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).
Senior Product Engineer who owns outcomes end-to-end: talks to 911 dispatch customers, identifies problems, defines roadmap/prioritization, then builds and ships features across the AI call-handling and dispatcher-assistant platform. Requires product thinking, high ownership, customer empathy, and comfort across the full stack.
160k – 220k/yr
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