Senior backend or full-stack engineer building core systems for in-home healthcare delivery, including patient booking, clinician routing, logistics, device integrations, and medical operations at a high-growth startup.
185k – 230k/yr
Hybrid8+ YOEFullstack Engineering
About the role
What you will do
Design and build backend services and APIs that power patient booking, clinician routing, logistics, and device integrations
Ship full-stack product features end to end, from data modeling and business logic to UI and user flows (if full-stack)
Solve complex operational challenges like scheduling, dispatch, safety checks, and error prevention at scale
Integrate with external health systems, telemedicine platforms, and medical devices in a reliable, secure way
Work closely with product, data, ops, and clinical teams to turn real-world problems into shipped software
Own projects from 0→1, make architectural decisions, and help evolve our engineering practices as we scale
Requirements
8+ years building and scaling backend or full-stack systems in production
Experience mentoring engineers and overseeing large scale projects
Designed APIs, data models, and services that power real user-facing products
Led projects or pods end to end — from architecture and planning to delivery and iteration
Mentored junior and mid-level engineers through code reviews, pairing, and technical guidance
Shipped features independently and in collaboration with product, data, ops, or design partners
Built in environments where speed, reliability, and ambiguity coexist — startups, high-growth teams, or 0→1 products
Made technical decisions that balanced execution speed, scalability, and long-term maintainability
Nice-to-haves
Built or scaled products in health tech, logistics, or other operationally complex environments
Understand supply/demand dynamics — forecasting, routing, scheduling, or inventory management
Scaled backend systems to support rapid growth, high-volume data, and evolving business needs
Worked in mid- or growth-stage startups (Series A–C) where speed and ambiguity were the norm
Comfortable working with data platforms, pipelines, or large-scale data processing
Know your way around regulated environments — HIPAA, security, and privacy best practices
Compensation and Benefits
Base salary: $185,000 - $230,000
Meaningful pre-IPO equity
Medical, dental, and vision plans 100% paid for you and your dependents
Flexible PTO + 10 paid holidays per year
401(k) with match
16-week parental leave policy for birthing parent, 8 weeks for all other parents
HSA + FSA contributions
Life insurance, plus short and long-term disability coverage
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