# Full-Stack Engineer

**Company:** [Ascertain](https://hotfix.jobs/companies/ascertain)
**Location:** New York, NY
**Role:** Fullstack Engineering
**Salary:** $150k – $180k/yr
**Experience:** 7+ years
**Skills:** Python, FastAPI, TypeScript, React, SQL, Postgres, Docker, CI/CD, AI Agents, Terraform, Redis, Queueing Systems, Observability
**Posted:** 2026-09-10

> Build and own full-stack healthcare AI product features across React/TypeScript frontends and Python/FastAPI backend services. The role requires 7+ years of experience, strong relational database skills, and experience building AI agents.

## Job Description

## Responsibilities
- Own product features end-to-end, from design through production.
- Build user-facing experiences with React and TypeScript.
- Design and ship backend services with Python and FastAPI.
- Partner with product, design, and engineering teams to turn ambiguous problems into shipped software.
- Participate in code reviews and help shape engineering practices.
- Improve testing, CI/CD, observability, and development processes.

## Requirements
- 7+ years of full-stack software engineering experience.
- Strong experience with Python, FastAPI or similar frameworks, TypeScript, and React.
- Experience designing schemas and writing complex SQL against relational databases, particularly PostgreSQL.
- Working knowledge of Docker and CI/CD pipelines.
- Clear written and verbal English communication.
- Meaningful overlap with U.S. Eastern business hours.
- Experience building AI agents.

## Nice to Have
- Experience in regulated environments such as healthcare or fintech.
- Security-minded approach to software design.
- Infrastructure-as-code experience with Terraform.
- Familiarity with Redis, queueing systems, or other modern production infrastructure.
- Experience working in ambiguous, early-stage environments with significant ownership.

## Compensation & Benefits
- Annual salary range of $150,000–$180,000.
- Meaningful equity.
- Comprehensive health insurance.
- Opportunities for career advancement.

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