As a Full-Stack Software Engineer at Hello Patient, you’ll design, build, and scale end-to-end systems that power Mia, the company's AI assistant for healthcare practices. You will ship production-ready code across the stack, own features from concept to deployment, and help set engineering best practices in a hyper-growth, compliance-critical environment.
What You'll Do
- 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.
- 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.
- 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.
- 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.
- 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.
- Work closely with internal teams to iterate quickly and prioritize user impact.
- Share knowledge via design docs.
- Mentor junior engineers as the team scales.
What We're Looking For
- 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.
Technical Stack
- NextJS, TypeScript, React, Python, FastAPI, PostgreSQL, Redis, S3, Terraform, Helm, Docker, Kubernetes, AWS, GCP, Azure, FHIR, HL7, REST API, CI/CD, Git, LLM, RAG, Event-driven architecture, Real-time streaming
Team & Environment
- Reporting to the CTO
Benefits & Compensation
- Real Impact – Help healthcare teams cut hours of admin work and focus more on patient care.
- Early-Stage Ownership – Join a well-funded startup where you’ll own meaningful projects from day one.
- Agency to Drive Outcomes – You’ll have the freedom to make decisions, move fast, and see your work directly shape results.
- Collaborative Team Environment – Work alongside founders who’ve scaled healthcare products and infrastructure nationally.
- Values-Driven Culture – We operate with empathy, trust, and curiosity in every decision.
- Great Benefits – Competitive pay, equity, PTO, and comprehensive health, dental, and vision insurance.
Competitive pay, equity, and PTO included.
Work Mode
- Onsite roles available in Austin, TX and NYC
Hello Patient is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
