firsthand Health Inc

Staff/Principal Software Engineer

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Hiring Remotely in US

Remote

Healthtech • Information Technology • Social Impact • Software • App development

We help individuals with serious mental illness engage with behavioral health, social supports and healthcare.

The Role

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health.

firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI.

We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.

In this role you will help improve patient engagement and care quality through developing new features (Typescript, Python and SQL) for our cross functional care teams. As a member of our technology team, you will support our team of peers, social workers, and nurse practitioners to proactively plan appropriate care and focus on critical tasks rather than manual inefficient activities. You will be building impactful healthcare technology on a modern stack.

As a Principal Software Engineer, you will

Build scalable and secure systems, prioritizing features and engineering requirements based on user feedback, and constantly evaluating future needs
Ensure all tools you develop have minimum necessary access to data
Creatively utilize APIs & SDKs to get data to our care teams
Ship in small ‘cheap to fail’ increments rather than large multi-sprint projects
Be a productive partner with product, data, and operational stakeholders
Have a 30 minute 1:1 each week to check in and talk through work

You will be a good fit if you have

Strong empathy for users
A pragmatic attitude towards writing software
An ability to write software in a way that does not result in tech debt down the road (when possible) - We recognize that there’s a tradeoff between speed and maintainability and prioritize both at different times, to strike a balance
A focus on building useful software above all else
A desire to flex into some data engineering

The experience you bring to this role includes

A strong ability to dive into an existing codebase and make useful changes
8+ years of experience adding features to web apps, on both the frontend and backend
8+ years experience with Typescript, SQL, and Python
A comfort with devops (we use Terraform - the work does not come up often but it sometimes does)

Benefits

For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture.

Vaccination Policy

Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law.

New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed.

Unfortunately, we are not able to offer sponsorship at this time.

What the Team is Saying

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firsthand Health Inc

firsthand is transforming the way individuals living with Serious Mental Illness (SMI) receive care. We are focused on delivering real outcomes for a cohort that has historically been underserved, stigmatized, and deprioritized. By building a service focused on whole-person care, firsthand aims to find, establish a trusting relationship with, and support quality care for individuals living with complex experiences of SMI. Most importantly, our goal is to be the trusted guide, partner, and first call for individuals we serve, guiding them to a life of stability and independence. In doing so, we will not only improve lives, but also improve the economics for managed care plans and states responsible for providing care to this community. This enables us to build solutions that scale and, as a result, change the way our society supports those most impacted by serious mental illness.

Why Work With Us

Our frontline colleagues bring lived experience with serious mental illness to their work- they’ve walked in the shoes of those we serve. They can build trust in a way many others cannot.

Much of our team has a personal connection to the mental illness space, and we come together from a wide variety of backgrounds to unite in this common mission.