Full Stack Engineer

Full-Stack Engineer

Location: Remote, United States (Austin, TX preferred)

Job Type: Full-time, W-2

Pay: $130,000-$160,000 per year

Architect and build the application platform that helps children with disabilities thrive in school.

About Thrive Therapies Group

Thrive Therapies Group is a pediatric healthcare company focused on making schools more equitable and inclusive for students with disabilities. Our mission is to be the best pediatric healthcare company in the country for children with disabilities. Getting there means more than great providers; it means building the technology and systems that let our speech-language pathologists, occupational therapists, physical therapists and school psychologists do their best work, and creating clinical intelligence that improves care for under-resourced learners everywhere.

About the Role

Thrive Therapies Group is hiring a Full-Stack Engineer on our platform team, reporting to our Chief Product and Technology Officer. You will own the architecture of our core applications, build features end to end, and set the quality bar for our team (including offshore). This role is ideal for an engineer with 4 to 7 years of experience who is curious, loves to tinker, and wants to build something meaningful from the ground up.

Our platform is a multi-tenant system on AWS: Python, FastAPI services on ECS Fargate, React and TypeScript front end, Aurora PostgreSQL, event-driven ingestion through S3, EventBridge and SQS, infrastructure as code with AWS CDK, and AI capabilities through Amazon Bedrock and Claude. It supports our care workflows, billing and reimbursement, insights on student outcomes, and more.

What You'll Do

Architect and Build

• Own the architecture of the core application platform, including service boundaries, the data model, and the layering of routes, services, repositories and models
• Build features end to end across FastAPI APIs, React and TypeScript interfaces, and PostgreSQL schemas with reversible migrations
• Design event-driven pipelines that ingest care documents, session audio/video, demographics, and billing files.
• Integrate AI services into clinical documentation and insights workflows
• Evolve our AWS infrastructure as code with CDK

Set the Quality Bar

• Lead design reviews for high-risk changes such as core platform scalability and security, workflow logic, bulk operations and data model changes
• Review pull requests from our team for tenant isolation, authorization, PHI handling and database safety
• Own AI tool governance, deciding which models and tools may touch our code and data, for our team and our partners
• Maintain CI gates, automated tests and observability across Sentry, OpenTelemetry and CloudWatch

Stay Close to the Work

• Spend time with providers, leaders, and operations teams to understand workflows before automating them
• Own the adoption of what you ship, not only the release

Grow the Team

• Serve as the day-to-day technical guide for a Full-Stack Engineer Intern
• Document decisions and establish engineering practices as the team grows

How We Work

• AI-native by default. We plan, build, test, review and submit with AI tools in the loop, and we expect you to reach for them without being asked.
• Weekly operating cadence. We plan on Monday, build continuously through the week, and release when the work is ready and tested.
• Forward-deployed. The people who build a tool also own its adoption. We sit with providers and operations teams, feel the manual pain first, then automate it.
• Plan, do, check, act. We write down what we intend, build it, measure whether it worked, and adjust.

Qualifications

• 4 to 7 years of professional experience building production web applications and integrations.
• Bachelor's degree in Computer Science, Engineering or a related field
• Strong Python, ideally FastAPI or a similar framework, and React with TypeScript
• Relational data modeling in PostgreSQL, including safe migrations on live tables
• Hands-on AWS experience with containers, managed databases, IAM and infrastructure as code (CDK, Terraform or CloudFormation)
• Daily use of AI-assisted development, including agentic coding tools and AI code review, with the judgment to catch when AI output is wrong
• Experience with sensitive or regulated data, including multi-tenant isolation, role-based access and keeping sensitive data out of logs
• Clear written communication and comfort working with distributed and offshore teams
• Ability to complete HIPAA training and pass a background check

Preferred Experience

• Master's degree in Computer Science, Engineering or a related field
• Healthcare technology experience and working knowledge of HIPAA
• Healthcare billing or clearinghouse integrations
• LLM or speech-to-text features running in production
• Data engineering, including pipelines and analytics models
• Startup or zero-to-one product experience

Why Join Thrive Therapies Group

Build From the Ground Up

Very few engineers get to help design something from zero. You will shape the architecture, the practices and the team.

Meaningful Impact

What you build helps providers spend more time with children and gives schools and families better insight into outcomes.

An AI-Native Team

Work with current AI development tools every day, alongside leaders who expect you to use them well.

Benefits

Full benefits, competitive equity, and 401(k) match

Apply Today

If you are an engineer who wants to own the architecture of an application platform that improves care for children with disabilities, we encourage you to apply.