# Senior Software Engineer

**Company:** [Counsel Health](https://hotfix.jobs/companies/counsel-health)
**Location:** New York, NY, Boston, MA
**Role:** Fullstack Engineering
**Salary:** $185k – $225k/yr
**Experience:** 5+ years
**Skills:** React, Next.js, Node.js, TypeScript, React Native, Postgres, AWS, Terraform, Redis, AI/ML
**Posted:** 2026-07-02

> Senior full-stack engineer building AI-native healthcare platform. Own product experiences, integrate LLMs into clinical workflows, architect scalable data/enterprise systems. Requires 5+ years production software experience and proficiency in React/Next.js/Node/TypeScript stack.

## Job Description

## What You'll Do
- Lead initiatives with Product and Design to ship and iterate on unique product experiences in AI-enabled care that improve patient engagement and outcomes.
- Work closely with our ML research team to bring cutting-edge AI/LLM techniques into clinical care and build them into our agentic framework.
- Improve our physician-facing care platform and integrate AI tooling that increases physician efficiency and clinical capability.
- Architect scalable backend systems, such as health data ingestion pipelines and enterprise client integrations.

## Who You Are
- An owner of broad initiatives, driving them to completion, and navigating ambiguity with ease.
- Hands-on experience building consumer-facing products from the ground up in a high-growth startup environment.
- Thrives working alongside exceptional teammates and draws energy from fast-moving, collaborative environments.
- Excited about working at the frontier of medical AI.

## What You'll Bring
- 5+ years of building production software, ideally including 2+ years at a startup or growth company.
- Proficiency with our stack: React, Next.js, Node.js (TypeScript), React Native, Postgres, AWS, Terraform, and Redis.
- Experience building at scale, serving hundreds of thousands of end users and large enterprise clients.
- Opinionated about leveling up your own engineering skills and the team around you.
- Familiarity with AI/ML concepts and recent developments in the space.

## What We Offer
- **Compensation**: Competitive salary and equity options.
- **Benefits**: Competitive healthcare, vision, and dental, 401K, Unlimited PTO, snacks and free lunch at the office.

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**Apply:** https://hotfix.jobs/jobs/b0c0b654-ac8d-440e-9186-5a73e37e0411
**Canonical:** https://hotfix.jobs/jobs/b0c0b654-ac8d-440e-9186-5a73e37e0411