# Senior Software Engineer, Full-Stack

**Company:** [Roger Healthcare](https://hotfix.jobs/companies/roger-healthcare)
**Location:** San Francisco, CA
**Role:** Fullstack Engineering
**Salary:** $170k – $230k/yr
**Experience:** 7+ years
**Skills:** FastAPI, MongoDB, Postgres, AWS, Docker, Generative AI, LLMs, Distributed Systems
**Posted:** 2026-07-07

> Senior full-stack engineer building scalable backend services, APIs, and LLM/Generative AI workflows for an AI platform that reduces home health clinicians' paperwork to focus on patient care. Requires 7+ years experience, deep backend expertise, and startup experience.

## Job Description

## What You'll Do
- Ship complex backend services using FastAPI, MongoDB/Postgres
- Build APIs and infrastructure that interface with LLMs and Generative AI models
- Leverage AI-assisted development tools to accelerate high-quality engineering output
- Prototype MVPs and harden them into scalable, secure, and reliable production systems
- Improve backend architecture, observability, and code quality standards
- Work with Docker and AWS to deploy services into production environments
- Collaborate with senior engineers and mentor junior developers as we scale

## You Might Be a Good Fit If You Have
- 7+ years of professional software engineering experience, with deep backend expertise
- Startup experience shipping real features in high-growth environments
- Experience designing distributed systems or data-heavy backend architectures
- Experience working with Generative AI / LLM-powered systems in production or strong desire to
- A product mindset and comfort partnering with cross-functional teams
- Ability to operate in ambiguity and move quickly without sacrificing quality
- High standards for reliability, clarity, and maintainability when real users depend on your code

## Why Join Us?
- Platinum health, dental, and vision insurance
- Flexible PTO
- Be at the forefront of LLM innovation in healthcare
- Founded by AI Researchers from Cornell and Amazon Alexa
- Make a tangible difference in the lives of clinicians and patients
- Work on a mission that matters, backed by AI innovation and top-tier investors

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**Canonical:** https://hotfix.jobs/jobs/8d072d7d-993e-42d5-8431-b29f7431a922