Senior Software Engineer, Full Stack

Role Summary

We're an early-stage, venture-backed AI-native healthtech startup building an intelligent operating system that empowers nurse practitioners to launch and run their own independent clinics. Our platform replaces fragmented, manual healthcare infrastructure with a single, cohesive system — so clinicians can focus on care, not paperwork.

We're hiring a Senior Software Engineer, Full Stack to build and own core product functionality across the stack. You'll design and implement the systems that power reliable clinical and operational workflows — from backend services and APIs to the frontend experiences that clinicians use every day. This role reports to the CTO.

You do not need prior healthcare or FHIR experience. We care more about strong engineering fundamentals, sound technical judgment, and the ability to ramp quickly on a complex domain.

Work arrangement: Hybrid — 3 days per week in our New York City office.

Responsibilities

• Build and own product features across the stack using Python, Django, React, and Next.js
• Design and implement systems behind clinical and operational workflows, including scheduling, messaging, and practice operations
• Build APIs, application logic, and integrations with clinical and third-party systems
• Collaborate with engineers, designers, and clinical stakeholders to turn complex workflows into intuitive software
• Debug and resolve production issues across the frontend, backend, and infrastructure
• Design systems that remain reliable, maintainable, and predictable as the product scales
• Contribute to system design, technical planning, architecture discussions, and code reviews
• Incorporate AI coding tools (e.g. Claude Code, GitHub Copilot) into your daily development workflow
• Our Stack
• Backend: Python, Django, django-ninja, Django Channels (async-first)
• Frontend: Next.js, React
• Data: PostgreSQL, pgvector, Redis
• Clinical: Medplum, FHIR, WebSockets
• Infrastructure: AWS, Kubernetes, Terraform, Datadog, GitHub Actions

Requirements

Required (5–8 years of experience)

• Strong ability to design and own backend services and APIs — including data modeling, service architecture, scalability, and reliability
• Frontend development experience building usable, intuitive UI/UX for real users
• Experience with asynchronous processing and workflow design for reliable, real-world operational tasks
• Experience building integrations and interfaces between internal and external systems to support end-to-end workflows
• Deep commitment to reliability, correctness, and writing maintainable, testable code
• Based in New York City and available for a hybrid work schedule (3 days/week in office)
• Must be eligible to work in the United States without visa sponsorship

Nice to have

• Familiarity with FHIR, Medplum, or clinical data standards
• Experience at a healthtech, care delivery, or clinical operations company
• Comfort operating in an early-stage, fast-moving environment with a small engineering team
• Salary: $160,000 – $205,000 per year
• Equity participation
• Visa sponsorship: Not available — candidates must be authorized to work in the United States

New York City, NY — Hybrid (3 days per week in office). Candidates must be local to or willing to relocate to the New York City area.