Role Overview

Key Responsibilities

• Feature Development. Deliver user-facing functionality in NextJS/TypeScript while crafting robust, testable APIs in Python/FastAPI. Translate product specs into end-to-end experiences that delight clinic staff, patients, and our implementation team.
• System Architecture & Scalability. Design and optimize backend systems that support high-volume, low-latency voice, SMS, and chat traffic. Optimize for reliability, horizontal scaling, and efficient token usage with LLM back-ends.
• Data & Integrations. Build secure integrations with EHR/PM systems via FHIR, HL7, and custom APIs. Implement data pipelines and storage solutions (PostgreSQL, Redis, S3, and more) that respect HIPAA and SOC-2 controls.
• DevOps & CI/CD. Own your code in production: write infrastructure-as-code in Terraform and Helm, automate tests, and monitor metrics. Champion a culture of frequent, reliable production deployments through robust CI/CD pipelines.
• Quality & Security. Write unit, integration, and end-to-end tests; conduct code reviews to uphold performance, readability, and security standards. Collaborate with compliance teams to embed encryption, logging, and auditability from day one.
• Collaboration & Mentorship. Work closely with internal teams to iterate quickly and prioritize user impact. Share knowledge via design docs; mentor junior engineers as the team scales.

Qualifications

• 4+ yrs professional experience building and shipping full-stack web applications.
• Proficiency with modern TypeScript on client (React, Next.js) and Python on server.
• AI-native: You use AI tools daily to architect, build, and debug fullstack features, moving quickly from idea to production with minimal hand-holding. You automate grunt work, document as you go, and ship clean, scalable code fast.
• Strong grasp of relational databases and REST API design; comfortable optimizing queries and indexing strategies.
• Hands-on experience with cloud platforms (AWS, GCP, or Azure) and containerization (Docker, Kubernetes).
• Solid understanding of testing strategies, CI/CD workflows, and Git-based collaboration.
• Clear communication skills and a bias for action.

• Exposure to healthcare data standards (FHIR, HL7) or other high-compliance domains.
• Experience integrating/fine-tuning LLMs, building RAG pipelines, designing agent architecture, voice agents.
• Familiarity with event-driven architecture or real-time streaming.
• Prior work at an early-stage startup where you wore multiple hats and influenced product direction.

Why You’ll Love Working Here

• Real Impact – Help healthcare teams cut hours of admin work and focus more on patient care.
• Early-Stage Ownership – Join a well-funded startup where you’ll own meaningful projects from day one.
• Agency to Drive Outcomes – You’ll have the freedom to make decisions, move fast, and see your work directly shape results.
• Collaborative Team Environment – Work alongside founders who’ve scaled healthcare products and infrastructure nationally.
• Values-Driven Culture – We operate with empathy, trust, and curiosity in every decision.
• Great Benefits – Competitive pay, equity, PTO, and comprehensive health, dental, and vision insurance.
• Fast Growth – Build category-defining technology and grow your skills quickly in a high-impact environment.