Senior Fullstack Engineer

Key Responsibilities

• Build and ship product features end-to-end across the stack — React and TypeScript on the front end, Rails on the back end, and the database and services that support them
• Own meaningful product areas, taking responsibility for design, implementation, performance, and reliability rather than handing work off at a boundary
• Make pragmatic decisions about data modeling, API design, and infrastructure on GCP that hold up as the company scales
• Partner closely with product, design, and the clinical and operations teams to turn complex healthcare workflows into experiences that feel simple
• Raise the technical bar through thoughtful code review, design feedback, and shared engineering standards
• Mentor and sponsor less experienced engineers, providing guidance that accelerates the whole team's growth
• Building and integrating AI-powered features into production

Qualifications

Required

• 6+ years of professional software engineering experience building and shipping production web applications
• Strong proficiency across the stack: React and TypeScript on the front end and Ruby on Rails on the back end
• Solid command of relational databases and the infrastructure your applications run on, including comfort working in a major cloud provider (GCP or AWS)
• A track record of owning features end-to-end and making sound architectural trade-offs with limited supervision
• Experience building or integrating AI-powered features into production applications — whether LLM-backed workflows, retrieval-augmented generation, or ML-assisted automation — and applying those same tools to accelerate your own development workflow

Preferred

• Experience with Google Cloud Platform (our cloud provider)
• Experience working with healthcare data, HIPAA, or other regulated or compliance-sensitive environments
• Experience at an early-stage or high-growth startup, where you've helped establish engineering practices that scale

How We Invest In You

• Generous company-funding of our health, vision, and dental plans
• HSA plan with company seeding
• FSA plan
• Short and Long-Term Disability
• Life and Personal Accident Insurance
• Hospital Insurance
• 401k immediately upon hire
• Generous candidate referral program
• Yearly wellness stipend

Time Away

• Unlimited PTO + 10 paid holidays

Remote First Team

• $1000 stipend towards work from home costs