Two Chairs is building a new kind of mental health system based on the idea that the status quo isn’t good enough. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we’ll raise the bar for the entire industry. With that, we're excited and honored to have been recognized as a 2025 Great Place to Work and 2025 Fortune’s Best Workplaces in Healthcare.

One of our company values is "Embrace Differences" and diversity, equity, inclusion, and belonging are the principles guiding how we build our business and teams. We encourage interested candidates from all backgrounds to apply, even if you don't think they meet some expectations of the role.

Why Choose Two Chairs?

• Consistent Pay: Earn a clinical rate of $76/hour (includes mandatory training) and an administrative rate (includes late shows/cancellations) of $23/hour as a WA resident with semi-monthly pay. If based out-of-state clinical rates will range between $58.50 - $85.
• Balanced Caseloads and Schedules: Select a weekly caseload ranging from 7 to 20 clients, with session availability between 7:00 a.m. to 9:00 p.m. PST, Monday through Friday.
• Support for Wellness & Professional Growth: We provide a wellness and professional development stipend (up to $300 annually), case consultation, free CE credits through monthly APA-accredited courses, Psych Hub membership, and wellness events to support your growth.
• Additional W-2 advantages you won’t find with 1099 contract work:
  • No tax headaches – We handle withholdings and filings, so you don’t have to
  • Earn paid sick time – Accrue up to 80 hours per year
  • Merit-based raises – Be recognized and rewarded for your contributions
  • Retirement benefits – Access an employer-sponsored 401(k) plan 
  • Malpractice insurance provided – Full coverage at no cost to you

About the Role

• Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT, ACT, MBCT, TLDP, IPT, EFT, and MI.
• Maintain a caseload of 7-20 attended ongoing therapy and consult sessions per week 
• Use data to drive effective treatment and adjust your approach based on client progress
• Collaborate with other mental health providers as needed and refer clients when appropriate
• Maintain progress notes and documentation in compliance with HIPAA and state regulations
  
  

Requirements

• License: Active license and in good standing as a LICSW, LMFT, LMHC, or Psychologist (PhD or PsyD) in Washington
• Cross-licensure: Willing and motivated to become licensed in other states. We will cover the cost. 
• Caseload: Available for 8-24 hours per week, with 85% of time in client sessions. Sessions will include ongoing therapy and new client consults appointments. 
• Experience: 2+ years of clinical experience with adults (18+), at least six months of teletherapy experience, and proficient with clinical assessments (e.g., PHQ-9) for tracking client progress
• Tech: At least six months of teletherapy experience and experience with electronic health record (EHR) systems
• Schedule: Select 7-10 session hours between 8am and 9pm PST, Monday through Friday. Available during regular business hours for a minimum of 1 hour per week during the first 6 weeks for training, followed by 30 minutes per month for ongoing support.
• Documentation: All documentation to be completed, signed, and locked in EMR within 48 hours of client contact. Option to use an AI-assist tool.

What to Expect: Our Interview Process 

• Application Review: We’ll promptly review your application to ensure you meet the minimum qualifications 
• Recruiter Interview: 45-minute phone interview  with one of our Clinical Recruiters
• Clinical Interview: 45-minute video interview with one of our Clinical Managers 
• Offer: If all goes well, you’ll receive an offer to join our team! 
• Expected Interview Timeline: The entire process typically takes 2 weeks
  
  

Important Notes: 

• Please stay alert for job scams: All communication will come from official Two Chairs email domains (@twochairs.com or @twochairscareers.com). See tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html

#LI-REMOTE 

As a Data Engineer on our BI team, you’ll be a key player in Motive’s growth, delivering the data infrastructure for the AI era. You’ll act as the essential link between complex data and key business domains, delivering the high-quality datasets and semantic models that drive global strategy. This is an exciting opportunity to implement cutting-edge tooling, leverage AI to enhance your workflow, and master a modern data stack in a fast-evolving environment.

This is the perfect role for a "jack of all trades" data practitioner. You’ll design data models, build robust pipelines, manage DevOps and automated systems, and implement AI-driven data tooling. You’ll even get your hands dirty building dashboards and performing deep-dive analysis. If you love working full-stack and owning the entire data lifecycle, you’ll love this role.

What You'll Do:

• Collaborate & Strategize: Partner closely with business stakeholders to understand their challenges and design end-to-end architecture that solves complex business problems.
• Build & Maintain Data Models: Design, develop, and own robust, efficient, and scalable data models in Snowflake and Iceberg using dbt and advanced SQL.
• Orchestrate & Automate: Build and manage reliable data pipelines and CI/CD workflows using tools like Airflow, Python, and Terraform to ensure data is fresh, trustworthy, and infrastructure is version-controlled.
• Champion Data Quality: Implement rigorous testing, documentation, and data governance practices to maintain a single source of truth.
• Enable Analytics & Workflows: Act as the Product Owner and Tech Lead for your data domains, taking responsibility for the end-to-end data product delivery– from raw ingestion to data models enabling analytics and data apps in tools like Tableau and Retool.
• Innovate with AI: Help us build our next-generation data infrastructure by integrating AI capabilities (like Snowflake Cortex AI) to democratize analytics and empower the business.
• Architect Observability: Implement monitoring and alerting frameworks (e.g., dbt packages or  Monte Carlo monitors) to proactively catch "silent" data failures before stakeholders do.

What We're Looking For:

• 6+ years of experience in Analytics Engineering, Data Engineering, or a similar role.
• Deep expertise in SQL and developing complex data models for analytical purposes (e.g., dimensional modeling).
• Hands-on experience with:
  • Data Warehousing: High proficiency in Snowflake (preferred) and experience with Open Table Formats like Iceberg.
  • Data Transformation: dbt
  • Orchestration & ETL: Airflow, Fivetran, Airbyte
  • Cloud Platform: AWS
  • Programming/Ingestion: Python
  • Infrastructure as Code: Terraform
  • AI-Augmented Development: Proficiency using AI coding assistants (Cursor, Copilot, or Claude) to accelerate development and automate routine tasks.
• A strong analytical mindset with a proven ability to solve ambiguous business problems with data.
• Excellent communication skills and experience working cross-functionally.
• Self-starter with the ability to self-project manage work
• A user focus with the ability to understand how a data consumer will use the data products you build

Bonus Points (Nice-to-Haves)

• Experience building semantic models for natural language querying
• Direct experience with advanced Snowflake features (e.g., Snowpark, Cortex AI).
• Experience building visualizations and dashboards in tools like Tableau,  Retool, or Thoughtspot.

Synthesis Health

Who We Are

We’re a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.

About the Opportunity

We are looking for a Staff Data Engineer who serves as the universal data architect for our platform.

In this role, you will bridge the gap between application engineering and data infrastructure. You will possess a "big picture" understanding of our entire data ecosystem—OLTP, OLAP, NoSQL, and Relational. You will own the optimization of our high-volume data pipelines, but equally, you will tune the operational databases that power our services and design the warehousing strategies that drive our analytics.

You will be the authority on data physics: defining how we ingest massive bursts of medical information, how we model it for high-performance transactional locking, and how we transform it for analytical querying without friction.

This is a high-leverage leadership role. You will set the standard for data engineering excellence, mentoring Senior engineers and defining the architectural patterns that keep our platform performant as we scale 100x and beyond.

Key Responsibilities

Polyglot Data Architecture & Performance

• Universal Store Optimization: You will be the ultimate authority on the performance of our persistent stores. You will tune AlloyDB (PostgreSQL) for complex transactions (OLTP), optimize NoSQL layers, and structure BigQuery for analytical speed (OLAP).
• Prevent Congestion & Latency: You will proactively identify and resolve "hot spots" in our data architecture. You will design strategies for sharding, partitioning, and active-archiving that ensure our operational systems remain lean while our analytical history grows indefinitely.

High-Volume Pipeline & Ingestion Strategy

• Ingestion at Scale: You will architect robust, backpressure-aware pipelines to handle high-throughput ingestion of HL7 and DICOM metadata. You will ensure our systems can absorb bursty traffic without degrading the user experience.
• Stream & Batch Convergence: You will design the flows that move data from operational stores to our data warehouse, ensuring freshness and consistency. You will determine when to use real-time streams versus batch processing to balance cost and latency.

Service Design & Data Governance

• Define Data Contracts: You will act as a key voice on the Architecture Review Board (ARB), defining the "rules of the road" for how microservices interact with the data layer. You will enforce strict data contracts that decouple services from the underlying storage engine.
• Mentorship: You will elevate the data engineering capabilities of the entire organization. You will mentor other engineers on advanced query optimization, data modeling (Star Schema vs. 3NF), and the nuances of distributed data consistency.

What We’re Looking For

• Elite Data Engineering Experience: 8+ years of experience designing and optimizing data-intensive applications. You have a track record of solving hard scaling problems across the entire data lifecycle.
• Universal Data Fluency: You have deep expertise across the spectrum: Relational (AlloyDB/PostgreSQL internals, MVCC, locking), NoSQL (Document stores, Key-Value), and Warehousing (BigQuery/Snowflake internals, columnar storage).
• Pipeline Proficiency: Expert-level knowledge of building and optimizing data pipelines using tools like Kafka/PubSub, Beam/Dataflow, or dbt. You understand how to handle late data, duplicates, and exactly-once processing.
• Service & System Design: You understand how data stores fit into a broader microservices architecture. You can design synchronous vs. asynchronous data access patterns that protect the database from application-layer thundering herds.
• Coding Skills: Strong proficiency in Python, Java, SQL. You write clean, maintainable code for infrastructure and data transformation.
• Performance Obsession: You have a proven ability to debug complex data performance issues, from tuning query execution plans and resolving lock contention to optimizing high-throughput ingestion pipelines for minimal lag.

Preferred Qualifications

• Healthcare Data: Familiarity with the specific challenges of healthcare data (DICOM hierarchy, HL7 message structures) and compliance (HIPAA).
• Real-Time Analytics: Experience architecting real-time analytics dashboards or hybrid transactional/analytical workflows.
• Migration Experience: Experience leading zero-downtime database migrations or major schema refactors in a 24/7 environment.

Why You Should Join Us

• Solve Our Toughest Puzzles: This is a high-leverage role. You will be working on the most impactful technical challenges that are critical to the company's success.
• Define the Architecture: You won't just be maintaining a system; you will be a primary author of its future state, with the autonomy to make it happen.
• Lead from the Front: This is a chance to establish yourself as a key technical voice in a rapidly growing company.
• Competitive Compensation & Benefits: We offer a strong salary, a 100% remote culture, and significant opportunities for growth.

We are a values-driven company. Our values:

• Clinical service first.
• Collaborate with our customers.
• Listen, respect, learn.
• Innovate to excel.

The behaviors we look for:

• Be nice.
• Be creative.
• Be honest.
• Be helpful.

Compensation and Benefits

Typical salary range for this position is $120,000 - $150,000 (CAD). However, Synthesis participates in location based hiring and salary ranges can be adjusted based on candidate's residence. 

Other benefits include, but are not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.