Senior Software Engineer I, Care Innovation, Agentic Care

Spring Health•San Francisco, CA

13h•$183,000 - $205,550•Hybrid

About The Position

Reporting to the Engineering Manager - Agentic Care, this Senior Software Engineer will develop AI-driven features that improve how members discover and engage with care. This role is part of the Care Innovation team and is instrumental in delivering intuitive, reliable user experiences at scale. This is a hybrid role based in San Francisco with an expectation to be in the office 2-3 days per week at our 44 Montgomery Street location. Candidates must be based in the San Francisco Bay Area or able to relocate independently within 90 days of their start date. Occasional travel will be required for team on-sites.

Requirements

5+ years of professional software development experience
3+ years of experience with Ruby on Rails or Python
Strong proficiency in building backend applications, prompt engineering, and developing AI agents.
Experience integrating AI/ML features or LLM-powered services in production
Actively uses AI coding tools (e.g., Claude, Copilot) and iterates on prompts to get high-quality, system-aware outputs—while critically reviewing all AI-generated code for correctness, security, and standards compliance
Experience leading technical designs and multi-person engineering projects
Strong problem-solving skills with a focus on delivering clean, maintainable, secure code
Comfortable working on an agile team; curious about learning new things, including evolving AI capabilities
Proven ability to mentor and develop other engineers
Embraces writing well-designed tests that accompany all code

Nice To Haves

Background in healthcare or regulated environments.

Responsibilities

Integrating emerging AI technologies into the member experience
Own the technical design and delivery of full-stack agentic AI systems
Design and build scalable full-stack services using Ruby on Rails and Python.
Expand and maintain existing web applications and AI services
Write, review, and optimize production-ready code daily while making key technical decisions and holding a high bar for code quality.
Lead technical design reviews and produce technical designs as a primary author—delivering elegant solutions to complex problems.
Use AI tools (e.g., Claude, Copilot) to support technical design, explore tradeoffs, accelerate delivery, and augment code reviews—while critically evaluating all AI-generated output to ensure it meets team quality and security standards.
Identify repeatable tasks that can be accelerated with AI; guide junior engineers on effective and responsible AI usage.
Lead multi-person, multi-sprint projects: coordinate execution, manage dependencies and tradeoffs, and build alignment across stakeholders.
Raise and address security concerns in PRs and designs; proactively highlight performance implications and conduct load/performance testing.
Drive engineering best practices within your team—your code quality and approach serve as a model for others.
Mentor and actively develop engineers at earlier career stages through code reviews, pairing, and direct coaching.
Own operational excellence: exemplify best practices in logging, alerting, and monitoring; methodically investigate incidents and provide root cause analyses.

Benefits

Health, Dental, Vision benefits start on your first day at Spring.
Access to One Medical accounts
HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type.
Employer sponsored 401(k) match of up to 2% for retirement planning
A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents.
Competitive paid time off policies including vacation, sick leave and company holidays.
Parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents (at 6 months tenure).
Access to Noom, a weight management program
Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses.
Access to Wellhub, which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care
Up to $1,000 Professional Development Reimbursement a year.
$200 per year donation matching to support your favorite causes.