Senior Software Engineer (Fullstack)
Leads deployment, performance, and reliability of AI agents in high-stakes healthcare environments. Architects scalable full-stack systems integrating EHRs, legacy platforms, and real-time voice; requires 5+ years experience with Node.js, TypeScript, React, PostgreSQL.
About the job
Responsibilities
- Lead the deployment, performance, and reliability of AI agents operating in live, high-stakes healthcare environments.
- Architect and scale full-stack systems integrating with 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 set standards for code quality, testing, security, and HIPAA-compliant development.
- Shape product roadmap by identifying systemic challenges in customer workflows and proposing high-leverage technical solutions.
Requirements
- 5+ years of experience designing, building, and scaling production systems in high-reliability environments.
- Strong full-stack expertise with Node.js, TypeScript, React, and PostgreSQL, plus solid system design instincts.
- High ownership and agency—you thrive in ambiguity and take responsibility for outcomes.
- Proven ability to mentor engineers, lead cross-functional efforts, and communicate technical trade-offs clearly.
Interesting Technical Challenges
- Generative AI at Scale: Design and operate production systems using LLMs with rigorous safety, alignment, and real-time monitoring at enterprise scale.
- Real-time voice infrastructure: Build ultra-low-latency systems supporting thousands of concurrent calls with 99.99% uptime.
- Fragmented healthcare systems: Design resilient abstraction layers across modern APIs and legacy platforms while maintaining security and compliance.
- Highly Personalized Experiences: Develop adaptive AI that retains patient context across sessions, personalizes tone and flow, and delivers conversations indistinguishable from human care.
Skills
Node.js, TypeScript, React, Postgres, LLMs, System Design, HIPAA, Ehrs, Real-Time Voice, APIs
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