Staff Engineer

About Cerula Care 

Cerula Care is the first digital health company focused on providing integrated behavioral health (BH) services to people living with cancer.  More than 22M people living with cancer have behavioral health needs such as anxiety, depression, substance use disorder, and PTSD. We integrate with oncology practices and health systems through the Collaborative Care Model (CoCM) to wrap our members with a behavioral health team, care programming, and outcomes analysis.

The Collaborative Care Model is an evidence-based clinical model that has been shown to successfully improve mild to moderate behavioral health needs more effectively than the current standard of care. Our care team enhances the traditional CoCM care team by adding a Health Coach (i.e., a health coach focused on holistic behavioral health), given our strong conviction in the benefit of health coaching and wellness in this population. With the right coaching program customized to our members, we will be able to improve our members’ behavioral health above and beyond traditional CoCM models.

Why Choose Cerula Care 

We understand choosing a place to work is a really important decision, and we want you to know that we do not take it lightly on your behalf – we welcome all your questions as you go through the decision process! 

A few things to know about working at Cerula Care:

• Our culture is very collaborative, transparent, supportive, and feedback-driven. All of us (yes all of us – including and especially our co-founders) are open to receiving and giving feedback in a helpful way to ensure we each grow and learn every day and importantly are always improving for the sake of our members and each other.
• We have a big mission to accomplish and we want people who believe in that mission to join us. However, in joining our mission, we are not asking you to give up other parts of your life - we all have our lives outside work, and we absolutely respect each other’s needs. 

As the inaugural staff engineer at Cerula Care, you’ll lead AI-driven innovations in behavioral health for oncology patients. You’ll tackle challenging problems like:

• Building scalable AI solutions that integrate with clinical workflows.
• Developing secure, compliant systems in a HIPAA-regulated environment.
• Creating the first behavioral health technology platform for oncology patients
• Driving data interoperability in healthcare by working with real-world EHR integrations.
• Optimizing AI infrastructure for cost, performance, and business impact.
  
  

Key Responsibilities

AI/ML Architecture

• Design AI-driven systems using CrewAI, LangChain, AWS Bedrock, and other AI toolkits.
• Build conversational interfaces and LLM integrations for patient engagement.
• Lead AI infrastructure decisions balancing cost, performance, and compliance.

Data & EHR Integration

• Design EHR integration patterns and workflows.
• Implement and integrate HL7/FHIR standards for health data exchange.
• Develop financial analytics pipelines to analyze unit economics.
• Build statistical analysis frameworks for business and clinical reporting.

End User UI/UX

• Design front end interfaces for internal and customer/client facing tools
• Conversational interface design to integrate with AI toolkits
• Work closely with clinical teams and end users to identify unmet needs and design solutions to meet those needs

Technical Leadership

• Make autonomous architectural decisions aligned with CTO and product leadership.
• Lead full-stack development (React, Angular, Python, AWS).
• Ensure HIPAA/SOC2 compliance across all systems.
• Work closely with clinical and business teams to drive product innovation.

 

Who You Are

✅ 8+ years of software engineering experience
✅ Strong AI/ML framework experience (CrewAI, LangChain, AWS Bedrock, or similar)
✅ Proven EHR integration expertise (HL7/FHIR)
✅ Track record with healthcare systems
✅ Cloud infrastructure and security expertise (AWS, HIPAA compliance)

Preferred (Nice-to-Have) Skills

• Experience with financial analytics in healthcare
• Hands-on with data pipelines and statistical analysis
• Experience leading cross-functional teams in a startup environment

 

Work & Compensation Details

• Location: 100% remote (minimal travel required)
• Time Commitment: Full-time
• Start Date: April 2025
• Competitive start-up salary
• Equity eligible 
• Benefits: medical, dental and vision insurance
• Paid time off: Flexible