Senior Fullstack Engineer

About the Role

Join a small product engineering team building AI-enabled healthcare software. You will own core platform foundations and end-to-end product systems, helping improve clinical workflows, provider operations, payments, and patient experiences. What You'll Do

Design and build data models, APIs, state machines, and platform services that support reliable healthcare workflows.

Develop AI-powered tools for clinical documentation, treatment planning, reassessments, and administrative work.

Build revenue and payment systems that support authorization, billing, adjudication, and accurate provider payments.

Create tools for provider operations such as credentialing, compliance, payroll, scheduling, and staffing.

Improve patient and family experiences across intake, onboarding, scheduling, communication, progress tracking, and payments.

Automate manual operational work while maintaining security, compliance, data integrity, and production reliability.

Own products end to end, from database design through APIs and user experience.

What We're Looking For

Four to ten years of fullstack engineering experience, including product engineering ownership of architecture or system design.

Strong proficiency in Python and experience with NoSQL databases such as MongoDB or Firebase.

Experience in healthtech, fintech, or another operationally complex environment where correctness and data integrity are critical.

A bachelor's degree and strong software engineering fundamentals.

Careful attention to detail and the ability to reason about system states, transitions, invariants, and edge cases.

Compensation & Benefits

Salary range: $160,000 to $200,000 USD annually. Visa sponsorship is not available. Location

Hybrid, with three days per week in the office in San Francisco or New York. Remote work may be considered for exceptional candidates.