Pelago pairs AI-led access with licensed clinicians to treat substance use, mental health, and behavioral addictions, backed by 16 peer-reviewed studies. Backed by Y Combinator.
About the role
This is a Platform Engineering role with a Product Engineer's mindset. You'll own the foundation that Pelago's product and data run on. That means the infrastructure, the event-driven data platform, and the reliability and cost discipline that keep both healthy. You'll build with the end use in mind: reporting, member-facing features, and ultimately, clinical impact. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- Hands-on experience with Terraform and Infrastructure As Code, and with building and maintaining CI/CD pipelines
- Strong AWS experience, including designing, securing and operating cloud-native services
- Proficiency in Python and TypeScript (Node) across backend services, data pipelines and tooling
- Deep experience with event-driven architectures and data platforms (e.g., Kafka or AWS-native streaming and messaging), including integrating third-party data sources in production
- Strong instincts for observability and reliability: you know how to tell when systems or data are wrong, late or incomplete, and you build alerting and runbooks that surface it
- A cost-conscious mindset. You've optimized hosting costs and made architecture trade-offs with spend in mind
More about this role
Pelago is the leading specialty substance use care provider, built on the belief that effective treatment means matching care intensity to what each member actually needs rather than defaulting to the most expensive intervention. Our programs guide members through every stage of the substance use spectrum, from unhealthy habits to active use disorders, delivering personalized treatment for tobacco, alcohol, opioid, cannabis, and stimulant use based on individual health, habits, genetics, and goals.
With Sona, our voice-first AI Mental Health Specialist, Pelago now applies that same clinically-driven model to mental health, pairing deep clinical expertise with technology to expand access without compromising care quality. We believe technology should make clinical care more precise and more human, not replace the judgment behind it.
Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members better manage their substance use. If you're passionate about AI and making an impact on the health of others, join us and make it happen!
This is a Platform Engineering role with a Product Engineer's mindset. You'll own the foundation...
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