Distinguished AI Engineer at Charlie Health

Why Charlie Health?

Charlie Health is dedicated to connecting people to life-saving behavioral health treatment. We provide personalized, virtual care focused on connection, expanding access to meaningful treatment and driving better outcomes from home. Join our rapidly growing team and help redefine behavioral health treatment.

About the Role

This role leads the design, development, and deployment of agentic AI systems across our platform, driving the next generation of behavioral health care. It's a hands-on technical leadership position with deep cross-functional reach into Engineering, Product, Data, Clinical, and executive leadership.

Responsibilities

• Serve as the technical owner of agentic AI at Charlie Health, from architecture and model strategy through production deployment and ongoing reliability.
• Lead the development of clinical operations agents for scheduling, intake, insurance verification, referral triage, and care coordination, replacing manual handoffs with auditable AI workflows.
• Lead the development of clinician copilots for real-time documentation, risk surfacing, and treatment-plan support, integrated with our EHR and clinical data platform.
• Define and build the agentic substrate: eval frameworks, observability, guardrails, tool registries, prompt and policy versioning, PHI-safe logging, and simulation environments.
• Own the model strategy across frontier models, fine-tunes, distilled specialists, and classic ML, articulating it clearly to executive and clinical leadership.
• Partner with Product, Clinical, and Data teams to identify high-leverage opportunities for AI across patient and operational experiences.
• Establish best practices around AI reliability, safety, evaluation, and explainability in a regulated clinical environment.
• Mentor engineers and data scientists, fostering a strong culture of technical excellence and responsible AI innovation.

What You’ll Work With

• An executive team committed to and funding an AI-native operating model.
• An AI Guild of senior engineers, data scientists, and clinical operators piloting AI.
• A modern data foundation including Snowflake, dbt, pgvector, and an emerging Intelligence Layer.
• Live workstreams in clinical documentation, referral-source conversion modeling, scheduling intelligence, and clinician productivity.
• A national virtual IOP serving patients across 41 states, with regulated data and outcome signals for training and evaluation.

Why This Role Is Hard

Behavioral health presents one of the most demanding applied-AI environments due to patient distress and a complex regulatory landscape (HIPAA, state telehealth laws, FDA scrutiny). AI systems must be observable, reversible, and defensible. We seek an engineer who finds these constraints clarifying.

Requirements

• 10+ years of software engineering experience, with several recent years focused on LLM- or ML-powered systems in production.
• Hands-on experience designing and operating agentic systems, including tool use, planning, multi-agent orchestration, eval design, and failure-mode analysis.
• Track record of owning complex technical initiatives end-to-end, including evaluation infrastructure, observability, on-call, and regulatory review.
• Strong communication skills, comfortable in executive strategy conversations and engineering code reviews.
• Genuine interest in healthcare and applying AI responsibly in a regulated, high-stakes domain.
• BS, MS, or PhD in Computer Science, Machine Learning, Engineering, Mathematics, or related technical field, or equivalent practical experience.
• Ability to work a hybrid schedule of 4 days/week in our NYC office and located within 75 minutes’ commuting distance of the office.

Benefits

Charlie Health offers comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

Compensation

The total target base compensation for this role will be between $350,000 and $600,000 per year. Pay will be determined based on location, experience, expertise, internal pay equity, and other business considerations. This cash compensation is part of a larger package that may include stock options and other benefits.

Our Values

• Connection: Care deeply & inspire hope.
• Congruence: Stay curious & heed the evidence.
• Commitment: Act with urgency & don’t give up.

Charlie Health is an Equal Opportunity Employer committed to fostering an environment where individuals can be their authentic selves. Applicants are assessed solely on qualifications.