Responsibilities
- Feature Development. Deliver user-facing functionality in NextJS/TypeScript while crafting robust, testable APIs in Python/FastAPI. Translate product specs into end-to-end experiences that delight clinic staff, patients, and our implementation team.
- System Architecture & Scalability. Design and optimize backend systems that support high-volume, low-latency voice, SMS, and chat traffic. Optimize for reliability, horizontal scaling, and efficient token usage with LLM back-ends.
- Data & Integrations. Build secure integrations with EHR/PM systems via FHIR, HL7, and custom APIs. Implement data pipelines and storage solutions (PostgreSQL, Redis, S3, and more) that respect HIPAA and SOC-2 controls.
- DevOps & CI/CD. Own your code in production: write infrastructure-as-code in Terraform and Helm, automate tests, and monitor metrics. Champion a culture of frequent, reliable production deployments through robust CI/CD pipelines.
- Quality & Security. Write unit, integration, and end-to-end tests; conduct code reviews to uphold performance, readability, and security standards. Collaborate with compliance teams to embed encryption, logging, and auditability from day one.
- Collaboration & Mentorship. Work closely with internal teams to iterate quickly and prioritize user impact. Share knowledge via design docs; mentor junior engineers as the team scales.
Requirements
- 4+ yrs professional experience building and shipping full-stack web applications.
- Proficiency with modern TypeScript on client (React, Next.js) and Python on server.
- AI-native: You use AI tools daily to architect, build, and debug fullstack features, moving quickly from idea to production with minimal hand-holding. You automate grunt work, document as you go, and ship clean, scalable code fast.
- Strong grasp of relational databases and REST API design; comfortable optimizing queries and indexing strategies.
- Hands-on experience with cloud platforms (AWS, GCP, or Azure) and containerization (Docker, Kubernetes).
- Solid understanding of testing strategies, CI/CD workflows, and Git-based collaboration.
- Clear communication skills and a bias for action.
Nice to Have
- Exposure to healthcare data standards (FHIR, HL7) or other high-compliance domains.
- Experience integrating/fine-tuning LLMs, building RAG pipelines, designing agent architecture, voice agents.
- Familiarity with event-driven architecture or real-time streaming.
- Prior work at an early-stage startup where you wore multiple hats and influenced product direction.
Benefits
- Competitive pay
- Equity
- PTO
- Comprehensive health, dental, and vision insurance
Work Arrangement
Remote (City/Region)
Additional Information
- Note that compensation will vary greatly based on level and years of experience.
