Senior Full Stack Software Engineer

Job Description

Senior Full Stack Software Engineer: Telehealth + Ecommerce (Startup, High Ownership, AI-Forward) 

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About the Role 

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Enhance.MD is a telehealth company operating two consumer platforms: one providing GLP-1 weight management and longevity care, the other focused on women's health and biomarker-driven care. We’re a fast-paced startup building a team of passionate, self-starting, talented individuals who want to contribute to the telehealth + ecommerce space. 

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We're bringing this role in-house to take direct, hands-on ownership of that codebase from our outside development team. You'll be the person who actually knows how the system works: everything from product SKUs, intakes, orders, subscriptions, dashboards, and the AI features layered on top of them. You will continue to build and ship new ecommerce and AI-powered features while maintaining what is already live for real patients. 

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This is an individual contributor role. You won't be managing a team, but you will be trusted with real architectural judgment: knowing when to refactor and when to take a new approach – your ideas are welcome and will be relied on for decision making. 

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What You’ll Work On 

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1. Building New Features 

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• Work alongside Product and Marketing teams to scope and prioritize high impact features 
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• Design and implement a clean, scalable patient-facing featuring 
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• Work within the core systems across ecommerce + telehealth workflows 
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• Deliver strong foundations (APIs, data models, services) where they are missing 
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• Integrate AI-powered features into real product workflows 
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2. Stabilizing & Improving the Existing Platform 

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• Work across a live system with real users and real complexity 
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• Debug issues across services, data flows, and integrations 
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• Partner with customer support and operations to resolve dev-related issues quickly 
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• Identify root causes behind recurring issues and reduce requests through systemic fixes 
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3. Creating Engineering Structure 

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Define and implement: 

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Development workflows 

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Code quality standards 

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Definition of Done 

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• Automated testing practices 
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• Bring consistency across frontend, backend, and APIs 
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• Improve how the team delivers, not just what it builds 
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What We’re Looking For 

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Leadership & Ownership 

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• You take responsibility for outcomes 
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• You can set direction without overcomplicating things 
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• You introduce structure that increases speed 
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Execution & Business Thinking 

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• You can translate business priorities into shipped features 
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• You are able to effectively communicate with non-technical business partners 
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• You understand that shipping matters more than perfection Strong analytical mindset: you break down problems, identify root causes, and make data-informed decisions 
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• Business-aware: you understand tradeoffs between speed, cost, and impact, and prioritize accordingly 
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• You think beyond single tasks: you understand how your work affects the business, operations, and customer experience 
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Technical Judgment 

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• Strong system design and architectural thinking 
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• Comfortable working in evolving, imperfect environments 
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• Able to push back on requirements when needed, clearly communicating tradeoffs and impact 
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• Forward-thinking as you anticipate downstream effects and avoid decisions that create unnecessary complexity or risk 
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• Comfortable calling out when a solution is too costly, too fragile, or negatively impacts other parts of the system, and proposing better alternatives 
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AI & Development Style 

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We move fast and use AI to do it. We are looking for someone who can: 

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• Be comfortable using a variety of AI tools, open to adopting new ones 
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• Know when to prototype quickly versus apply engineering rigor 
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• Be excited about using AI to improve both development speed and product capabilities 
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Technical Skills 

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Core Stack 

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• Microservices Architecture - FastAPI (Python) and ASP.NET Core (C#) 
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• UI - React/NextJS, TypeScript 
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• Backend Databases: Redis, PostgreSQL 
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• Cloud Environment: GCP, Container Apps, IaaC (TF), GitHub Actions 
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• AI Development: Azure Foundry with Azure OpenAI, Microsoft Agent Framework 
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• AI Native Development Practices: Includes Skill development, AI Agent Development, Obsidian AI Brain 
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Software Engineering Skills 

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• You understand of Microservices architecture and multi-tenant platform design 
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• You understand pub-sub and eventual consistency models 
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• You understand DDD (Domain-Driven Design) and Software Architecture principles such as ACL (Anti-Corruption Layer), Events-Driven design, Ports & Adapter design 
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• You understand AI-native development and can develop AI agents and skills to assist in daily workflows 
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• You understand the 12 Factor Framework for Software Development 
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• Nice to have: experience working with Saleor 
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Security & Compliance 

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• Experience or strong awareness of: HIPAA / healthcare data handling 
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• Data privacy and security best practices 
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• Understands how to: Handle sensitive data safely 
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• Make pragmatic tradeoffs between speed and compliance 
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• Design secure systems without over-engineering 
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Success Criteria 

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You’ll know you’re succeeding when: 

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• Work is delivered with clarity, minimal rework, and aligned to business priorities 
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• The new platform is being built cleanly and efficiently 
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• The existing system becomes more stable and easier to work with 
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• Architecture becomes simpler over time 
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• Engineering workflows, standards, and testing are clearly defined and adopted 
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• The team ships faster with fewer regressions 
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Why Join 

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• High ownership and high impact as you shape both the system and the team 
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• Ability to closely work with business stakeholders and impact the direction of development 
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• Work on real-world complexity across healthcare, ecommerce, and AI 
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• Direct influence on architecture, standards, and product direction 
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• A team that values speed, pragmatism, and getting things done 
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