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Senior Fullstack Engineer

Builds full-stack healthcare interfaces including React frontends, backend APIs, and AI-driven workflows for patient and provider tools at a high-growth healthtech platform. Requires 5-7+ years experience with complex state management, infra tools, and onsite collaboration in SF.

230k – 280kSan Francisco, CAFullstack EngineeringOnsite5+ YOE

About the role

What You'll Do

  • Build High-Density Healthcare Interfaces: Architect dynamic, multi-step medical intake engines, high-density provider charting dashboards, and patient-facing apps that handle sensitive PHI with perfect state synchronization.
  • Bridge Clinical & Client: Connect complex backend medication ordering and fulfillment pipelines to intuitive, highly responsive frontend interfaces. Translate dense healthcare requirements into seamless digital experiences.
  • Champion the User Experience: Sweat the details of the UI and possess strong product sense to make pragmatic, high-quality design decisions that improve patient outcomes.
  • Own the Full Lifecycle: Design database schema, write APIs, build React interfaces, deploy services, and own backend reliability and client-side error tracking in production.
  • Build Agentic Workflows: Integrate AI capabilities into the product to automate clinical operations and scale provider workflows.
  • Raise the Engineering Bar: Own key architectural decisions, upgrade legacy code, and elevate engineers through code review, testing, and technical standards.

Who You Are

  • 5-7+ years of full-stack engineering experience operating high-stakes systems.
  • Mastery of client-side state, performance, SSR vs. client-side fetching, caching strategies.
  • Strong data modeling, schema design, and API boundaries.
  • Full lifecycle ownership including Kubernetes, Terraform, AWS, CI/CD.
  • Experience using frontier agentic AI tools (e.g., Codex, Claude) in workflows.
  • Collaborative with low ego, high standards, excellent communication in cross-functional environments.

Staff Leveling: Demonstrated track record of setting technical direction, navigating ambiguity, leveling up engineers ($280-330K).

Compensation: Base salary $230,000 - $280,000 (open to $280-330K for Staff), plus equity and benefits.

Skills

ReactKubernetesTerraformAWSCI/CDJavaScriptAPIDatabase SchemaState ManagementAi/Ml Integration

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