# Senior Fullstack Engineer
**Company:** [Mochi Health](https://hotfix.jobs/companies/mochi-health)
**Location:** San Francisco, CA
**Salary:** $230K-$280K
**Experience:** 5+ years
**Skills:** React, Kubernetes, Terraform, AWS, CI/CD, JavaScript, API, Database Schema, State Management, Ai/Ml Integration
**Posted:** 2026-05-14
> 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.
## Job Description
## 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.
**Apply:** https://hotfix.jobs/jobs/senior-fullstack-engineer-at-mochi-health-056f052f-14f4-4a8c-b275-82836222f3ba
**Canonical:** https://hotfix.jobs/jobs/senior-fullstack-engineer-at-mochi-health-056f052f-14f4-4a8c-b275-82836222f3ba