Software Engineer, Full Stack

Accountabilities:

• • Design, develop, test, and ship full-stack features across frontend applications, backend services, and database layers.
  • Build and maintain integrations with healthcare, revenue cycle management, communications, CRM, and other third-party platforms.
  • Develop and maintain APIs and webhooks with reliable handling of idempotency, retries, synchronization, and data reconciliation.
  • Design and optimize PostgreSQL database schemas and queries while balancing performance, data integrity, and maintainability.
  • Partner with Product, Data, and Clinical Operations teams to translate requirements into technical designs and production-ready software.
  • Write unit, integration, and end-to-end tests while contributing to code reviews, documentation, and engineering quality standards.
  • Support CI/CD pipelines, deployments, monitoring, and observability for the systems you build and maintain.
  • Apply security and HIPAA best practices when working with protected health information and other sensitive data.
  • Investigate and resolve production issues, collaborating across teams to identify root causes and implement durable solutions.
  • Use AI-powered development tools to accelerate coding, testing, debugging, and engineering workflows.

  Requirements:

  • 3–6+ years of professional software engineering experience in a full-stack development role.
  • Strong proficiency with modern JavaScript or TypeScript technologies, such as React or Next.js, combined with Node.js or Python backend development.
  • Strong SQL skills and professional experience with relational databases, preferably PostgreSQL.
  • Experience designing, building, consuming, and troubleshooting REST APIs and third-party SaaS integrations.
  • Comfortable working across the entire stack, from user interfaces and backend services to APIs and data layers.
  • Strong testing and code-quality practices, including unit and integration testing, code review, documentation, and maintainable development patterns.
  • Ability to work independently in a fast-paced, remote startup environment while communicating effectively with cross-functional stakeholders.
  • Experience using AI-assisted development tools such as Claude Code, GitHub Copilot, Cursor, or comparable platforms.
  • Experience in healthcare or another regulated industry, including familiarity with HIPAA and protected health information, is a plus.
  • Experience with healthcare platforms such as Healthie, Spruce, Candid, athenahealth, or similar EMR and RCM systems is desirable.
  • Familiarity with healthcare data, including clinical, claims, or operational datasets and platforms such as Snowflake, dbt, or Sigma, is a plus.
  • Knowledge of healthcare interoperability standards such as FHIR, HL7, or X12/837-835 is beneficial.
  • Experience with AWS or GCP, Docker, GitHub Actions, and CI/CD practices is an advantage.
  • Previous experience in an early-stage startup and comfort working with ambiguity and changing priorities are highly valued.

  Benefits:

  • $140,000–$155,000 annual compensation.
  • Remote work environment within the United States.
  • Opportunity to own features across the full technology stack.
  • Exposure to healthcare technology, data integrations, APIs, and regulated systems.
  • Collaboration with Product, Data, and Clinical Operations teams.
  • Opportunity to work with modern JavaScript/TypeScript technologies and AI-powered development tools.
  • Hands-on involvement in cloud infrastructure, CI/CD, observability, and production systems.
  • Fast-paced early-stage environment with broad technical ownership and opportunities to shape engineering practices.