Staff Software Engineer - Fullstack

Our Engineering Culture & How We Work

• The Product + Engineering Interface:  We believe product success hinges on early alignment between Engineering and Product. Our teams collaborate closely during Discovery and Refinement to define scope, evaluate technical feasibility, and shape long-term roadmaps together.
• Psychological Safety & Learning:  We normalize being “in progress.” We value curiosity, encourage questions, and treat mistakes as shared learning opportunities. Blameless post-mortems are a core part of how we grow, both as individuals and as a team.
• Radical Transparency:  We communicate openly and intentionally. We default to public Slack channels, document and share meeting notes, and prioritize asynchronous communication. We embrace the vulnerability of sharing work-in-progress to enable better, more inclusive decision-making.
• Engineering-Driven Ownership:  We believe in strong technical stewardship. Engineering plays an active role in shaping solutions, contributing to project direction, and advocating for long-term system health and sustainability.

Job Responsibilities

Technical Ownership & Partnership:  Take technical ownership of a product space. Deliver high-impact products to market in close collaboration with Product Managers and fellow engineers.
Architectural Leadership:  Lead the design and implementation of full-stack and backend solutions. Create architectural design documents and proofs of concept to modernize the platform and reduce maintenance overhead.
Cross-Functional Influence:  Collaborate across teams to define solutions and provide clear direction on technical tradeoffs, ensuring alignment with both product goals and engineering standards.
Domain SME:  Become a subject matter expert in your team’s services. Champion engineer-led projects to improve stability, performance, and the developer experience.
Mentorship & Learning Mindset:  Foster a culture of collective excellence where learning happens in all directions. You will facilitate peer-to-peer knowledge sharing across the engineering organization, rooted in the belief that everyone has something to teach and something to learn. Whether exploring new industry standards or deep-diving into domain logic, you create the space for engineers at all levels to grow together through shared technical curiosity.

Required Skills & Experience

Experience: 8+ years of professional software development experience, with a track record of leading medium-to-large projects involving multiple engineers. 
Full-Stack Expertise: Demonstrated ability to drive projects across the full stack (backend services, data persistence, and modern frontend frameworks like React/TypeScript). Comfortable with translating designs and wireframes into high-quality code. 
Cloud & Infrastructure: Proficiency in cloud-native environments (AWS preferred), and relational databases (Postgres).
Communication: Strong organizational and communication skills, including experience with pair programming and translating complex technical concepts for product stakeholders.
Values Alignment: A commitment to continuous learning, perseverance in solving complex problems, strong ownership of outcomes, and excellent collaboration skills, all within an inclusive engineering culture rooted in psychological safety.

Preferred Skills & Experience

Healthcare Domain:  Experience working with healthcare data standards such as FHIR, HL7v2, or X12, or building integrations with EHR systems.
Technical Breadth:  We value engineers who can move across the stack and adapt quickly. Experience with many of the following (or similar technologies) is helpful:
Backend: Node.js / TypeScript, REST API design
Frontend: React or modern UI frameworks
Data & Infrastructure: Postgres, Redis, AWS
Observability: tools like Grafana, Sumo Logic, or comparable platforms
DevOps: CI/CD pipelines (e.g., GitHub Actions, Jenkins, ArgoCD), Infrastructure as Code (e.g., Terraform)
AI-Augmented Engineering:  Experience using AI-assisted development tools (such as GitHub Copilot or Claude) to improve productivity, code quality, and iteration speed.
Remote Collaboration:  Comfort working in a fully remote environment with a balance of asynchronous and synchronous collaboration. This includes clear written communication, transparent progress-sharing, and effective participation in real-time pairing or team discussions.

Technical Toolkit

Core Technologies: Node.js / TypeScript, React, AWS, Postgres, REST API design
Additional Technologies We Use: Redis, Terraform, CI/CD tools (GitHub Actions, Jenkins, ArgoCD), observability platforms (e.g., Grafana)