Remote Senior Full-Stack Engineer

About Clarity Pediatrics Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD. Nearly 10% of children in the US are diagnosed with ADHD, and for parents, finding the right care can feel impossible. We're building a virtual pediatric ADHD clinic that delivers trusted, science-backed care to all families — and it's working. We have strong product-market fit, a growing patient base, and a clear path to expanding into other common chronic conditions like asthma, allergies, and obesity. Our leadership team has deep healthcare expertise. Our CEO has led two startups to >$100M in ARR and profitability. Our Chief Medical Officer trained at UCSF and Stanford and previously built specialty care services at Kaiser Permanente. Clarity is female-led — our CEO, Head of Engineering, and product leadership are all women building a company where diverse perspectives drive better care and better technology. We've raised $14.5M in Series A capital from top VCs who have backed category-defining health-tech companies like One Medical, Hims, Spring Health, Cityblock, Honor, and Tia. Why This Role, Why Now This is a rare combination: a mission-driven company with proven traction, a small team where your work is immediately visible, and a genuine mandate to push AI forward — using it within the product to solve our biggest problems and improve the care we deliver. You'll have outsized impact. You'll be the sixth engineer on our team — on a group this small at a Series A company, every person moves the needle. You'll own meaningful product areas end-to-end, ship directly to patients and clinicians, and see the results of your work in real care outcomes. You'll do real 0→1 work. Expanding into new conditions and new states means building products from scratch, not just iterating on what's there. And you'll do it on a stable, well-maintained codebase — so your energy goes to creating, not firefighting. You'll shape how we build. You won't just contribute — you'll set direction. You'll define engineering culture, development practices, architecture, and quality standards as we grow. Your technical judgment will directly shape the team we become. You'll drive AI strategy, not just use AI tools. AI is central to our roadmap — both in how we build and what we ship. This role has real latitude to experiment, advocate, and influence how AI shows up across our product and our software development lifecycle. Our Stack Web: Next.js (React), TypeScript, Modern CSS Backend: Node.js / Next API Routes Data: PostgreSQL, Redis Testing: Vitest, React Testing Library, Playwright, Github Actions Infrastructure: Aptible (Experience with AWS or GCP is a plus) What You’ll Do Own Features End-to-End: Take a loosely defined problem — a gap in the patient experience, a clinician workflow that's too manual, an internal tool that doesn't exist yet — and drive it from requirements through architecture, development, and delivery. You'll collaborate directly with product and clinical stakeholders to ship high-impact work. Drive AI Forward: Identify where AI can improve care delivery and accelerate development. Experiment boldly, share what you learn, and level up the team alongside you — all within HIPAA-compliant tooling, so you can push hard without trading away patient privacy. Build Across the Stack: Develop features across our patient-facing apps, pediatrician dashboards, and internal clinical tools. You'll go where the problem takes you and make sound architectural decisions along the way. Set Technical Direction: Own and improve our engineering processes — CI/CD, code quality, testing strategy, API and database design. Your architectural judgment and technical decisions will define the standards the team builds on. Move Fast, Stay Secure: Ship high-velocity code while maintaining the rigorous security and privacy standards required for HIPAA-compliant healthcare. Mentor and Raise the Bar: Elevate the team through code reviews, architectural guidance, and knowledge sharing. Help establish engineering practices that scale as we grow. Set the example for how we work. Who You Are Experienced Across the Stack: You have significant experience (7+ years) with strong proficiency in our stack — Next.js, TypeScript, and SQL. You're comfortable working across both the frontend and backend. More importantly, you've developed the architectural judgment and technical taste that comes from owning complex projects through their full lifecycle. A Technical Leader: You make the engineers around you better. You set standards through your code, your reviews, and your decisions. You're the person others go to when they're stuck, and you know when to solve a problem yourself vs. teach someone else to solve it. A Problem-Solver at Heart: You're comfortable with ambiguity. You can turn sparse requirements into a plan — and when they aren't settled yet, you keep moving anyway, building in the flexibility to adapt as they take shape. You drive work from "what do we need?" to shipped outcome with minimal oversight, and when you hit a wall, you find a way through. A Builder Who Thrives Early: You've done early-stage startup work and loved it — the ambiguity, the speed, the wearing of whatever hat the moment needs. You reach for problems before they're handed to you, and you'd rather ship a thin slice and iterate than wait for perfect requirements. AI-Native Trailblazer: You treat AI as a force multiplier across the whole lifecycle: prototyping, technical design, testing, code review, defect resolution. You shape your tools — custom prompts, rules files, agent configs, reusable workflows — and you're already utilizing agentic, autonomous patterns to get AI doing more on its own. When an experiment fails, you iterate instead of retreating. Mission-Driven: You want your work to matter. You're drawn to building something that helps kids and families, and that purpose is what keeps you going when the work gets hard. Growth-Oriented: You seek out feedback, invest in getting better, and believe that how you work matters as much as what you ship. You're drawn to a team that values continuous improvement — and you model it for others. Collaborative and Proactive: You thrive in a remote environment where communication is clear, initiative is expected, and the mission is the North Star. Bonus — Regulated Industry Experience: You've worked in HealthTech, FinTech, or similar spaces and understand that security and privacy aren't afterthoughts. What We Offer Meaningful Impact: Your code will directly improve the lives of children and parents navigating chronic conditions. Female-Led, Mission-Driven Culture: Clarity as a company and our engineering and product teams are led by women. We've built a culture where diverse perspectives are the norm, not the exception — and where that translates into better care and better technology. Autonomy and Trust: We hire people we trust and then get out of their way. Our directive to every engineer: don't wait for permission — decide, communicate your intentions, and move forward. You'll have the freedom to make decisions, take risks, and move fast, with a team that has your back. A Real AI Mandate: Real latitude to experiment, set the team's AI practices, and push the boundaries of how we build and what we ship. Growth and Improvement: We invest in people getting better. Continuous learning, honest feedback, and raising the bar together are part of how we operate — not just values on a wall. Equity with Upside: Competitive salary plus meaningful equity in a high-growth, venture-backed company with proven product-market fit. Early enough that your stake matters. Flexible Remote Culture: Work from anywhere in the US. Full Benefits: Medical, Dental, Vision, 401k, and flexible PTO.