Staff / Principal Full Stack Engineer

Role Description

The Staff / Principal Full Stack Engineer will play a central role in designing and building Chamber’s core application platform. This is a hands-on role for someone who thrives in a startup environment, enjoys solving complex product and data challenges, and is excited to build systems that make a difference in healthcare.

This role will help design and build the web applications that power Chamber’s operational tools for care teams and healthcare providers. These applications support real-time cardiology insights and value-based care workflows, combining clinical data, analytics, and AI-assisted features.

The role will work across the stack—from modern web interfaces to backend services and API integrations—partnering closely with product, data, and infrastructure engineers to deliver reliable, high-impact software. This role will have a meaningful influence on application architecture, engineering practices, and the evolution of Chamber’s product platform.

Areas of Impact

• Designing and building core systems that power Chamber’s Web apps and operational tools for care teams and providers
• Contributing to the evolution of our full-stack architecture across the React / Next.js frontend and Node.js backend services
• Developing application services that integrate with Chamber’s healthcare data platform and FHIR-based systems
• Building features that combine clinical data, analytics, and AI-powered capabilities
• Collaborating closely with a small, senior engineering team to shape engineering standards, system design, and product delivery

Key Responsibilities

• Design and build Chamber’s core web applications.
• Develop and evolve the full-stack systems that power Chamber’s operational tools for care teams and providers. Build scalable application components that support complex healthcare workflows and large volumes of clinical and operational data.
• Build modern, high-quality web interfaces.
• Design and implement intuitive user experiences using React, Next.js, and Tailwind. Translate complex workflows and analytics into usable and reliable tools for clinicians and care operations teams.
• Develop backend services and application logic.
• Build and maintain Node.js and AWS lambda services that power application workflows, APIs, and integrations. Implement business logic and application services that interact with Chamber’s healthcare data systems, including FHIR-based platforms.
• Integrate data and AI-powered capabilities.
• Collaborate with others to integrate analytics and AI-powered features into the application layer. Apply LLM-powered functionality where it meaningfully improves workflows and insights for care teams.
• Collaborate across engineering disciplines.
• Work closely with fellow engineers to deliver reliable and scalable systems. Contribute to architectural decisions, engineering standards, and shared development practices.

Qualifications

• Strong full-stack engineering expertise.
• Extensive experience building modern web applications, spanning frontend systems, backend services, and API design.
• Modern frontend development.
• Strong experience building production applications with React, Next.js, and TypeScript. Able to design maintainable component architectures and deliver high-quality user interfaces.
• Backend systems and service design.
• Experience designing and implementing backend services and APIs in Node.js or similar environments. Able to build reliable services that support complex workflows and data interactions.
• Workflow-oriented product development.
• Experience building applications that support operational workflows, stateful processes, and real-world user interactions.
• Collaborative engineering mindset.
• Able to work effectively within a small, senior engineering team, contributing ideas, shaping architecture, and collaborating closely with product and data partners.
• Startup ownership mindset.
• Comfortable operating in fast-moving and sometimes ambiguous environments, taking ownership of meaningful systems and helping drive solutions from concept through production.

Requirements

• 8–12 years of experience in software engineering with significant full-stack development experience
• Proven experience designing and building production web applications
• Strong experience with React, Next.js, and TypeScript
• Experience building backend services using Node.js or similar platforms
• Experience designing APIs and implementing application business logic
• Experience working with cloud-based systems (AWS preferred)
• Experience building applications that interact with external APIs or data platforms
• Strong communication and collaboration skills
• Comfortable with ambiguity and working in a fast-paced startup environment
• Must be based in the U.S. and able to align with Eastern Time working hours

Nice to Have

• Experience working with healthcare data platforms or healthcare technology systems
• Familiarity with FHIR or healthcare interoperability standards
• Experience integrating AI-powered functionality into production applications
• Experience working in HIPAA- or SOC2-compliant environments

Location

• Remote role based in Eastern Time Zone

Chamber Values

• Low Ego: We stay grounded, curious, and open to feedback.
• Empathy: We build trust through compassion and thoughtful communication.
• Courage: We take action, think critically, and challenge ideas respectfully.
• Ownership: We follow through with integrity and hold ourselves to high standards.
• Grit: We push through ambiguity, move with urgency, and solve problems with horsepower and heart.