About the Role:

We're on the lookout for a remote drug and alcohol counselor to join the leading digital clinic for substance addictions. As a key member of our counseling team, you'll play a crucial role in supporting and empowering individuals on their journey to overcome substance addictions. Your main objective will be guiding members towards leading addiction-free lives! Collaborating closely with our dynamic team, you'll contribute to the rapid growth of our business, gaining invaluable firsthand experience in scaling up a successful venture.

This is a full-time, remote position with flexible working hours, open to candidates based anywhere in the U.S., provided they hold an active California license.

In this role you will:

• Provide counseling to members on a weekly basis through text-based chat, video calls, and phone calls, to monitor their progress on their recovery journey
• Onboard the users with an initial phone call and complete a multidimensional assessment to gather relevant behavioral health history and symptoms
• Work within Atlas, Pelago's AI-native EHR, which automates session documentation, surfaces real-time evidence-based guidance during calls, and prepares clinical context before each session — so your time stays focused on member care, not administrative lift
• Monitor the progress of members and offer therapeutic strategies on how to deal with temptations and cravings
• Be supportive and encouraging to members to help them establish and sustain motivation to change their substance use
• Collaborate with other departments to ensure a positive experience for all members and provide valuable feedback to the product development team
• Uphold good standing with your active license(s)/certification(s)
• Attend team meetings and/or case discussions as scheduled
• Help someone transform their life and the life of their family through their addiction recovery!

The background we are looking for:

• Active California credential in good standing
  • Certified Alcohol and Drug Counselor I/II/III (CADC) or Licensed Advanced Alcohol and Drug Counselor (LAADC)
• Bachelor’s degree.
• 2+ years’ clinical experience delivering CBT/behavioral support for SUD.
• Proficiency with MI/MET, MAT coordination, and Relapse Prevention.
• Proven ability to collaborate with cross-disciplinary healthcare teams (coaches, physicians, nurses)
• Excellent written and verbal communication skills
• Adaptable in fast-moving environments; able to prioritize multiple, competing demands
• Technologically fluent; quick to learn new tools and platforms

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous equity package
• Full Medical, Dental & Vision coverage
• 401k Plan
• Unlimited PTO + company-wide “Me Time” Days
• Paid parental leave
• Flexible remote work environment
• Annual Learning & Development stipend
• Wellness Reimbursement Program
• Substance Use Support for employees and family members

At this time, we are unable to offer visa sponsorship for this position.

About the Role:

We're on the lookout for a remote drug and alcohol counselor to join the leading digital clinic for substance addictions. As a key member of our counseling team, you'll play a crucial role in supporting and empowering individuals on their journey to overcome substance addictions. Your main objective will be guiding members towards leading addiction-free lives! Collaborating closely with our dynamic team, you'll contribute to the rapid growth of our business, gaining invaluable firsthand experience in scaling up a successful venture.

This is a full-time, remote position with flexible working hours, open to candidates based anywhere in the U.S., provided they hold an active Michigan and/or North Carolina license.

In this role you will:

• Provide counseling to members on a weekly basis through text-based chat, video calls, and phone calls, to monitor their progress on their recovery journey
• Onboard the users with an initial phone call and complete a multidimensional assessment to gather relevant behavioral health history and symptoms
• Work within Atlas, Pelago's AI-native EHR, which automates session documentation, surfaces real-time evidence-based guidance during calls, and prepares clinical context before each session — so your time stays focused on member care, not administrative lift
• Monitor the progress of members and offer therapeutic strategies on how to deal with temptations and cravings
• Be supportive and encouraging to members to help them establish and sustain motivation to change their substance use
• Collaborate with other departments to ensure a positive experience for all members and provide valuable feedback to the product development team
• Uphold good standing with your active license(s)/certification(s)
• Attend team meetings and/or case discussions as scheduled
• Help someone transform their life and the life of their family through their addiction recovery!
•  

The background we are looking for:

• Active, unrestricted license in good standing recognized in Michigan or North Carolina:
  • Michigan: CADC or CAADC
  • North Carolina: LCAS, CSAC, or CADC
• Bachelors Degree required
• 2+ years of clinical experience delivering CBT and/or behavioral support for substance use disorders (tobacco, alcohol, opioids)
• Comfort working in an AI-augmented care environment; openness to adopting AI-assisted tools that support documentation, member communication, and clinical decision-making
• Proficient with Motivational Interviewing (MI), Motivational Enhancement Therapy (MET), MAT coordination, and Relapse Prevention
• Proven ability to collaborate with cross-disciplinary healthcare teams (coaches, physicians, nurses)
• Excellent written and verbal communication skills
• Adaptable in fast-moving environments; able to prioritize competing demands
• Technologically fluent; quick to learn new tools and platforms
• Preferred: Prior telehealth experience across multiple time zones and/or digital health settings

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous equity package
• Full Medical, Dental & Vision coverage
• 401k Plan
• Unlimited PTO + company-wide “Me Time” Days
• Paid parental leave
• Flexible remote work environment
• Annual Learning & Development stipend
• Wellness Reimbursement Program
• Substance Use Support for employees and family members

At this time, we are unable to offer visa sponsorship for this position.

Overview of the Role

This is a pivotal year for Pelago. We're scaling fast, hiring across clinical, technical, and business functions simultaneously, and the talent decisions we make in the next 12 months will shape the company's trajectory. We need a recruiter who understands that: someone with the range to move across functions, the judgment to find the best of the best, and the drive to treat every role like it matters -- because it does.

This is a high-ownership, high-autonomy role. You'll carry 6-10 requisitions at a time across clinical, business, and technical functions, partner directly with hiring managers and senior leaders, and operate with the pace and discernment of someone who has done this before. No role is too senior, none too junior; you bring the same enthusiasm and rigor to every search.

This role was created to cover a planned leave and is structured as a 1099 contract engagement. 

In this role you will…

• Lead full-cycle recruiting across clinical, business, and technical roles — sourcing through close
• Partner with hiring managers to define what success actually looks like in a role, not just what's written on paper
• Run fast, focused processes that balance urgency with a high bar for talent
• Proactively source from clinical, technical, and non-traditional backgrounds — building pipelines ahead of need, not just in response to it
• Execute targeted outreach and talent mapping in competitive markets
• Act as a trusted advisor to hiring managers — offer honest market insights, clear feedback, and confident recommendations
• Navigate complex hiring scenarios — niche skill sets, senior searches, fast-moving timelines — with sound judgment and urgency
• Lead offer strategy and close candidates through complex negotiations, including counteroffers and stakeholder alignment
• Manage and maintain pipeline health and recruiting operations in Greenhouse — accurate, efficient, transparent
• Experiment with and operationalize AI-native recruiting tools — we expect fluency, not curiosity

The background we are looking for…

• 6+ years of experience in-house Recruiting, with demonstrated ownership of full-cycle recruiting in high-growth, startup, or founder-led environments, balancing speed, quality, and candidate experience
  • Clinical recruiting experience ideal; behavioral health a strong plus
  • Technical recruiting experience a plus
• Operates autonomously: you don't need hand-holding to get moving and you don't wait to be told what to do
• AI-native or AI-curious: you use tools to work smarter, drive better outcomes
• Thrives in lean, high-velocity environments where priorities shift and ownership is real

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

Overview of the Role

This is a pivotal year for Pelago. We're scaling fast, hiring across clinical, technical, and business functions simultaneously, and the talent decisions we make in the next 12 months will shape the company's trajectory. We need a recruiter who understands that: someone with the range to move across functions, the judgment to find the best of the best, and the drive to treat every role like it matters -- because it does.

This is a high-ownership, high-autonomy role. You'll carry 6-10 requisitions at a time across clinical, business, and technical functions, partner directly with hiring managers and senior leaders, and operate with the pace and discernment of someone who has done this before. No role is too senior, none too junior; you bring the same enthusiasm and rigor to every search.

This role was created to cover a planned leave and is structured as a 1099 contract engagement. Based on business need and mutual fit, there is a genuine path to conversion to a full-time role.

This is a hybrid role with expectations of 3 days/week in our NYC office.

In this role you will…

• Lead full-cycle recruiting across clinical, business, and technical roles — sourcing through close
• Partner with hiring managers to define what success actually looks like in a role, not just what's written on paper
• Run fast, focused processes that balance urgency with a high bar for talent
• Proactively source from clinical, technical, and non-traditional backgrounds — building pipelines ahead of need, not just in response to it
• Execute targeted outreach and talent mapping in competitive markets
• Act as a trusted advisor to hiring managers — offer honest market insights, clear feedback, and confident recommendations
• Navigate complex hiring scenarios — niche skill sets, senior searches, fast-moving timelines — with sound judgment and urgency
• Lead offer strategy and close candidates through complex negotiations, including counteroffers and stakeholder alignment
• Manage and maintain pipeline health and recruiting operations in Greenhouse — accurate, efficient, transparent
• Experiment with and operationalize AI-native recruiting tools — we expect fluency, not curiosity

The background we are looking for…

• 6+ years of experience in-house Recruiting, with demonstrated ownership of full-cycle recruiting in high-growth, startup, or founder-led environments, balancing speed, quality, and candidate experience
  • Clinical recruiting experience ideal; behavioral health a strong plus
  • Technical recruiting experience a plus
• Operates autonomously: you don't need hand-holding to get moving and you don't wait to be told what to do
• AI-native or AI-curious: you use tools to work smarter, drive better outcomes
• Thrives in lean, high-velocity environments where priorities shift and ownership is real

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

Overview of the Role: 

We're hiring a Licensed Therapist (LPC or LCSW) to join the leading digital clinic for substance addictions. As a key member of our counseling team, you'll play a crucial role in supporting and empowering individuals on their journey to overcome substance addictions. Your main objective will be guiding members towards leading addiction-free lives. Collaborating closely with our dynamic team, you'll contribute to the rapid growth of our business, gaining invaluable firsthand experience in scaling a successful venture.

Pelago is building the next generation of specialty care — one where technology handles the administrative burden so clinicians can focus entirely on the people they're treating. As a counselor at Pelago, you'll work within Atlas, our AI-native EHR purpose-built for substance use care, which means no 45-minute documentation blocks after sessions, real-time evidence-based guidance during calls, and full member context assembled before you even say hello. This is what practicing at the top of your license actually looks like.

This is a full-time, remote position open to candidates based anywhere in the U.S., provided they hold an active LPC or LCSW license in Arizona, Ohio, and/or Minnesota. 

In this role you will:

• Provide counseling to members on a weekly basis through text-based chat, video calls, and phone calls, to monitor their progress on their recovery journey
• Onboard the users with an initial phone call and complete a multidimensional assessment to gather relevant behavioral health history and symptoms
• Work within Atlas, Pelago's AI-native EHR, which automates session documentation, surfaces real-time evidence-based guidance during calls, and prepares clinical context before each session — so your time stays focused on member care, not administrative lift
• Monitor the progress of members and offer therapeutic strategies on how to deal with temptations and cravings
• Be supportive and encouraging to members to help them establish and sustain motivation to change their substance use
• Collaborate with other departments to ensure a positive experience for all members and provide valuable feedback to the product development team
• Uphold good standing with your active license(s)/certification(s)
• Attend team meetings and/or case discussions as scheduled
• Help someone transform their life and the life of their family through their addiction recovery!

The background we are looking for:

• Active, unrestricted LPC or LCSW license in good standing in Arizona, Ohio, and/or Minnesota
• Bachelors Degree required
• 2+ years of clinical experience delivering CBT and/or behavioral support for substance use disorders (tobacco, alcohol, opioids)
• Comfort working in an AI-augmented care environment; openness to adopting AI-assisted tools that support documentation, member communication, and clinical decision-making
• Proficient with Motivational Interviewing (MI), Motivational Enhancement Therapy (MET), MAT coordination, and Relapse Prevention
• Proven ability to collaborate with cross-disciplinary healthcare teams (coaches, physicians, nurses)
• Excellent written and verbal communication skills
• Adaptable in fast-moving environments; able to prioritize competing demands
• Technologically fluent; quick to learn new tools and platforms
• Preferred: Prior telehealth experience across multiple time zones and/or digital health settings

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package 
• Full Medical, Dental, & Vision coverage 
• 401k Plan
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Overview of the Role: 

We're hiring a Licensed Therapist (LPC or LCSW) to join the leading digital clinic for substance addictions. As a key member of our counseling team, you'll play a crucial role in supporting and empowering individuals on their journey to overcome substance addictions. Your main objective will be guiding members towards leading addiction-free lives. Collaborating closely with our dynamic team, you'll contribute to the rapid growth of our business, gaining invaluable firsthand experience in scaling a successful venture.

Pelago is building the next generation of specialty care — one where technology handles the administrative burden so clinicians can focus entirely on the people they're treating. As a counselor at Pelago, you'll work within Atlas, our AI-native EHR purpose-built for substance use care, which means no 45-minute documentation blocks after sessions, real-time evidence-based guidance during calls, and full member context assembled before you even say hello. This is what practicing at the top of your license actually looks like.

This is a full-time, remote position open to candidates based anywhere in the U.S., provided they hold an active LPC or LCSW license in New Jersey, Washington State, or Florida.

In this role you will:

• Provide counseling to members on a weekly basis through text-based chat, video calls, and phone calls, to monitor their progress on their recovery journey
• Onboard the users with an initial phone call and complete a multidimensional assessment to gather relevant behavioral health history and symptoms
• Work within Atlas, Pelago's AI-native EHR, which automates session documentation, surfaces real-time evidence-based guidance during calls, and prepares clinical context before each session — so your time stays focused on member care, not administrative lift
• Monitor the progress of members and offer therapeutic strategies on how to deal with temptations and cravings
• Be supportive and encouraging to members to help them establish and sustain motivation to change their substance use
• Collaborate with other departments to ensure a positive experience for all members and provide valuable feedback to the product development team
• Uphold good standing with your active license(s)/certification(s)
• Attend team meetings and/or case discussions as scheduled
• Help someone transform their life and the life of their family through their addiction recovery!

The background we are looking for:

• Active, unrestricted LPC or LCSW license in good standing in New Jersey, Washington State, or Florida
• Bachelors Degree required
• 2+ years of clinical experience delivering CBT and/or behavioral support for substance use disorders (tobacco, alcohol, opioids)
• Comfort working in an AI-augmented care environment; openness to adopting AI-assisted tools that support documentation, member communication, and clinical decision-making
• Proficient with Motivational Interviewing (MI), Motivational Enhancement Therapy (MET), MAT coordination, and Relapse Prevention
• Proven ability to collaborate with cross-disciplinary healthcare teams (coaches, physicians, nurses)
• Excellent written and verbal communication skills
• Adaptable in fast-moving environments; able to prioritize competing demands
• Technologically fluent; quick to learn new tools and platforms
• Preferred: Prior telehealth experience across multiple time zones and/or digital health settings

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package 
• Full Medical, Dental, & Vision coverage 
• 401k Plan
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Help incubate, launch, and scale new AI-native products at Pelago

Join Pelago’s AI Squad as an early Fullstack Engineer and help define the next generation of behavioral health products. In this role, you’ll ship end-to-end features across React Native, React/TypeScript, and Python services transforming prototypes into production-ready experiences. Your work will move fast - from hypothesis to research preview to live product - and will be grounded in clinical safety, accessibility, and measurable outcomes. You’ll bring engineering craft and a sharp UX eye within a team that values thoughtful design, clean architecture, and meaningful user impact, leveraging modern AI-enhanced development tools to move faster and build better. While most of our surfaces are React Native, some use-cases will require platform-specific code (we use Expo). You should be comfortable writing Swift and Kotlin and exposing that functionality to RN.

This is a hybrid role with a high-collaboration rhythm (4 days/week in our NYC office).

In this role you will…

• Build, ship, and maintain cross-platform applications in React Native and React/TypeScript (web) from prototype to production.
• Turn AI research into product: instrument experiments, validate hypotheses, and iterate quickly on research previews on the path to live product.
• Partner cross-functionally (Design, Product, Backend, Clinical) to deliver accessible, reliable interfaces that handle real-time data.
• Integrate & evolve APIs (REST), help shape contracts, and ensure graceful states (loading, error, empty) and resilient data flows.
• Use AI to raise velocity & quality (Claude Code, Codex) alongside strong tests, performance checks, and WCAG-minded reviews. (Pelago also has a dedicated AI budget for preferred tooling!) 
• Strengthen foundations: evolve the design system and improve CI, code review, and releases to increase confidence and speed.

The background we are looking for...

• 3+ years in React Native, 7+ years building production software
• Ability to lead React Native work from prototype to GA, setting approach, coordinating APIs, and driving releases and post-launch improvements independently.
• Strong grasp of component architecture, design patterns, and state management (e.g., Tanstack Query, Zustand).
• Comfortable integrating backends (REST/GraphQL), working with real-time/streaming data, and shaping API contracts.
• Write clean, scalable, maintainable code with unit/integration tests and clear documentation.
• Sharp UX sensibility and attention to detail; commitment to accessibility (WCAG).
• Fluency with AI coding assistants (e.g., Claude Code, Codex) and the judgment to verify outputs.

Overview of the Role:

Own the creative system behind how Pelago acquires members

Pelago is hiring a Creative Director, Growth to own the full creative arc of our member acquisition funnel - from campaign concept through shipped execution. Reporting to the Head of Growth, this is a true player-coach role where design is your primary craft and campaign concepting is what elevates it into strategy.

You will define what Pelago’s growth surface looks, sounds, and feels like -  and hold yourself accountable for whether it converts. This is a high-ownership, high-autonomy role where the brief comes from the data, and the creative strategy comes from you.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In this role you will…

Set the creative direction

• Own the campaign concepting process end-to-end, from identifying the insight (why this message, for this person, at this moment?) to translating it into a coherent campaign across email, direct mail, SMS, and the landing page.
• Evolve Pelago's growth creative voice: the visual language, messaging principles, and channel-specific standards that make our acquisition surface coherent and differentiated. You're inheriting a working foundation, not a blank page, not a finished system, and raising the bar from there.
• Develop testable creative hypotheses: not “let’s try a new email,” but “here’s the insight, here’s the message we haven’t tested, here’s why I think it converts.”

Execute the work

• Own the messaging platform for every campaign: the insight, the angle, the hierarchy of claims across channels. The Senior Content Manager owns copy execution within that direction. You hold the quality bar and can pick up the pen yourself when the stakes are high enough to warrant it.
• You are the designer. Emails, landing page modules, direct mail layouts, campaign visuals: you build these yourself. The expectation is craft, not direction.
• Work hands-on with AI tools across copy ideation, design iteration, and A/B variant production. Not aspirational interest; active practice in your workflow today.

Run creative experimentation

• Run creative experimentation as a discipline alongside the Growth PM, Growth Ops, and Growth Engineer. Every test starts with a hypothesis you can defend, and every result should change the creative strategy underneath, not just the individual asset.
• Treat a flat conversion rate as a brief, not a verdict. If something isn’t working, you generate hypotheses before you’re asked to and test them in order of conviction.

Lead across the organization

• Translate business goals and funnel data into creative strategy that non-creative stakeholders can understand, question, and trust. You can present a creative rationale to leadership without relying on aesthetic language.
• Partner with Growth Marketing, Client Marketing, Content, and Product to ensure creative is integrated with campaign strategy and channel performance data, not delivered as a finished output after strategy has already been set.
• Build scalable creative infrastructure: messaging frameworks, copy templates, and visual component libraries that reduce recurring production time and give the team a foundation to move faster.
• Manage the operational side of the creative function: agency and freelancer relationships when needed, project prioritization across competing requests, and creative budget. You own the throughput of the creative process, not just the quality of the output.
• Build the creative capability of the team: At the Director level that starts with the Senior Content Manager, but the expectation is you raise the creative bar across everyone you work with, not just your direct reports.

The background we are looking for…

• 6+ years of creative experience, including at least 2 years in a lead or director role setting creative direction
• Experience managing or directing a creative or content function, with direct reports preferred
• Strong hands-on design execution across email, landing pages, direct mail, and digital campaigns
• A portfolio demonstrating both strategic campaign thinking and high-quality execution
• Data-driven creative instincts, with experience measuring performance and optimizing for conversion
• Experience using AI tools within a creative workflow
• Experience in B2C, B2B2C, health tech, benefits, or subscription environments preferred
• Strong communication skills, with the ability to present and defend creative strategy to non-creative stakeholders

Overview of the Role: 

Pelago is the world's leading virtual clinic for Substance Use Management, and we are expanding the frontier of what virtual care can do through AI. As we build and scale the AI arm of our clinical operations, we are looking for a Director, Clinical AI to serve as the clinical backbone of this work, bridging care delivery, product development, and strategic partnership at a company-wide level.

This is a director-level role for a clinician who is equally at home in a strategy conversation and a compliance review, and who can move fluidly between clinical, technical, and executive audiences. This role sits at the intersection of clinical excellence and AI-driven product innovation. This is currently an individual contributor role with a clear path toward building and leading a team as the function grows.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In This Role You Will: 

Clinical Operations Leadership

• Serve as the senior clinical decision-maker overseeing Pelago's AI-driven mental and behavioral health care programs.
• Own the day-to-day clinical operations of the AI arm, ensuring that AI-assisted care meets Pelago's standards for quality, compliance, regulatory requirements, and documentation.
• Manage clinical escalations and serve as the senior point of accountability for clinical decisions within the AI care program.

AI Product Collaboration

• Work closely with product, design, and engineering teams to provide clinical annotation, structured feedback, and ongoing quality review of AI products.
• Serve as the clinical voice in product design discussions, contributing insight that keeps AI tools grounded in evidence-based care delivery.

Strategic Leadership

• Represent clinical priorities in cross-functional strategy discussions, standing in for the VP of Care Delivery when needed.
• Partner with the Chief Scientific Officer on clinical standards, research alignment, and innovation.
• Help shape the long-term vision for AI-assisted care at Pelago.

External Stakeholder Engagement

• Build and manage relationships with mental health agencies, clinical vendors, and external partners.
• Act as Pelago's clinical representative in external settings, upholding our standards and values.

Internal Alignment

• Facilitate alignment between Clinical and Product teams, ensuring consistent communication and coordinated execution.
• Work hand-in-hand with the Care Manager team to ensure continuity between AI-assisted and human-delivered care.

The Background We're Looking For:

• Master's or Doctoral degree in a clinical field (LCSW, LPC, PsyD, PhD, or equivalent); active licensure required.
• 8+ years of clinical experience in mental or behavioral health, with at least 3 years in a leadership or manager-level role.
• Experience working at the intersection of clinical care and technology or digital health.
• Hands-on AI fluency: has integrated AI tools into their own clinical or operational workflows, can critically evaluate model outputs, and understands both the capabilities and failure modes of AI in a clinical context.
• Strong technical collaboration: able to work closely with product and engineering counterparts, iterate alongside technical teams, and contribute meaningfully to how AI tools are shaped and improved.
• Experience managing external partnerships and engaging with health agencies or vendors.
• Strong communication and influencing skills across clinical, technical, and executive audiences.

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package
• Full Medical, Dental, & Vision coverage 
• 401k Plan
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

Overview of the Role: 

We're hiring a Growth Marketing Manager to own execution across our lifecycle and acquisition programs — from first touch through conversion and engagement.

You'll be a core member of a small, high-performing growth team — owning your lanes fully and moving fast. This is a hands-on role where you're building and launching to keep campaigns running accurately and at scale. You'll own acquisition channels end-to-end, contribute to our experimentation engine, and provide strategic insights as you get into our systems, data, and member journey. 

The right person comes in sharp, moves fast, and finds the gaps before anyone points them out.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In this role you will:

• Execute acquisition and lifecycle campaigns end-to-end, owning segmentation, targeting, QA, launch, and post-campaign analysis across email, direct mail, and paid channels. You're in the work, not above it.
• Build, manage, and optimize campaigns in Iterable, with direct ownership of audience logic, journey architecture, and template QA. Operational accuracy is non-negotiable.
• Pull your own data and build your own analysis. You're comfortable writing queries, building dashboards, and translating cohort trends into decisions. You surface anomalies before anyone asks.
• Contribute to Pelago's experimentation program, developing hypotheses, executing tests with operational precision, and applying learnings to future campaigns.
• Challenge existing programs when the data points elsewhere. If something has run the same way for six months without evidence it's working, you're the one asking why and proposing what to test next.
• Partner with Data and Growth Ops to maintain data integrity, audience accuracy, and analytical rigor across the member funnel, from eligible life to registered member to engaged user.
• Bring AI-native thinking to your work, using AI tools to improve speed, copy quality, segmentation, and analysis today, and bringing those ideas to the team.

The background we are looking for:

• 3-5 years of growth or lifecycle marketing experience with direct ownership of campaign execution, not just briefing others.
• Fluent in Iterable: you've built journeys, managed segments, QA'd sends, and diagnosed deliverability issues yourself.
• Strong analytical instincts: comfortable writing queries, pulling cohort data, building dashboards, and turning numbers into decisions.
• High operational discipline: you catch errors before they go live, manage multiple campaigns in parallel, and hold the quality bar without being managed to it.
• A genuine bias toward challenging assumptions: you don't maintain programs on autopilot. You question, test, and improve.
• AI-native: you use AI tools daily to do your job better, and you have a point of view on where they move the needle and where they don't.
• Experience in health tech, B2B2C, subscription, or benefits preferred. Pelago operates at the intersection of employer clients and individual members, and candidates who've navigated that translation layer ramp faster.
• Preferred: Paid media experience across search, social, or programmatic channels.
• Preferred: Familiarity with direct mail as a performance channel: audience pulls, vendor coordination, and response tracking; Familiarity with TCPA compliance considerations for SMS.
• Preferred: Exposure to structured experimentation frameworks: you understand how to execute a clean test, document results, and draw the right conclusions from imperfect data.

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package
• Full Medical, Dental, & Vision coverage 
• 401k Plan
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

Overview of the Role: 

Pelago is seeking an analytical, data-driven Growth Product Manager to own the product strategy and experimentation roadmap across our top-of-funnel and care initiation journey, including landing pages, registration, onboarding, and early activation.

Growth initiatives at Pelago are treated as core product roadmap work, not side projects. In this role, you will operate as the product owner for our growth funnel, leading both long-term strategic bets and high-velocity experimentation to unlock sustainable, high-quality member acquisition. This role requires both strategic thinking and hands-on rigor: you will architect durable solutions while also running a disciplined test-and-learn program grounded in data, segmentation, and behavioral insight.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In this role you will:

• Own the product strategy and roadmap across landing experience, registration, onboarding, and early activation, aligning priorities to revenue and patient acquisition goals.
• Identify structural growth constraints within the funnel and lead durable, high-impact product solutions that unlock step-change improvements.
• Lead a disciplined, high-velocity experimentation program, defining clear hypotheses, success metrics, and guardrails across growth surfaces.
• Translate deep funnel and segmentation insights into action, ensuring experiment learnings directly inform long-term product direction.
• Drive sustainable, high-quality growth, balancing conversion improvements with activation quality, retention, and long-term member value.
• Serve as product lead for a cross-functional squad, aligning Engineering, Design, Data, Marketing, and Care Operations around shared outcomes and clear tradeoffs.
• Get creative to do what’s needed to help your team, and Pelago, succeed. The work you do will have a direct impact on millions of lives

The background we are looking for:

• 6+ years of product management experience, including ownership of a product area or roadmap in a high-growth, product-led environment.
• Demonstrated track record of driving measurable business impact (e.g., revenue, conversion, retention, LTV) through product strategy and execution.
• Experience owning growth surfaces such as acquisition funnels, onboarding flows, experimentation programs, or revenue-driving product experiences.
• Strong commercial and analytical acumen, comfortable operating with metrics like CAC, LTV, retention, activation quality, and margin tradeoffs.
• Proven ability to define strategy in ambiguous environments, prioritize effectively, and lead cross-functional teams through execution.
• Deep fluency in product discovery and experimentation frameworks, with comfort using analytics tools (e.g., Amplitude, Mixpanel) and working with SQL or event-level data.
• Genuine curiosity about emerging technologies, including AI, and a proactive mindset toward exploring how they can enhance work, problem-solving, and innovation at Pelago.

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package
• Full Medical, Dental, & Vision coverage 
• 401k Plan
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

Overview of the Role...

As a Senior Accountant, you'll sit at the center of a small, high-trust finance team — working directly with our CFO and Controller, owning the close, and shaping how we report and operate as we scale. The work is real, the scope is wide, and you'll be doing it at a company where what you build here truly matters.

At Pelago, we're actively building toward an AI-native way of working, and we want people who are genuinely energized by that. Not because AI replaces the work, but because the best finance operators we know are already using it to think sharper, move faster, and do more with less. If that's how you naturally work – or how you want to – you'll fit right in here.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In this role you will…

• Own major parts of the month-end close process: prepare journal entries, perform balance sheet reconciliations, and maintain the consolidated GL reporting.
• Maintain data accuracy: build and maintain schedules that keep our financials clean, complete, and audit-ready without being asked twice.
• Own audit execution: coordinate PBC deliverables, manage documentation, and be the person the auditors can count on for organized, responsive support.
• Be a real partner to FP&A: translate actuals into clear variance analysis that informs forecasting.
• Improve the control environment: identify gaps, document policies, and raise the operational bar on GAAP compliance as we scale.
• Keep AP and expenses running cleanly: review employee expenses and manage vendor relationships with accuracy and accountability.
• Make the work better over time: proactively identify inefficiencies, propose solutions, and take ownership of improving how the team operates, including where automation or tooling can help.

The background we are looking for... 

• 5+ years of progressive accounting experience, with clear growth in scope and ownership over time.
• Big 4 or public accounting background preferred; blend of public + private is a plus.
• Deep command of US GAAP and the fundamentals of financial accounting — you know why the rules exist, not just what they are.
• Proven experience owning month-end close and balance sheet reconciliations, not just supporting them.Strong systems fluency: Excel or Sheets is table stakes; NetSuite experience is a plus but coachable.
• Comfort using AI tools in your day-to-day work, for analysis, drafting, or efficiency. 
• High attention to detail with the organizational discipline to manage competing deadlines independently.
• Clear communicator who can work across functions and doesn't need to be chased for follow-through.

What you’ll love about us… 

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package
• Full Medical, Dental, & Vision coverage 
• 401k Plan 
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

About Pelago Engineering:

Our engineering team operates as empowered, outcome-oriented problem solvers, working in close partnership with product, design, and clinical teams to improve member outcomes at scale.

As AI transforms how software is built, we are intentionally evolving our development lifecycle so we spend less time on mechanical implementation and more time on system design, judgment, and impact.

How We Work:

• Outcome-driven: Engineers are given problems to solve, not just features to build. Success is measured by learning, impact, and outcomes—not velocity alone
• AI-native: We use AI across the SDLC to accelerate implementation, testing, and review. Engineers focus on defining intent, validating behavior, and designing resilient systems
• High autonomy, high accountability: Teams have real ownership over their domains. With autonomy comes responsibility for quality, safety, and results
• Cross-functional by default: Engineers partner deeply with Product, Design, Data, and Clinical. Discovery, experimentation, and delivery are shared responsibilities
• Quality and safety matter: We build in a regulated, member-impacting domain. Reliability, observability, and correctness are first-class concerns

What You’ll Do:

Instead of task lists, anchor on ownership:

• Own meaningful problem spaces end-to-end, from discovery through delivery and iteration
• Design and evolve systems that support safe, scalable, AI-augmented development
• Use data and experimentation to validate whether solutions actually work
• Collaborate cross-functionally to balance member impact, clinical constraints, and technical tradeoffs
• Shape how we work—our tools, processes, and culture

What We Look For:

 We explicitly assess for empowerment:

• You start with "why" before diving into "how"
• You're energized by ambiguity and collaborative problem-shaping
• You use AI to amplify your judgment and move faster on what matters
• You think in systems and anticipate second-order effects
• You want to own outcomes, not just ship features

Overview of the Role: 

Pelago is hiring a Senior Growth Engineer to build and optimize the technical systems that power member acquisition, activation, and early engagement. This role sits at the intersection of engineering, product, and marketing. You will own the code and infrastructure behind our highest-impact growth surfaces, landing pages, registration flows, onboarding journeys, and experimentation systems, with direct accountability for measurable business outcomes.

As a growth driver, you will identify funnel opportunities, propose and ship experiments, and turn performance data into product decisions that increase conversion and member growth.

This is a full-stack role with a frontend lean, ideal for an engineer who thinks like a product owner, thrives in fast experimentation cycles, and wants to see their work directly move company-level metrics.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In this role you will:

• Own and optimize Pelago’s highest-impact growth surfaces — including landing pages, registration flows, onboarding experiences, and other key conversion pathways across web and mobile.
• Design, build, and iterate on A/B tests and multivariate experiments, using both traditional experimentation frameworks and AI-assisted approaches to increase testing velocity and insight generation.
• Leverage AI tools and automation to accelerate prototyping, personalization, and experimentation across growth surfaces.
• Translate acquisition and campaign strategy into high-performing technical execution, partnering closely with Marketing and Product to move conversion and activation metrics.
• Ensure comprehensive instrumentation and analytics coverage across the funnel so every change is measurable and insights drive prioritization.
• Continuously improve performance, SEO, accessibility, and Core Web Vitals to maximize traffic efficiency and conversion.
• Ship quickly while maintaining reliability, privacy, and compliance in a regulated healthcare environment where member trust is non-negotiable.

The background we are looking for: 

• Strong proficiency in React and TypeScript, with experience building performant, user-facing web applications.
• Experience implementing and iterating on A/B tests to improve conversion and user flows.
• Comfort working across the stack (APIs, backend services, analytics instrumentation) to ship end-to-end growth improvements.
• Data-informed mindset, including event tracking and funnel analysis to guide experimentation and prioritization.
• Familiarity with AI-assisted development workflows (e.g., agentic coding tools, prompt-driven prototyping, automation tooling), and a demonstrated ability to use AI to increase iteration speed and engineering leverage.
• Experience collaborating with product and marketing partners in fast-paced, experimentation-driven environments.

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package
• Full Medical, Dental, & Vision coverage 
• 401k Plan 
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

Before you apply, see how we build.

We write about our technical decisions, product philosophy, and the real challenges of scaling behavioral health. Read the blog → https://pelagohealth.ai/

About Pelago Engineering:

Our engineering team operates as empowered, outcome-oriented problem solvers, working in close partnership with product, design, and clinical teams to improve member outcomes at scale.

As AI transforms how software is built, we are intentionally evolving our development lifecycle so we spend less time on mechanical implementation and more time on system design, judgment, and impact.

How We Work:

• Outcome-driven: Engineers are given problems to solve, not just features to build. Success is measured by learning, impact, and outcomes—not velocity alone
• AI-native: We use AI across the SDLC to accelerate implementation, testing, and review. Engineers focus on defining intent, validating behavior, and designing resilient systems
• High autonomy, high accountability: Teams have real ownership over their domains. With autonomy comes responsibility for quality, safety, and results
• Cross-functional by default: Engineers partner deeply with Product, Design, Data, and Clinical. Discovery, experimentation, and delivery are shared responsibilities
• Quality and safety matter: We build in a regulated, member-impacting domain. Reliability, observability, and correctness are first-class concerns

What You’ll Do:

Instead of task lists, anchor on ownership:

• Own meaningful problem spaces end-to-end, from discovery through delivery and iteration
• Design and evolve systems that support safe, scalable, AI-augmented development
• Use data and experimentation to validate whether solutions actually work
• Collaborate cross-functionally to balance member impact, clinical constraints, and technical tradeoffs
• Shape how we work—our tools, processes, and culture

What We Look For:

 We explicitly assess for empowerment:

• You start with "why" before diving into "how"
• You're energized by ambiguity and collaborative problem-shaping
• You use AI to amplify your judgment and move faster on what matters
• You think in systems and anticipate second-order effects
• You want to own outcomes, not just ship features

Overview of the Role: 

We’re hiring an IT Operations Engineer to own and elevate the employee technology experience at Pelago. You’ll ensure our team is productive, secure, and well-supported by managing the systems, devices, and processes that power day-to-day operations.

This is a hands-on role spanning IT support, device management, SaaS administration, identity and access management, and security operations. You’ll resolve technical issues, administer core platforms, support onboarding and offboarding, and help maintain our security and compliance posture in a regulated healthcare environment.

As we grow, you’ll play a key role in scaling IT operations: proactively identifying friction, improving workflows, and automating where possible to create a seamless employee experience.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In this role you will:

• Own 1st and 2nd line IT support end-to-end: triage, diagnose, and resolve employee technology issues across hardware, software, and networking with speed and empathy
• Manage device lifecycle and MDM: configure, deploy, and maintain endpoint devices using MDM platforms (Jamf, Intune, or similar), ensuring consistent security policies and a smooth employee experience from day one
• Administer enterprise SaaS platforms: manage identity, access, and configuration across tools like Okta, Google Workspace, Slack, Zoom, and other business-critical applications
• Drive employee onboarding and offboarding: ensure new hires are productive from their first day and departing employees are securely offboarded, with all access revoked and equipment recovered
• Maintain security and compliance standards: enforce endpoint security policies, manage patching and updates, support audit requirements, and uphold HIPAA and SOC 2 controls relevant to IT operations
• Build and improve IT processes: document runbooks, create self-service resources, and identify opportunities to automate repetitive tasks so the team scales efficiently
• Support office IT infrastructure: maintain networking, AV equipment, and conference room technology in our NYC office to support a seamless hybrid work environment
• Partner cross-functionally: work with Engineering, Security, HR, and Finance teams to align IT operations with broader company needs and growth plans

The background we are looking for: 

• 3-5 years of experience in IT operations, systems administration, or corporate IT engineering in a fast-paced technology company
• Strong experience with MDM platforms (Jamf, Intune, Kandji, or similar) for managing macOS and Windows device fleets
• Deep familiarity with identity and access management, particularly Okta or similar SSO/MFA platforms, including provisioning, deprovisioning, and access reviews
• Proven ability to manage and administer SaaS platforms at scale (Google Workspace, Slack, Zoom, Atlassian, etc.)
• Solid understanding of endpoint security, patching strategies, and compliance frameworks (HIPAA, SOC 2) in a regulated environment
• Excellent troubleshooting skills with a customer-service mindset: you treat every employee interaction as an opportunity to build trust and reduce friction
• Experience building IT documentation, runbooks, and self-service knowledge bases that reduce ticket volume over time
• Strong judgment in prioritizing and escalating issues: you know when to fix it yourself and when to loop in the right people

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package
• Full Medical, Dental, & Vision coverage 
• 401k Plan 
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

Before you apply, see how we build.

We write about our technical decisions, product philosophy, and the real challenges of scaling behavioral health. Read the blog → https://pelagohealth.ai/

About Pelago Engineering:

Our engineering team operates as empowered, outcome-oriented problem solvers, working in close partnership with product, design, and clinical teams to improve member outcomes at scale.

As AI transforms how software is built, we are intentionally evolving our development lifecycle so we spend less time on mechanical implementation and more time on system design, judgment, and impact.

How We Work:

• Outcome-driven: Engineers are given problems to solve, not just features to build. Success is measured by learning, impact, and outcomes—not velocity alone
• AI-native: We use AI across the SDLC to accelerate implementation, testing, and review. Engineers focus on defining intent, validating behavior, and designing resilient systems
• High autonomy, high accountability: Teams have real ownership over their domains. With autonomy comes responsibility for quality, safety, and results
• Cross-functional by default: Engineers partner deeply with Product, Design, Data, and Clinical. Discovery, experimentation, and delivery are shared responsibilities
• Quality and safety matter: We build in a regulated, member-impacting domain. Reliability, observability, and correctness are first-class concerns

What You’ll Do:

Instead of task lists, anchor on ownership:

• Own meaningful problem spaces end-to-end, from discovery through delivery and iteration
• Design and evolve systems that support safe, scalable, AI-augmented development
• Use data and experimentation to validate whether solutions actually work
• Collaborate cross-functionally to balance member impact, clinical constraints, and technical tradeoffs
• Shape how we work—our tools, processes, and culture

What We Look For:

 We explicitly assess for empowerment:

• You start with "why" before diving into "how"
• You're energized by ambiguity and collaborative problem-shaping
• You use AI to amplify your judgment and move faster on what matters
• You think in systems and anticipate second-order effects
• You want to own outcomes, not just ship features

Overview of the Role: 

Pelago is looking for an Engineering Manager to lead and grow a high-performing team building AI-native products that improve outcomes for people living with substance use challenges.

We believe the best leaders are also builders. In this role, you’ll lead from the front: pairing with engineers, architecting systems, and setting a high bar for technical excellence and curiosity across the team. You won’t just tell the team what to do; you’ll be in the trenches with them, prototyping, debugging, and helping turn ambitious product ideas into robust, user-facing features.

You’ll foster a high-autonomy, high-accountability culture where engineers thrive, and you’ll help Pelago scale secure, reliable AI systems that patients and providers can trust.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In this role you will:

• Lead and grow a high-autonomy, high-accountability engineering team, mentoring engineers and fostering a culture of ownership, curiosity, and excellence.
• Lead from the front as a hands-on builder, pairing with engineers to prototype, debug, and deliver robust, user-facing product experiences.
• Drive end-to-end execution of AI initiatives, from rapid experimentation through secure, reliable production deployment with a high bar for quality and trust.
• Help grow and strengthen our NYC engineering presence while collaborating closely with our London team, serving as a culture carrier and talent magnet as Pelago scales globally.
• Shift the team from output to outcomes, framing ambiguous problem spaces, running fast learning loops, and ensuring work is measured by real member and business impact.
• Set technical direction and raise engineering standards, focusing reviews and decision-making on architecture, system behavior, and long-term scalability rather than implementation minutiae.

The background we are looking for: 

• Experience leading one or more engineering teams with accountability for technical execution, delivery, and quality across architecture, development, and production in fast-paced environments where speed and quality both matter.
• Proven success guiding teams through the end-to-end delivery of complex, user-facing, AI-native products, from system design and technical decision-making through production and iteration.
• Demonstrated ability to hire, mentor, and develop engineers across multiple career stages, fostering high-performing teams with strong ownership and accountability.
• Strong technical judgment, with a track record of making sound tradeoffs around experimentation, technical debt, and long-term scalability.
• Deep experience partnering cross-functionally with Product, Design, Data, and Clinical to align technical execution with user, clinical, and business outcomes.
• Experience operating in high-growth, high-urgency environments, with a bias toward action, iteration, and forward momentum.
• Strong judgment balancing speed and quality in fast-moving product cycles with meaningful technical complexity.

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package
• Full Medical, Dental, & Vision coverage 
• 401k Plan 
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

Before you apply, see how we build.

We write about our technical decisions, product philosophy, and the real challenges of scaling behavioral health. Read the blog → https://pelagohealth.ai/

About Pelago Engineering:

Our engineering team operates as empowered, outcome-oriented problem solvers, working in close partnership with product, design, and clinical teams to improve member outcomes at scale.

As AI transforms how software is built, we are intentionally evolving our development lifecycle so we spend less time on mechanical implementation and more time on system design, judgment, and impact.

How We Work:

• Outcome-driven: Engineers are given problems to solve, not just features to build. Success is measured by learning, impact, and outcomes—not velocity alone
• AI-native: We use AI across the SDLC to accelerate implementation, testing, and review. Engineers focus on defining intent, validating behavior, and designing resilient systems
• High autonomy, high accountability: Teams have real ownership over their domains. With autonomy comes responsibility for quality, safety, and results
• Cross-functional by default: Engineers partner deeply with Product, Design, Data, and Clinical. Discovery, experimentation, and delivery are shared responsibilities
• Quality and safety matter: We build in a regulated, member-impacting domain. Reliability, observability, and correctness are first-class concerns

What You’ll Do:

Instead of task lists, anchor on ownership:

• Own meaningful problem spaces end-to-end, from discovery through delivery and iteration
• Design and evolve systems that support safe, scalable, AI-augmented development
• Use data and experimentation to validate whether solutions actually work
• Collaborate cross-functionally to balance member impact, clinical constraints, and technical tradeoffs
• Shape how we work—our tools, processes, and culture

What We Look For:

 We explicitly assess for empowerment:

• You start with "why" before diving into "how"
• You're energized by ambiguity and collaborative problem-shaping
• You use AI to amplify your judgment and move faster on what matters
• You think in systems and anticipate second-order effects
• You want to own outcomes, not just ship features

Overview of the Role: 

Pelago is building a small AI Accelerator team to lead one of the most important transformations in our company's evolution: rethinking how work gets done so our teams can focus on the decisions, relationships, and problem-solving that matter most.

As an AI Agent Engineer, you'll identify workflows that are repetitive, manual, or unnecessarily complex and redesign them as AI-powered systems that meaningfully change how we operate. That might mean automating parts of compliance reviews, streamlining member operations, or replacing spreadsheet-heavy analytics handoffs with smarter, more reliable workflows.

This is a hands-on role for someone who wants to be an innovator and change driver, applying AI to real business problems and leaving a visible mark on how the company runs.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In this role you will:

• Identify high-friction internal workflows and redesign them as AI-powered systems that meaningfully improve how Pelago operates
• Design, build, and deploy production-grade AI agents that connect to internal APIs, databases, and tools (Salesforce, Slack, Notion, and more)
• Integrate LLMs into real operational processes — from compliance reviews and ticket triage to documentation and QA — ensuring systems are reliable, secure, and auditable
• Build observability, guardrails, and evaluation frameworks so agents perform safely and consistently in a regulated healthcare environment
• Partner closely with product, operations, data, and compliance teams to define success metrics, iterate quickly, and continuously improve performance

The background we are looking for: 

• Experience building production-grade software systems, ideally in product or operational environments, autonomously
• Strong Python skills and experience designing event-driven or distributed systems
• Hands-on experience building and deploying LLM-powered workflows: tool use, retrieval, structured outputs, orchestration
• Experience integrating systems via APIs, message queues, or workflow engines
• Familiarity with cloud infrastructure (AWS, GCP, or Azure) and deploying containerized services
• Solid understanding of security, privacy, and data controls. especially in regulated environments
• Systems thinker who can translate messy real-world processes into scalable technical solutions
• Pragmatic builder who prototypes quickly but ships responsibly
• A genuine passion for using AI to create measurable operational impact 

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package
• Full Medical, Dental, & Vision coverage 
• 401k Plan 
• Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
• Paid maternity, paternity & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

Before you apply, see how we build.

We write about our technical decisions, product philosophy, and the real challenges of scaling behavioral health. Read the blog → https://pelagohealth.ai/

About Pelago Engineering:

Our engineering team operates as empowered, outcome-oriented problem solvers, working in close partnership with product, design, and clinical teams to improve member outcomes at scale.

As AI transforms how software is built, we are intentionally evolving our development lifecycle so we spend less time on mechanical implementation and more time on system design, judgment, and impact.

How We Work:

• Outcome-driven: Engineers are given problems to solve, not just features to build. Success is measured by learning, impact, and outcomes—not velocity alone
• AI-native: We use AI across the SDLC to accelerate implementation, testing, and review. Engineers focus on defining intent, validating behavior, and designing resilient systems
• High autonomy, high accountability: Teams have real ownership over their domains. With autonomy comes responsibility for quality, safety, and results
• Cross-functional by default: Engineers partner deeply with Product, Design, Data, and Clinical. Discovery, experimentation, and delivery are shared responsibilities
• Quality and safety matter: We build in a regulated, member-impacting domain. Reliability, observability, and correctness are first-class concerns

What You’ll Do:

Instead of task lists, anchor on ownership:

• Own meaningful problem spaces end-to-end, from discovery through delivery and iteration
• Design and evolve systems that support safe, scalable, AI-augmented development
• Use data and experimentation to validate whether solutions actually work
• Collaborate cross-functionally to balance member impact, clinical constraints, and technical tradeoffs
• Shape how we work—our tools, processes, and culture

What We Look For:

 We explicitly assess for empowerment:

• You start with "why" before diving into "how"
• You're energized by ambiguity and collaborative problem-shaping
• You use AI to amplify your judgment and move faster on what matters
• You think in systems and anticipate second-order effects
• You want to own outcomes, not just ship features

Overview of the Role: 

As a Backend Engineer, you’ll play a critical role in building and scaling the backend systems that power Pelago’s core services. You’ll design and implement robust APIs, maintain our serverless AWS infrastructure, and work with complex data systems to ensure reliability, performance, and scalability. You’ll collaborate closely with engineers, product managers, and other stakeholders, contributing to an event-driven architecture and taking ownership of mission-critical features from concept to deployment.

Your work will directly support Pelago’s mission by enabling secure, scalable, and efficient systems that connect our members to the care they need. This role is based in our London office, with in-person collaboration two days per week.

In this role, you will: 

• Build scalable, performant, secure, and well-tested APIs.
• Maintain and evolve our entirely serverless AWS-based architecture using Node.js and TypeScript.
• Contribute to the development of an event-driven system, owning core feature implementation and refactoring critical functionality as needed.
• Design and optimize MySQL databases at scale, including schema design and query performance improvements.
• Manage and integrate third-party APIs, ensuring reliability, security, and maintainability.
• Implement best practices for code quality, testing, and deployment automation in a collaborative agile environment.
• Partner with cross-functional teams to translate business requirements into scalable technical solutions.

We're Looking For You To Bring:

•  4+ years of professional experience as a backend engineer.
• Extensive experience with Node.js and TypeScript.
• Proven track record with event-driven architectures.
• Years of working with SQL, including schema design, optimization, and scaling.
• Strong AWS expertise, including API Gateway, SNS, SQS, Lambda, Cognito, EC2, RDS, S3, CloudWatch, and VPC.
• Experience integrating and managing third-party APIs in production environments.
• Genuine curiosity about emerging technologies, including AI, and a proactive mindset toward exploring how they can enhance work, problem-solving, and innovation at Pelago.
• Familiarity with testing frameworks and experience writing unit and integration tests.
• Based in London or within commuting distance (2 days/week in-office).
• Nice to haves: 
  • Experience with NoSQL databases.
  • Infrastructure provisioning using Terraform.
  • Experience scaling AWS environments in high-growth contexts.
  • Knowledge of serverless architecture trade-offs and benefits.
  • API security best practices.

What You'll Love About Us: 

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

• Generous and meaningful equity package 
• Private Health Coverage 
• Pension Plan
• Unlimited PTO Policy, Bank Holidays, & company wide “Me Time Days” 
• Paid maternity, paternity, & new parent leave
• Flexible working environment
• Annual Learning and Development stipend to support continued learning and career development
• Wellness Reimbursement Program 
• Access to Reproductive & Family Planning Care 
• Substance Use Support for employees and family members

At this time, we are unable to offer visa sponsorship for this position.

Before you apply, see how we build.

We write about our technical decisions, product philosophy, and the real challenges of scaling behavioral health. Read the blog → https://pelagohealth.ai/

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