Open Positions


Network Manager

Design Lead

Software Engineer


Network Manager

A Network Manager trains and assists Breakthrough’s providers and clients on our HIPAA-compliant video counseling platform. We're looking for someone who is motivated, personable, resourceful, tech savvy and professional. Although it is not a requirement, we are seeking candidates who have a behavioral health background, a willingness to work with patients or a managed healthcare background.

Ideal experience

- 5 to 8 years of experience recruiting, contracting and managing healthcare providers and networks

- Experience with CRM, contract management and survey tools

- Managed care experience

- Demonstrated project management skills

- Knowledge of pay-for-performance and incentive programs

- Experience in a fast-paced, high growth, startup environment

- Great problem solver with a high attention to detail

- Team and goal oriented

- Self-motivated and proactive

- Knowledge of pay-for-performance and incentive programs

- Great written and verbal communication skills

- Experience in a fast-paced, high growth, startup environment

- Passionate about creating a flawless provider experience

- Skilled at troubleshooting and solving operational and technical problems

- Relentlessly resourceful

- Knowledge of HIPAA

- Ability to manage unit cost trends

- Performs duties in a caring, empathetic manner

- Excellent computer skills, including a proficiency in Excel, PowerPoint, and Word

Required Qualifications

-Minimum of BS/BA degree

-Local to SF Bay area

To apply, and for a detailed position description, please use this link:

Apply For Network Manager Position.


Design Lead

Our Design Lead will own Breakthrough's interaction and graphic design. We value sharp problem-solving skills, a strong work ethic, excellent communication skills, excitement about helping people, relentless resourcefulness, and a sense of humor.

- 5+ years of designing beautiful, easy-to-use web interfaces

- Proven ability to deliver prototypes quickly

- A love of minimal design

- Strong attention to detail - little mistakes should bother you!

- Experience with graphic design

- Familiarity with Ruby on Rails

To apply, please send a resume and portfolio to position@breakthrough.com. Please include "Design Lead" in your subject header.


Software Engineer

We are looking for a software engineer to contribute to our platform. Breakthrough is built in Ruby on Rails, and while we're not purists about Agile Programming, we use methods like test-driven development and frequent deployments. And we like to move fast.

Ideal experience

- 3+ years experience with Ruby on Rails or similarly modern, object-oriented languages

- Experience with MySQL and scalable web apps

- Experience with agile methods and test-driven development

- Knowledge of HTML5, CSS, Javascript, and jQuery

- Experience implementing HIPAA or PCI-compliant applications

- Experience in an early-stage startup

Tools you will be working with

Ruby on Rails, Rspec, Cucumber, jQuery, HTML5, WebRTC, Elasticsearch, Git, MySQL, Apache/Passenger/Nginx, New Relic, Amazon Web Services

Personal Strengths

- Sharp problem-solving skills

- Strong work habits and attention to detail

- Excellent communication skills

- Excitement about helping people

- A solid sense of humor

- Relentlessly resourceful

To apply, please send a resume, LinkedIn profile, or similar description of experience to position@breakthrough.com. Please include "Software Engineer" in your subject header.


We look forward to hearing from you!