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MetriportMetriportSan Francisco, CA

Senior Software Engineer

Senior full-stack engineer (backend-heavy) drives end-to-end projects scaling healthcare data platforms, building search/infra/LLM features using Node.js/TypeScript/AWS. Requires 6+ YOE, strong ownership, SF-based/relocate, generalist hacker mindset.

160k – 220k/yr
On-site6+ YOEFullstack Engineering

About the role

Responsibilities

  • Drive projects end-to-end from ideation to production rollout: write design docs, review with team, build v0 PRs quickly for staging/pilot customers, iterate to v1 with feedback, and roll out to all customers.
  • Scale services to handle 100x load, manage infra costs for savings and scalability.
  • Build OpenSearch cluster for searching patient medical history.
  • Transform TCP messages from 90s protocol to modern HTTP webhooks.
  • Use LLMs to transform doctors' notes into structured medical data.
  • Review PRs for other engineers, balancing quality and speed.
  • Manage work in Linear, participate in sprint planning/retros, quarterly planning, daily stand-up, and on-call rotation.

Requirements

  • 6+ years experience as a full-stack engineer, heavy lean towards back-end.
  • Experience developing and maintaining cloud-based platforms, including scaling, infrastructure as code, and monitoring. Nice-to-have: Experience processing large amounts of data (moving, transforming, querying).
  • Located in San Francisco or Bay Area (or willing to relocate). Nice-to-have: Familiarity with healthcare terms (FHIR, HIE, IHE, EHR/EMR, NPI, TEFCA, ADT, HL7, HEDIS, RAF, SNOMED, LOINC, ICD-10).

Tech Stack

  • Frontend: React
  • Backend: Node.js, TypeScript
  • Cloud: AWS (ECS, Fargate, Lambda), AWS CDK (IaC)
  • Data: PostgreSQL, DynamoDB, S3, Snowflake, FHIR server, OpenSearch

Benefits

  • Competitive equity + compensation
  • Full family Platinum health insurance, dental, vision
  • 401(k) + matching
  • Flexible work from home or in-office
  • Complimentary healthy lunches in-office
  • Quarterly off-sites
  • Company-provided MacBook
  • Unlimited PTO

Skills

Node.jsTypeScriptReactAWSAws CdkPostgresDynamoDBSnowflakeOpensearchTerraform
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