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CoTherapy.aiVerified Job Source

Full Stack Engineer

About the Company We’re building a next-generation AI system in the mental health space that bridges the gap between clinical care and scalable digital support. The company is founded by a practicing psychiatrist with 20+ years of clinical experience and multiple successful exits in healthcare technology. We’re operating at the intersection of AI safety, personalization, and human-centered design. About the Role You’ll work directly with our CTO (architecture) and CEO/clinical founder (product), alongside a Principal AI Engineer who owns the intelligence layer. You own everything else: the f…

  • Remote
  • ["Toronto, Ontario, Canada"]
  • Posted Jun 27, 2026
  • Apply by Dec 24, 2026
  • 1 position

Job summary

About the Company We’re building a next-generation AI system in the mental health space that bridges the gap between clinical care and scalable digital support. The company is founded by a practicing psychiatrist with 20+ years of clinical experience and multiple successful exits in healthcare technology. We’re operating at the intersection of AI safety, personalization, and human-centered design. About the Role You’ll work directly with our CTO (architecture) and CEO/clinical founder (product), alongside a Principal AI Engineer who owns the intelligence layer. You own everything else: the full application stack, the infrastructure it runs on, and the API surface that connects the product to our AI system. We move fast with AI-assisted development and have meaningful code already in place — you’re picking up a real codebase and pushing it forward, not starting from zero. Responsibilities End-to-end application build from architecture through private pilot Frontend and backend for a clinician-facing and client-facing web application API layer that connects to the AI orchestration system Database design, schema management, and migrations (PostgreSQL/Supabase) Auth, security, RLS implementation, and compliance infrastructure Deployment pipelines, CI/CD, and cloud infrastructure (Vercel and beyond) Collaboration with the founder on product design and iteration Qualifications 4+ years of professional experience. You’ve built a production web application from scratch (0→1). Strong React + PostgreSQL — can ship fast and own both frontend and backend. Experience with healthcare data and regulated infrastructure is a hard requirement — you understand what PHI means in practice, not just in theory. Agentic coding fluency is a hard requirement: you use Cursor, Claude Code, Codex, or equivalent as your primary development environment. Ideally you’ve shipped production code this way; strong demonstrated fluency will be considered. Startup experience preferred: comfortable with ambiguity, owns problems end-to-end, ships over specs. Stack Stack: React 18/ Next.js PostgreSQL + Supabase REST API design Vercel Git, CI/CD Why Join Competitive salary and meaningful equity, commensurate with experience. Direct collaboration with a clinical founder deeply embedded in the field. IP, roadmap, and pilot sites already in place — ready to build. Small, senior team: your work has direct patient and clinician impact from day one. A chance to define how safe, human-aligned AI shows up in mental health.

What you’ll do

You will be responsible for the end-to-end application build, including both frontend and backend development for a clinician-facing and client-facing web application. This includes managing the API layer, database design, and deployment pipelines.

Requirements

Candidates should have 4+ years of professional experience and must have built a production web application from scratch. Strong skills in React and PostgreSQL are required, along with experience in healthcare data and coding fluency using AI-assisted development tools.

Other relevant skills

Identified from the job description. Confirm important requirements above.

  • Full Stack Development
  • React
  • PostgreSQL
  • API Design
  • Database Management
  • Security
  • CI/CD
  • Cloud Infrastructure
  • Healthcare Data
  • Agile Development
  • Human-Centered Design
  • AI Systems
  • Startup Experience
  • Coding Fluency
  • Product Design
  • Infrastructure Management

Additional details

Minimum experience
5+ years
Apply by
Dec 24, 2026