Staff Full-Stack Engineer

What You’ll Do

• Build and ship full-stack features end to end, from the database to the UI, for workflows like 340B compliance, intake, rebate management, and claims reconciliation.
• Partner directly with product managers and pharmacy operations experts to understand what pharmacy teams actually need.
• Own what you ship: design it, build it, test it, deploy it, and support it in production.
• Make sound tradeoffs between speed and durability as the platform scales.
• Contribute to the technical foundation of the platform, including embedding AI into product workflows.
• Use AI tools deliberately as part of daily work.
• Review code, weigh in on design docs, and help raise the technical bar across the team.

Requirements

• 10+ years in professional software engineering, working across the full stack.
• Proficient in JavaScript and TypeScript, with working proficiency in Python.
• Experience building customer-facing products (not primarily internal tooling or developer platforms).
• Comfortable moving across layers of the stack.
• Experience in a fast-moving, high-growth environment where priorities shift with scaling.
• Strong instincts for production-ready code in a compliance-critical, enterprise healthcare context.
• Clear communication with product, design, and non-technical stakeholders.
• Open to hybrid in San Francisco (in-office Mondays and Wednesdays) or remote in Chicago.

Nice-to-Haves

• Experience with Java or Ruby (or willingness to learn Python).
• Healthcare or pharmacy domain experience.
• Track record at startups that scaled from 0 to 1 and beyond.