Senior Engineer

Role Description

Build the systems that enable us to scale care while preserving the human touch.

• Location: Remote
• Type: Full-time — hands-on, doer in the age of AI
• Compensation: Competitive salary + high equity
• Tech Stack: Python/Django (backend), React/Next.js (frontend), Postgres, Aptible

Dearest Care is scaling rapidly, and we need a robust technical foundation to deliver consistently exceptional patient and customer experiences. We’re searching for a senior, hands-on engineer who thrives on owning problems end to end — from scoping and designing, through building and shipping, across our full-stack platform.

This is a greenfield platform with real adoption. You’ll set architecture, engineering patterns, and development velocity from day one. Expect to ship quickly alongside intelligent agents, integrate AI directly into the product, build features with healthcare compliance as a core requirement, and collaborate directly with operations and product teams in ambiguous, fast-moving environments. You’ll code alongside our CTO.

This isn’t a "sit behind dashboards and guess what matters" role. You’ll talk to advocates and patients, use the product yourself, and ship code that has tangible impact: reducing hospitalizations, ER visits, and chaos for families.

Qualifications

• 5+ years of full-stack development experience
• Ability to independently ship complete features — ideally in Python/Django, React/Next.js, and Postgres
• Experience building secure, HIPAA-compliant systems in a regulated healthcare environment
• Comfortable working with RESTful APIs, relational databases, cloud hosting, and managing CI/CD and deployments
• Prefer speaking with users over guessing from tickets
• Thrive in an environment that’s high-ambiguity and high-velocity

Requirements

• Own problems, not just code
• Are AI native and can integrate AI into real tools
• Experience with EHRs, claims systems, or care coordination tools (bonus)
• Possess deep DevOps skills: container orchestration, observability, and security hardening (bonus)
• Been among the first five engineers at an early-stage startup (bonus)

Benefits

• Freedom to Build: Own projects completely, from architecture to release
• Direct Customer Impact: Your work immediately affects patients, care teams, and partners
• Entrepreneurial Team: Learn from experienced founders
• High-Impact Mission: Work to close a $25B+ healthcare navigation gap
• Ownership: High visibility, real autonomy, and a founding equity package

Company Description

Dearest Care was started after our founders' personal journeys navigating the healthcare system for their families. Our vision: everyone deserves a fighter. We blend intelligent software with human advocates, supporting Medicare patients through diagnoses, billing, and care plans.

We’re a Series A company operating with a lean, impact-driven mindset, rapid execution, and conscious leadership. Our team is tight-knit and fast-moving, focused on meaningfully improving healthcare navigation.