Senior Full-Stack Engineer

Description

• Lead deployment and optimization of AI agents in live, high-stakes healthcare environments, owning end-to-end performance and reliability.

• Architect and scale full-stack systems that integrate with complex EHRs, legacy healthcare platforms, and real-time voice infrastructure.

• Drive technical strategy for customer-facing solutions, collaborating with product and engineering to translate client needs into scalable architecture.

• Mentor engineers and enforce best practices in code quality, testing, security, and HIPAA-compliant development.

• Shape product roadmap by identifying systemic challenges in customer workflows and proposing high-leverage technical solutions.

• Own critical integrations and troubleshoot production issues across distributed systems under strict uptime and compliance requirements.

Requirements

• Technical leadership: 5+ years of full-stack engineering experience, with a proven track record of designing, building, and scaling production systems in high-reliability environments.

• Full-stack mastery: Expert-level proficiency in our tech stack (Node.js, TypeScript, React, Javascript, PostgreSQL), with strong system design skills and experience debugging complex, distributed systems.

• High agency and ownership: Thrives in ambiguity, makes high-impact decisions independently, and takes full responsibility for system outcomes and customer success.

• Leadership & communication: Experience mentoring engineers, leading cross-functional initiatives, and translating technical trade-offs to non-technical stakeholders.

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