What are the responsibilities and job description for the Founding AI Engineer (Healthcare) position at ReClym Health?
Company Description
ReClym is an early-stage (fundraising) startup on a mission to reimagine the operational backbone of mental health and wellness. Therapists spend enormous energy navigating insurer reimbursements, outdated workflows, and fragmented systems. Our goal is to become the OS for Wellness & Mental Health, starting by fixing one of the biggest pain points in the industry: insurance reimbursement.
We’re building tools that enable therapists to confidently accept insurance, streamline compliance, and ultimately increase access to affordable mental healthcare. We've recently agreed to work with 16 providers for our upcoming beta and want you to be a part of this.
The Role:
We’re seeking a founding engineer to join our team as one of our earliest members. You’ll work directly with the founder and a well-known healthcare advisor to shape the product, tech, and culture from day one. This is a true founding-level role with high ownership, high autonomy, and high impact.
Compensation: Equity-first, with salary introduced post-fundraise.
What You’ll Do:
The foundation exists: a FastAPI gateway with provider abstractions, YAML-driven agent configuration, a tool-calling loop, and integrations with Smallest.ai and ElevenLabs. You'll build on it:
- Plug in new voice providers or swap existing ones with minimal friction
- Data collection pipelines — raw call transcripts → structured, queryable outputs
- Observability layer: logging and metrics across the full call lifecycle
- Expand the agent config system so new agents can be defined and launched without touching code
Who You Are:
- Experience with healthcare tools, HIPAA, insurance billing systems, or compliance
- 1 - 4 years full-stack development experience (or strong project/startup experience)
- Comfortable with React/Next.js, Node/Python, Postgres
- Document parsing OCR/NLP workflows
- Strong async Python — FastAPI, asyncio, httpx
- Real LLM API experience: prompt engineering, tool/function calling, structured output extraction
- Fluent with third-party REST APIs and webhook patterns
- Experience with data storage patterns (PostgreSQL, S3, or event streaming)
Nice to have:
- Voice or telephony platforms (Twilio, Vapi, ElevenLabs, Smallest.ai)
- Speech-to-text or transcription pipelines (Whisper, Deepgram, AssemblyAI)
- Conversational AI agents or agentic pipeline design
Why Join Us:
- Founding-level equity in a company redefining mental health infrastructure
- Shape core product, engineering, and culture
- Ready-to-go product distribution model
- Directly contribute to expanding access to mental healthcare
- Remote team between New York and London