Work With Us

We are building a team of passionate problem-solvers who are courageous enough to take on one of the country’s most challenging healthcare problems. Those who are up for the task will be rewarded with deeply mission-oriented workdays, mentorship from a similarly motivated team, and a voice at the table as we grow our business together.

Our Mission

Build and scale a world-class team dedicated to delivering life-changing outcomes to individuals living with serious mental and physical illnesses.

Our Vision

A world where individuals living with serious mental and physical illnesses live their best possible lives.

Our Values

Individuals at the Center

We always do the right thing and go the extra mile for the individuals we serve, prioritizing their well-being above all else.






Bias Toward Action

We all take many small steps to stride towards our vision. We are quick to ask for help and to begin wading into new and often unfamiliar territory, knowing that our team has our back.


Seek Understanding and Remain Teachable

We assume positive intent and we lead with curiosity. All questions are welcome; we love to learn, whether about one another or ourselves.


Serious Fun

We work hard on an important mission, but we don’t take ourselves too seriously. We sprinkle fun in as much as possible!


Deliver Value

Our customers’ endorsement, support and success enables us to further our mission.



Candor and Kindness

We have an obligation to give timely, direct feedback - delivered with care for our colleagues. We sometimes disagree, but we work through our differences and grow together.

Benefits include:

  • Up to 20 days vacation annually

  • 12 paid holidays and 2 floating holidays

  • Fully paid parental leave of 16 weeks

  • Generous sick & wellness leave

  • 401(k) match of up to 4% of your salary

  • Numerous healthcare options

  • Free, unlimited telehealth & talk therapy

  • Annual personal development stipend

Open Jobs

Staff Testimonials:

  • "I think that many of us who work for firsthand have been in a position where we felt helpless and lost and no one was there to offer a lifting hand. This is why we do what we do!

    It is for someone to smile again, to walk again, to feel better about themselves and life again. For someone to be healthier and have a much better outlook on life.

    Just to know that a helping hand pulled someone out of a dark place is amazing! It is not about being noticed as doing something great, it is honestly just the human thing to do. I’m so glad firsthand has such amazing peers with that same heart! “

    -Chastity, Senior firsthand Guide

  • "I’ve had a wonderful experience with my gender transition at firsthand.

    firsthand’s culture is one of unconditional love and acceptance. My transition experience with firsthand has been seamless and supportive and I can’t thank the team enough.”

    Rainier, firsthand Guide

  • "As my recovery progressed, I realized I wanted to give back because at one point..."

    I was one of our individuals. I didn't listen to doctors, I didn't listen to therapists. But I had a peer talk to me. And he kind of dressed like me and talked like me, you know, kind of rough around the edges. And that's what hit home.

    – Kevin, firsthand Guide

  • "I can say from the bottom of my heart, working for firsthand has been a gift. It has been a fulfilling and enriching experience."

    One of the things I love most about working here is the sense of community and collaboration that exists among our team. Everyone is passionate about the work we do and is dedicated to providing compassionate, personalized care to our individuals. This makes for a dynamic and supportive work environment where everyone is encouraged to bring their best ideas and talents to the table.

    Another aspect of working here is the opportunity to directly witness the impact of our work that we have on our individuals. Through home visits and regular check-ins, we are able to provide support and assistance that allows them to maintain their independence and dignity. It is truly gratifying to see the smiles and gratitude on the faces of those we serve, and to know that we are making a positive difference in their lives.

    I can say from the bottom of my heart, working for firsthand has been a gift. It has been a fulfilling and enriching experience. It helps me in my recovery from mental illness and substance use disorder each and every day. The team, the Values, our mission and the impact we can make tells me this is the beginning of a truly rewarding and satisfying career.

    – Tony, Senior firsthand Guide

  • "These are some of the moments that I love the most in my role…"

    I just got off the phone making an offer to a new hire. He was so happy and excited that he was moved to tears. From my first conversations with him, he feared talking too much about his mental illness diagnosis and personal life because it has never been acceptable for him to do so in a workplace, but we have reassured him so much that this is a safe place and his experience is what makes him perfect for this role.
    These are some of the moments that I love the most in my role…the excitement that it brings to people and the reminder that they are amazing and joining a team that is so thrilled to have them!

    – Courtney, Talent Manager

  • "firsthand focuses on my skills and talent, not on the color of my skin or my accent.

    The culture is inclusive, and it feels good to be accepted.”

    -Anee’, Community Resources Guide

The New York Digital Health 100 (DH100) celebrates the most innovative and exciting health start ups in the New York area.

DH100 Awarded