Full-Stack Software Engineer

Role Description

Marti Health is seeking a hands-on Senior Full-Stack Software Engineer to help stabilize, develop, and scale its healthcare platform. The role is intentionally balanced:

• 50% Full-Stack Product Engineering — patient and care-management applications, workflows, UI/UX, APIs, and feature delivery.
• 50% Backend, Cloud & Integration Engineering — AWS, data, healthcare interoperability, DevOps, security, and reliability.

The engineer should be comfortable owning functionality end to end: UI → API → database → cloud → monitoring → production support.

Reports to the Chief Technology Officer and works closely with Product, Clinical, Operations, and external partners.

Qualifications

• 5+ years of production software-engineering experience.
• Strong React/TypeScript/JavaScript front-end experience.
• Strong Node.js/TypeScript, Python, or comparable backend experience.
• Strong REST API, SQL, and PostgreSQL experience.
• Hands-on AWS and Docker/container experience.
• Experience with CI/CD and production application support.
• Experience with authentication, authorization, security, asynchronous processing, and failure handling.
• Ability to troubleshoot across the full stack.

Requirements

• Healthcare or regulated-environment experience, particularly with:
• HIPAA
• PHI
• FHIR R4/US Core
• HL7/ADT
• HIE/QHIN
• payer integrations
• claims/eligibility data
• ECS/Fargate
• Aurora
• S3/SQS/EventBridge
• CloudWatch
• IAM/KMS/Secrets Manager
• GitHub Actions
• Infrastructure as Code
• clinical workflows
• value-based care
• Amazon Bedrock

Key Responsibilities

• Build and maintain patient-facing and care-management applications using React/TypeScript or similar technologies.
• Develop backend services, APIs, asynchronous workflows, and PostgreSQL-based applications.
• Improve enrollment, care plans, assessments, clinical workflows, communications, dashboards, and administrative capabilities.
• Build integrations with payers, HIEs, QHINs, and healthcare partners using REST APIs, FHIR R4, HL7/ADT, C-CDA, SFTP, and file-based interfaces.
• Implement data validation, patient matching, reconciliation, provenance, duplicate handling, and exception workflows.
• Build and operate AWS services including ECS/Fargate, Aurora PostgreSQL, S3, SQS, EventBridge, CloudWatch, IAM, KMS, and Secrets Manager.
• Strengthen CI/CD, automated testing, environment separation, deployment, rollback, monitoring, backup, and recovery.
• Implement HIPAA-appropriate security, role-based access, PHI protection, audit logging, and secrets management.
• Support governed AI-enabled workflows while maintaining appropriate human clinical oversight.
• Build reusable platform and integration capabilities that support additional payers, states, and clinical programs without creating separate codebases.

First 90-Day Priorities

• Stabilize production patient and care-management workflows.
• Resolve high-priority application and usability defects.
• Strengthen authentication, authorization, and PHI handling.
• Improve CI/CD, automated testing, deployment, and rollback.
• Complete development, test/UAT, and production separation.
• Expand application and infrastructure monitoring.
• Improve payer/HIE ingestion, error handling, and reconciliation.
• Make long-running workflows resilient and observable.
• Reduce dependence on undocumented or single-person operational knowledge.

Benefits

• People-first management with minimal bureaucracy.
• A friendly company culture, proven by employees who choose to return.
• Flexible working hours.
• 29 days of PTO (18 working days per year plus all national holidays).
• 10 paid recovery days.
• Full financial and legal support for independent contractors.
• Free English classes, with native speakers or Ukrainian teachers.
• Dedicated HR support.