Generalist Full-Stack Engineer

JotPsych; New York (NY); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Healthcare

Equity

Desk with East River view

Job summary

JotPsych, a Brooklyn-based software company serving behavioral health clinicians, seeks a versatile engineer to join a small team and shape what we ship next year. You will own end-to-end features spanning clinical documentation, billing automation, and Cortex, helping push our product from prototype to production.

The role favors a true generalist who ships in days, embraces AI tools, and enjoys working in a small, fast-paced team.

Qualifications

• 3 to 6 years of shipped production software.
• You are a generalist who can work across frontend, backend, and infra.
• You are fluent with AI tools and comfortable shaping product decisions.

Responsibilities

• Ship 3 to 5 user-facing features in the first 90 days across clinical and billing surfaces.
• Take on design-adjacent frontend work bottlenecked by one person.
• Contribute to the Cortex/shared intelligence layer architecture.

Skills

Generalist by temperament

AI fluency

Frontend & Backend

Tools

Claude Code

Cursor

Job description

JotPsych makes software for behavioral health clinicians. Our scribe has drafted more than 2.5 million patient notes and reduces administrative time by about 90%. We're now expanding from the note into the full revenue cycle: billing, audit, prior-auth.

We're a small team. The work is hands‑on. The next engineer we hire will shape a lot of what we ship next year.

The role

You’ll be the fourth engineer on a small team. You’ll ship user‑facing features end‑to‑end, UI to backend to database to prompt, across JotPsych’s clinical documentation, billing automation, and the shared intelligence layer underneath them.

The pattern we’re standardizing on: a PM brings a high‑fidelity working prototype out of customer discovery, you take it to production. Our patient‑page surface took three days of engineering once the prototype was right. We want every surface to feel like that.

We don’t want a specialist. We want someone who thinks in products, ships in days, and uses AI tools fluently enough that the boundary between “senior” and “founding” engineer starts to blur.

What you’ll own in the first 90 days

• Ship 3 to 5 user‑facing features on the clinical and billing surfaces
• Pick up design‑adjacent frontend work that’s currently bottlenecked on one person
• Contribute to the architectural unlock of our shared intelligence layer (we call it Cortex; it’s load‑bearing for the next two quarters of product velocity)
• Buy the team back time. Every test suite you write, every dev container you set up, every piece of infrastructure you harden lets the rest of us focus on harder problems
• Build your own judgment about our users and push back on decisions you think are wrong

Who you probably are

• 3 to 6 years of shipped production software. You’ve worked somewhere real. You know how prod breaks and how to fix it.
• Insight over experience. You form opinions fast and hold them lightly. You read a product and know what matters. This is the single thing we screen hardest for.
• AI‑pilled. You use Claude Code, Cursor, whatever the next one is, fluently. You’ve noticed that the alpha from being technically savvy is declining and the alpha from having taste is growing, and you’ve been adjusting.
• Generalist by temperament. Backend one week, frontend the next, infra the week after. You’re the engineer who doesn’t need to be told what to pick up.
• Small‑team excited. You’re choosing us because six people moving fast is better than six hundred moving slow. You want to be in the room.
• NYC, 5 days/week at Brooklyn Navy Yard. Non‑negotiable. We believe the in‑person work we do in this specific office compounds, and we’re not willing to dilute it.

Who you’re probably not

• Someone who spent eight years at FAANG and wants a “startup sabbatical.” That’s not this.
• Someone looking for a title or a management track. This is an IC role on a team of ICs.

Logistics

• Full‑time, in‑person 5 days at the Brooklyn Navy Yard. Non‑negotiable.
• Competitive cash and equity, banded on experience and scope. We’ll share specifics once we know we’re talking.
• Full healthcare, standard benefits, and a desk with a view of the East River.