Senior Back-End Software Engineer

What You'll Do

Design, build, and ship high-quality product experiences. Own key surfaces end to end, from concept through production. Write elegant, well-tested code — we have a real test suite and we intend to keep it that way.
Work across the stack. Follow a feature from the interface through the API to the database. No handoffs, no waiting on another team.
Work AI-first with Cursor and Claude Code. Use LLMs as your starting point. Draft intent, explore implementations, scaffold components, and refactor with AI in the loop. Apply your own judgment to meet the quality bar healthcare demands.
Prototype fast and validate with real users. Build and test quickly with real patients and care teams. Use what you learn to refine before fully committing — especially in sensitive clinical contexts where getting it right matters.
Build for scale and own the codebase. Translate product needs into reusable, well-architected patterns that make the next feature faster to ship.
Make automation legible and trustworthy. Build systems that clearly communicate what AI and automation are doing on behalf of patients and providers. Earn trust through transparency, reliability, and thoughtful defaults.
Champion performance, accessibility, and reliability. Ship work that is fast, robust, and accessible. Partner across the team to debug, optimize, and raise the bar over time.
Share AI-native workflows. Document prompts, patterns, and workflows that work, so we move faster together without cutting corners that matter to patient outcomes.

We are a highly collaborative team.

Requirements

Who We're Looking For

The ideal candidate is a full-stack generalist, and has experience taking a product from 0-1 product. We're looking for someone who's entrepreneurial and willing to roll up their sleeves to get the work done, and passionate about our mission to build a platform that will intensely disrupt the healthcare industry.

• You are dangerous on the back-end of the stack.

• You are a highly skilled dev

SST
Drizzle
Node
AWS Services (SQS, EventBridge, Lambda etc..)
SQL Databases
Problem solving
Database Schema Design

• You can work independently and are comfortable owning entire projects and or large areas of the code base

• Strong experience in building paid products and services is preferred.

• You are a strong communicator - you are able to clearly articulate technical problems, constraints and timelines.

• You are comfortable working in a fast-paced, unstructured, startup environment.