Staff Software Engineer - Full Stack [NYC or SF]

Staff Full Stack Engineer at Amigo As a Staff Full Stack Engineer at Amigo, you'll build the applications that clinical teams, researchers, and customers use every day: real-time oversight of live agent conversations, natural language research over healthcare data, and tools for designing agent behavior without code. You'll own features end to end, from the database to the UI, in systems that handle sensitive patient data. The bar for correctness and reliability is high. Your responsibilities will include: Building real-time interfaces for clinical oversight of live agent conversations Owning a feature end to end, from schema to API to UI Designing tools that let non-engineers shape agent behavior safely Making healthcare data explorable through natural language Hardening the reliability and performance of applications clinicians depend on Working with designers, clinicians, and customers to get the details right We're looking for someone who: Has shipped production full-stack features end to end and owned the outcome Is strong across the stack, from data modeling and APIs to modern front-end work Sweat correctness and reliability, especially where sensitive data is involved Has good product instincts and cares how things feel to use Is low ego, direct, and holds themselves to a high bar Can work on site in New York City or San Francisco Nice to have: Experience in a regulated or critical, low margin for error domain (healthcare, finance, legal) Experience and familiarity with WebSockets, SSE client and server implementations Background with design systems or complex UI state Experience with production AI or ML products Our core values: Health & Wellness Comprehensive health, dental, and vision insurance Daily catered lunch and dinner Mental health support and wellness coaching Flexible wellness stipend for fitness, therapy, or personal growth Growth & Development Annual learning budget for courses, books, or conferences Conference attendance budget for professional development Annual team offsite Academic collaboration opportunities Unlimited PTO Patients Win, We Win: If patients aren't getting better care, we haven't earned the right to scale. Every internal decision gets pressure-tested: does this make patients' lives better? If we can't draw the line, we question why we're doing it. High Standards, High Care: We hold a high bar for the team because patients are counting on us to get this right. But high standards only work with genuine investment in each other. You can take risks, admit mistakes, and challenge ideas—not despite our standards, but because of them. Thoughtful Urgency: We move fast by default, but speed without judgment is recklessness. The discipline is knowing which decisions are reversible vs. not. In healthcare AI, the companies that win will be fast everywhere they can be and careful everywhere they must be. We build the muscle to do both. Intensely Measured: We instrument patient outcomes, provider ROI, system performance, and clinical accuracy. But data without action is surveillance. Every metric should have an owner, a threshold, and a response plan. If we're measuring something but never acting on it, we stop measuring it. Who Builds With Us: Low ego: Politics and territory don't interest you. The best ideas win, regardless of who has them. Direct: You say the hard thing, challenge ideas openly, and commit fully once decided. High agency: You thrive on trust rather than instruction. When you see something is broken, you fix it. You don't file tickets and wait for someone else. Bar of excellence: You hold yourself to a bar most people wouldn't, and you want teammates who do the same. Skeptical: You push back on rules that don't make sense and question assumptions that haven't earned their place. Amigo Services