Staff Software Engineer

Who We Are We are a fast-growing vertical SaaS company leveraging innovation and disruptive technologies to improve consumer experiences, outcomes, and predictability within the plastic surgery industry. Our team thrives on challenges, embraces change, and is dedicated to transforming how the industry operates.

Our platform is what aesthetic medicine and plastic surgery practices run their business on, covering scheduling, clinical records, forms and consents, invoicing and payments, patient communications, and the marketing that sits in front of all of it. It is a multi-tenant platform holding millions of patient records under HIPAA and GDPR, and we onboard new practices every month.

While we are a remote-first company, we are currently only able to hire candidates located in the following U.S. states: CA, CO, FL, GA, IL, MN, OK, OR, PA, RI, TX, UT, and WA. We hope to expand to additional states in the future.

Who We’re Looking For We are builders. An engineer here owns a whole problem, from the first conversation to production. We build with AI as the default: coding agents draft fast, and knowing what to build and what is wrong with the draft is the skill we hire for and level on.

We are hiring a Staff Software Engineer to change that. Staff at Adoreal means expert, discover, lead, and the bar is absolute: you would be recognized as Staff at any strong engineering company, and the level travels with you.

The work in front of you is concrete. A .NET estate of roughly 80 repositories to bring onto .NET 8 against a hard support deadline. Tenant isolation in a HIPAA platform that needs to be made provably right, not just believed to be. A CI pipeline that costs eighteen minutes a change and should cost a fraction of that. AI features, including an ambient clinical scribe, moving from pilot to product. Tell us which of these you would take first.

Responsibilities

Architecture across teams

Own cross-team initiatives problem to production, including the parts nobody else claims.

Own architecture across teams and find the simplifications that remove whole classes of work and defects, including the systemic friction of shared repositories, environment contention and queue bottlenecks.

Design the quality architecture across teams: gate standards, observability baselines, safe-migration patterns. Find systemic quality risks before they find us.

Building with AI, and building AI

Define how Adoreal engineers with AI across the organization: the workflows, the shared infrastructure, and the verification practices other teams adopt, holding AI-drafted work to the same review bar as any other.

Evaluate emerging capability on a regular rhythm, measure its real impact, and retire what stops earning its place.

Ship AI into the product: clinical documentation, patient communication, and the intelligence our clinics’ data makes possible, built to HIPAA and GDPR standards from the first design.

Multiplying the organization

Mentor senior engineers, shape the hiring bar, and be a go-to across the organization.

Take the hardest reviews in the codebase, and teach through them rather than gate.

Partner with product leadership so that the systems you design are built for where the business is going, not where it has been.

10+ years building production software in C# and .NET, including ASP.NET Core and Entity Framework, with a track record of owning architecture and delivery across multiple teams, not only within one.

PostgreSQL, Kubernetes and AWS in production. Angular is a strong plus.

Daily use of coding agents in your own engineering work.

At least one production feature built on large language models that you shipped and operated.

Systems built or operated under HIPAA, GDPR, SOC 2 or comparable regulation.

Written and spoken communication that works across time zones and with colleagues whose first language is not English. Most of our engineers are in Latin America.

Why Adoreal? Joining Adoreal means becoming part of a high-performing, ambitious team that works hard, achieves extraordinary results, and enjoys the rewards that follow. Every employee receives equity, aligning us all in our shared success. Promotions and growth opportunities are limitless, driven only by your performance and dedication to our core principles:

We do what is best for the company, not what is best for individuals of the company. We take pride in our work, but not in pride itself. The success of Adoreal is more important than our egos.

We always share relevant information and admit our mistakes freely and openly (even when it is worrisome or uncomfortable to do so). Candid communication and a solution-oriented mindset is rewarded.

We innovate by finding the right problems, then solving them. We thrive on change that minimizes complexity and improves situations for our stakeholders.

We incentivize efficient results & people over process and focus only on the work that creates the most value for our stakeholders.

We are quietly confident and openly humble, being tenacious in our quest to perform and inspire others with our thirst for excellence.

We do not bow up and knock down. We care about our teammates and treat all of them with respect, regardless of their level within the company.

We are steadfast in our pursuit to better our company, our colleagues, and ourselves. When we hire, we only hire people who bleed our principles and who will hopefully be our replacement one day.

What We Offer At Adoreal, we believe in supporting our team’s well-being and growth through comprehensive benefits and a collaborative, people-first culture. As a globally remote company, we prioritize flexibility, inclusivity, and teamwork rooted in the Adoreal principles.

Benefits & Perks:

Healthcare coverage for you and your family

15 days paid time off (PTO) and 12 paid holidays

Performance-based bonuses and company equity opportunities

Fully remote work environment with flexible schedules

Collaborative and thriving team culture guided by Adoreal’s core values

At this time, Adoreal is not offering visa sponsorship for this position. Candidates must have current and valid authorization to work in the country where they are applying. We comply with all applicable employment and immigration laws, including U.S. regulations, and encourage applicants to verify their work authorization status before applying.

Adoreal is an equal opportunity employer committed to fostering a diverse, inclusive, and fair workplace. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, veteran status, or any other protected characteristic under applicable U.S. law (EEOC) or local employment regulations where we operate. We encourage applications from candidates of all backgrounds.

Accommodations for disabilities are available upon request throughout the recruitment process.

We are not working with search firms for this role. Thank you.

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