Senior Full-Stack Software Engineer

Overview

At Commence, we’re the start of a new age of data‑centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data‑driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.

With human‑centered, healthcare‑relevant, and value‑based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

Job Type

Full‑time

As a Senior Full‑Stack Engineer at Commence, you will play a key role in designing, developing, and maintaining both front‑end and back‑end components of our applications. You will work closely with cross‑functional teams to deliver high‑quality software solutions that are scalable, secure, and efficient. This role is ideal for someone who thrives on complex technical challenges; the harder the problem, the more energized you become.

Responsibilities

• Design, develop, and maintain robust and scalable web applications across the full technology stack
• Collaborate with product managers, designers, and other engineers to translate business requirements into technical specifications
• Build and integrate APIs to ensure seamless communication between front‑end and back‑end systems
• Design, configure, and deploy serverless applications and cloud‑based solutions using AWS services
• Work with mission‑critical applications at scale, ensuring high availability and performance
• Provide technical guidance and mentorship to other engineers
• Contribute to architectural decisions and long‑term technical strategy
• Process and optimize applications working with large data sets
• Optimize application performance for maximum speed and scalability
• Ensure the security and compliance of applications, particularly in regard to data handling and storage
• Participate in code reviews, testing, and debugging to maintain high code quality standards
• Continuously improve and maintain existing systems by identifying areas of enhancement
• Stay updated with the latest industry trends and best practices in full‑stack development

Qualifications

• 7+ years of experience in full‑stack development
• Exceptional problem‑solving abilities—demonstrated track record of tackling complex technical challenges with enthusiasm and creativity
• Experience with multiple programming languages and frameworks, with particular experience with React and Node.js.
• Hands‑on experience deploying and managing serverless applications in AWS
• Experience configuring and deploying various AWS services such as: Amplify, EC2, S3, Lambda, SNS, RDS, and others
• Experience building and maintaining mission‑critical applications at scale
• Experience working with large data sets and optimizing for performance
• Software application development skills, including web services, web‑based deployment, and database integration
• Best practices with code development including unit testing and improving through static code analysis and security findings
• Experience with CI/CD pipelines
• Experience with database technologies (relational and/or NoSQL)
• Experience with version control systems (Git‑based)
• Strong attention to detail and commitment to code quality
• Ability to work independently and as part of a collaborative team
• Excellent communication skills

Preferred Qualifications

• Experience with document management systems
• Experience with OCR (Optical Character Recognition) technologies
• Experience in healthcare technology or regulated industries
• AWS Certifications
• Familiarity with other cloud platforms (Azure, Google Cloud)
• AI/ML skills
• Commence' headquarters are in Virginia Beach, VA, however we are open to remote candidates in the following states: AZ, AR, DE, FL, GA, IL, IN, KS, KY, MA, MD, MI, MS, MO, MT, NC, NE, NV, NY, OH, OK, PA, SC, TN, TX, VA, DC, WI, and WV*

Work Environment / Physical Demands

This is a remote position. While performing the duties of this job, the employee regularly works in a climate‑controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Equal Employment Opportunity Statement

Commence is an equal employment opportunity employer. All personnel processes are merit‑based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at View phone number on click.appcast.io or View email address on click.appcast.io. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.

Salary

$125,000 to $175,000