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Rula

Runs insurance-covered online therapy and psychiatry

Principal AI Engineer - Personalization and Recommendation

Full-TimeUpdated on 10/23/2026
$282k - $370.6k/yr
Expert
Remote in USA
Remote100% remote within the United States; not hiring in Hawaii. Must be based in the United States; Hawaii is excluded.
AI & Machine LearningApplied Machine Learning

About the job

Requirements
  • At least 10 years of software engineering experience, including at least 7 years designing and scaling distributed systems and at least 5 years building and deploying production-grade machine-learning applications.
  • At least 5 years of hands-on experience building and optimizing search, ranking, relevance, or recommendation engines at scale, such as Learning-to-Rank, collaborative filtering, deep recommender systems, or semantic vector search.
  • At least 5 years of programming experience in Python and at least one backend language, preferably TypeScript, Java, or Go, plus at least 2 years building AI-powered products with foundation models such as OpenAI, Anthropic, or Gemini and LLM integration patterns such as retrieval-augmented generation or agents.
  • A strong track record with traditional search and retrieval infrastructure such as Elasticsearch or OpenSearch and modern vector databases such as Pinecone, Weaviate, FAISS, or Milvus.
  • At least 3 years of experience with MLOps, data pipelines, and rigorous evaluation systems, including offline metrics such as NDCG/MAP and online A/B testing, as well as demonstrated ability to define technical strategy and guide the broader AI/ML infrastructure ecosystem.
Responsibilities
  • Develop and fine-tune models, including Learning-to-Rank, embeddings, recommendation algorithms, and large language models.
  • Design product-facing AI architectures and core machine-learning infrastructure.
  • Unblock complex engineering problems and act as a technical multiplier for engineers working across product surfaces.
  • Drive search ranking, relevance, and patient-provider matching, while shaping broader personalization and recommendation strategies.
  • Develop advanced recommendation engines and retrieval models and apply natural language processing and generative AI to clinical workflows.
  • Set technical standards for AI safety and make principal-level decisions about introducing machine learning into a high-stakes environment.
  • Ship applied AI features that improve match quality and user experience while building scalable, durable AI foundations.
  • Set direction for relevance and recommendation systems and for the broader AI ecosystem, including infrastructure and advanced clinical applications.
Desired Qualifications
  • Experience architecting secure and compliant AI solutions in regulated environments, including HIPAA or GDPR contexts.
  • Familiarity with human-in-the-loop systems and clinical decision-support frameworks.
  • Experience designing evaluation pipelines for human alignment, factual accuracy, or model interpretability.
  • Contributions to open-source AI frameworks or applied research in natural language processing, healthcare AI, or generative AI safety.
  • Experience contributing to early-stage team growth from 0 to 1.
  • Experience leading or mentoring engineering teams in AI, machine-learning platform, or applied research domains.

About the company

Rula runs an online mental health practice that matches people across the US with licensed therapists and psychiatric clinicians who take their health insurance. Its network covers all 50 states and Washington, D.C., and treats individuals, couples, families, children and teens, with psychiatry and medication management alongside therapy. Patients search by need, specialty and insurance plan, book a clinician, and meet by video or, in some areas, in person. Rula is in network with many national and regional health plans, so patients pay their usual copay while Rula bills the insurer for each visit. Rula was founded in 2019 and is based in Los Angeles.

Company Size

501-1,000

Company Stage

Series B

Total Funding

$110.9M

Headquarters

Los Angeles, California

Founded

2019

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Simplify Jobs

Simplify's Take

What believers are saying

  • Pay isn't cut by location: Rula posts national bands, such as $192,000 to $240,000 plus equity for staff engineers.
  • Rula is expanding in-person care: postings from August and October 2026 seek staff to open clinics and scale in-person psychiatry.
  • Engineers learn from a big-company leader: Rula hired HubSpot's former engineering SVP, Manoj Sivakumar, to run engineering in March 2026.

What critics are saying

  • A bigger rival is well funded: Grow Therapy covers 220 million insured lives and raised $150 million in March 2026.
  • Rival networks are consolidating: benefits firm Spring Health bought Alma, which helps therapists take insurance, in May 2026.
  • Bonuses are rare: 27 of Rula's 37 open roles in October 2026 state base salary only, with no bonus.

What makes Rula unique

  • Rula tracks symptoms at most visits: about 78% include a completed clinical questionnaire, versus often under 20% in routine practice.
  • Patients start fast: Rula's median wait for a first available appointment is one day, with 112,000+ open slots weekly.
  • Free employer sessions roll into insurance: Rula matches patients with therapists who accept both their employer program and health plan.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Disability Insurance
  • Health Savings Account/Flexible Spending Account
  • Unlimited Paid Time Off
  • Remote Work Options
  • 401(k) Retirement Plan
  • Paid Vacation
  • Paid Sick Leave
  • Paid Parental Leave

Growth & Insights and Company News

6 month growth

-1%

1 year growth

-1%

2 year growth

0%
Associated Press
Jun 2nd, 2026
Adobe board director Frank Calderoni joins Rula Health board to scale mental health platform

Rula Health, a nationwide behavioral health provider, has appointed Frank A. Calderoni to its board of directors. The move supports the company's expansion efforts as demand for mental healthcare services grows. Calderoni brings extensive technology leadership experience, having served on Adobe's board for nearly 14 years, currently as lead independent director. He previously led Anaplan through its IPO and global expansion as chairman and CEO, and held senior positions at Red Hat, Cisco Systems, QLogic, SanDisk and IBM. Rula offers therapy, psychiatric services and medication management across all 50 US states and Washington, D.C. The company has grown its network to over 23,000 licensed providers serving 180 million lives covered through insurance partnerships with major networks including Aetna, Cigna and UnitedHealthcare.

PR Newswire
May 27th, 2026
Rula releases first clinical report showing improved mental health outcomes across 10M+ therapy sessions

Rula, a US behavioural healthcare provider, has released its 2026 Annual Clinical Report based on over 10 million therapy and psychiatry sessions. The report reveals clinical outcomes data and introduces the Rula Wellbeing Scale, developed with University of Denver researchers to measure patients' functioning in relationships, work and daily routines. The company's clinical quality system operates through four pillars: standard of care, outcomes flywheel, high-quality provider network and intersession support. Rula serves over 180 million lives through partnerships with major US insurance networks including Aetna, Cigna and United Healthcare. The report emphasises transparency regarding both successes and limitations, according to Dr Newton, with Rula using AI to reduce operational friction for providers whilst maintaining data-driven care standards.

Associated Press
Feb 27th, 2026
Rula Health hires former HubSpot SVP Manoj Sivakumar to lead engineering and AI innovation

Rula Health, a nationwide behavioural health provider, has appointed Manoj Sivakumar as SVP and Head of Engineering. Sivakumar joins from HubSpot, where he served as SVP of Engineering leading AI-driven expansion, with previous experience at Asana, LinkedIn and Google. At Rula, Sivakumar will focus on scaling the company's technical capabilities and accelerating AI-driven innovation in mental healthcare. CEO Josh Bruno highlighted Sivakumar's expertise at the intersection of complex infrastructure and human-centric product design. The appointment follows Rula's nationwide rollout of psychiatric services across all 50 states and Washington, D.C. The company now has a network of over 21,000 licensed providers covering 180 million lives through insurance.

HIT Consultant
May 13th, 2025
Rula Health 2025 State Of Mental Health Report Reveals Shifting Landscape Of Mental Well-Being

What You Should Know: – Rula Health, a national behavioral healthcare provider group released its inaugural “2025 State of Mental Health Report: Mental Well-being in a Changing World.” – Based on a survey of over 2,000 U.S. adults, the report provides a comprehensive snapshot of how Americans are navigating their mental health amidst economic uncertainties, global crises, and rapid technological advancements, while also highlighting the critical need for improved access to care.  The Modern Therapy Landscape: Increased Engagement Amidst Evolving PerceptionsThe report indicates a significant shift in societal attitudes towards mental healthcare, with over half of Americans (53.4%) having accessed mental health services at some point in their lives. Among this group, engagement is current: 28.3% are presently in therapy, and another 25% have sought therapy within the past year. Millennials (aged 35-44) who have accessed care are notably active, with 33% currently in therapy, more than any other age group.  The primary drivers for seeking mental health support are anxiety (reported by 54.3%), depression (52.9%), and stress or burnout (33.1%), reflecting the mounting pressures of modern life. Encouragingly, nearly 80% of those who have pursued therapy report experiencing improvement as a result.  While referrals from primary care physicians remain a common way to find a therapist (32.5%), online searches are also a significant resource (23.5%). Most individuals (60.2%) find a compatible therapist on their first attempt, though Gen Z is more inclined to try multiple providers

PR Newswire
May 6th, 2025
Rula Health And Curai Health Partner To Expand Access To Mental Health Care

The collaboration brings high-quality mental health services to Curai patientsSAN FRANCISCO, May 6, 2025 /PRNewswire/ -- Curai Health , a virtual primary care provider, today announced a partnership with Rula Health , a national behavioral healthcare provider group that delivers high-quality mental healthcare. This collaboration will provide Curai patients access to Rula's extensive network of licensed therapists and psychiatric providers.Curai patients can now be referred to Rula's network of over 15,000 licensed mental health providers, spanning more than 100 clinical specialties across all 50 states and Washington, D.C. Rula is in-network with most major insurance carriers and also provides convenient out-of-pocket cost estimates. This partnership will allow more patients timely and convenient access to quality mental health care."Too often, mental health care exists in a silo, when it should be a key component of comprehensive primary care," said Dr. Davis Liu, Chief Medical Officer of Curai Health. "Partnering with Rula provides Curai patients with high-quality mental health care so they can receive the coordinated, whole-person care everyone deserves."Curai clinicians will refer patients directly to Rula to address a wide range of mental and emotional health concerns