Fullstack Engineer

ABOUT THE ROLE

Join a small product engineering team building software for healthcare providers and patients. You will own core platform foundations and end-to-end product work, where reliable data models, business logic, and AI-enabled workflows help improve care delivery and daily operations.

WHAT YOU'LL DO

• Design and build clinical workflows for documentation, treatment planning, reassessments, supervision, and administrative tasks.
• Develop systems that support service authorization, billing, payment adjudication, and provider payments.
• Build tools for provider operations, including credentialing, contracting, compliance, payroll, scheduling, and staffing.
• Create patient and family experiences for intake, onboarding, scheduling, communication, progress tracking, and payments.
• Automate operational workflows across billing, authorizations, credentialing, and care coordination.
• Own platform foundations across data models, APIs, security, reliability, AI infrastructure, and production systems.
• Make architecture and system design decisions, taking products from database schema through user experience.

WHAT WE'RE LOOKING FOR

• Four to ten years of fullstack engineering experience, including full-time work at a startup beyond an exclusively pre-seed or founding-stage environment.
• Strong proficiency in Python and experience with NoSQL databases such as MongoDB or Firebase.
• Product engineering experience that includes architecture ownership or system design, ideally at a Series A or later company.
• Experience in healthtech, fintech, or another operationally complex and sensitive industry where accuracy and data integrity matter.
• A bachelor's degree and solid computer science foundations.
• Careful attention to detail and a strong sense of ownership for correctness in production systems.

COMPENSATION & BENEFITS

Base salary is $160,000 to $200,000 annually. Visa sponsorship is not available.

LOCATION

Hybrid, based in San Francisco, California. New York may also be considered.