Talkiatry is a NYC-based provider group that delivers in-network psychiatric care nationwide through its employed psychiatrist network and AI-enabled care platform.
We're seeking an experienced Engineering Director to lead a critical slice of our practice and to raise the quality bar across our entire application engineering org. You'll oversee two teams, with a third team likely added next year, that own the patient's core journey with us: our Growth team, responsible for the new-patient experience from initial outreach through the first appointment, and our Patient Portal team, responsible for all subsequent patient visits and touchpoints. Beyond those two teams, you'll also own the QA and Product Support functions for all application teams—not just the ones reporting to you—making you a key partner to every other engineering leader in the org. This is a role for someone who leads through managers but hasn't lost their hands-on edge. As we lean into AI-assisted development with tools like Claude Code, we want a director who can get into the codebase alongside teams to both help evolve our development practices to take advantage of these new agentic tools, as well as lead non-blocking cross-cutting problems like observability and alerting, high-leverage migrations, and the kind of DevEx work that makes every team faster and safer. You'll work alongside our other Engineering Directors to ensure high quality and high velocity across the whole organization. ABOUT TALKIATRY Talkiatry is transforming mental health care by making high-quality psychiatry more accessible, human, and sustainable for both patients and clinicians. Co-founded by a patient and a triple-board-certified psychiatrist, we were built to solve one of healthcare’s most urgent challenges: millions of people struggle to access mental health care, while clinicians face growing administrative burden and burnout. Through our technology-powered, in-network platform, we’re changing that, creating a better experience for patients and empowering clinicians to focus on delivering exceptional care. Today, Talkiatry is the largest dedicated psychiatry practice in the U.S., with 750+ psychiatrists, 250+ therapists, and more than two million patient visits delivered nationwide. At our scale, every innovation has real impact. Every workflow we improve, every technology solution we build, and every patient experience we redesign helps thousands of clinicians provide better care to hundreds of thousands of patients. We’re not just growing quickly — we’re redefining how behavioral healthcare is delivered in America. Joining Talkiatry means joining a mission-driven team that is solving complex problems at scale, driving meaningful change in healthcare, and building the future of mental health care with compassion, innovation, and purpose. YOU WILL - Oversee the success of the Growth and Patient Portal teams—ensuring they have the right people, processes, and timelines, and holding them accountable to delivering company value with a low defect rate and high reliability - Own the QA and Product Support functions across all application teams, setting standards and building processes that hold quality high - Lead through your managers—coaching, training, and developing the next generation of engineering leaders and senior ICs - Set and enforce a high technical quality bar across your teams, and stay close enough to the code to drive resolution of technical problems that span team boundaries - Identify and resolve issues of unclear ownership and cross-team dependencies, and close documentation and process gaps across the broader engineering org - Partner with product, design, and clinical teams to keep the patient experience seamless from first touch through their ongoing care - Work alongside other Engineering Directors to drive consistent quality and velocity across the entire org - Build a positive, thriving culture across your teams that strengthens our org-wide engineering culture YOU HAVE: - 8+ years of software engineering experience - 4+ years of engineering management experience, including experience managing managers or leading multiple teams - A strong, current technical background—you can still get hands-on and are credible with your senior engineers on architecture and code - Hands-on experience with React, TypeScript (bonus: Next.js), and AWS - Enthusiasm for AI-assisted development and experience adopting tools like Claude Code across teams - A track record of overseeing teams that consistently deliver business value with low defect rates and high reliability - Excellent communication skills with both technical and non-technical stakeholders, and the ability to scale your impact through delegation, written communication, and clear expectations - Comfort with hard conversations—proactive about accountability and holding teams to a high performance bar - Experience owning or partnering closely with QA and/or Product Support functions (bonus) - Experience working in a HIPAA-compliant environment (bonus) - Passion for creating exceptional patient experiences WHY TALKIATRY: - Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care - Collaborative environment: be part of building something from the ground up at a fast-paced startup - Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more! - Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands - It all comes back to care: we’re a mental health company, and we put our team’s well-being first Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.e-verif