company, and we put our team’s well-being first Please feel free to reach out directly to our recruiting team at clinicalcareers@talkiatry.com. At Talkiatry, we believe that solving the accessibility issues in mental health care begins with taking care of our doctors. We provide solutions to the challenges that psychiatrists are facing - from a lack of front and back-office infrastructure and support in private practice settings to being overworked and underpaid by hospitals, clinics, and other institutions. Talkiatry aims to bridge the current gap in outpatient psychiatry by providing in-network, high quality, respected medical care in a modern setting with modern tools. Our support staff focuses on removing administrative duties, enabling you to spend more of your time on patient care. It also means providing flexibility in where and when you practice medicine. Our psychiatrists also enjoy control over their hours and schedule. To learn more, please visit us at www.talkiatry.com. Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work. At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us. We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.