Full-Stack Engineer - Part-time - US Only

ABOUT US

Healthcare is confusing. And at our company, we believe that getting what your doctor recommends shouldn't be. We're building the missing infrastructure layer in clinical care — the e-prescribing rail that's never existed for OTC and everyday health products. Today, when a provider recommends a skincare regimen, a supplement, or a post-procedure product, that recommendation lives in a sticky note, a verbal handoff, or a patient's fading memory. We're fixing that: providers send a one-click checkout link directly from their EHR, and the right products ship to the patient's door from trusted retailers. We're pre-seed, focused on building our product and team, and backed by healthcare executives, providers, and operators who've seen this gap firsthand.

ABOUT THE ROLE

We're hiring a Staff Full-Stack Engineer to help us build the platform that sits between the EHR and the patient's front door. This is a founding-team role. You'll own entire surfaces of the product — from the EHR-embedded provider experience to the patient-facing surface — and you'll make the architectural calls that a company of our size lives with for years. You'll work directly with the founders on what we build, how we build it, and what we prioritize next.

WHAT YOU'LL DO

- EHR integrations: Shipping and maintaining embedded experiences across the major EHR vendors — Epic, Cerner, AthenaHealth, and others.

- Auth, launch contexts, FHIR resource access, and all the standards-adjacent weirdness that comes with real-world healthcare interoperability.

- The provider surface: The in-chart experience clinicians actually use. It has to feel invisible to someone with eight minutes per patient, and it has to work inside an iframe hosted by software that wasn't designed for modern web apps.

- The patient surface: Mobile-first experiences that start with a link on someone's phone and need to work the first time, every time, with no account, no app, and no second chances.

- Platform foundations: Auth, data modeling, audit logging, encryption, observability — the HIPAA-compliant primitives everything else is built on.

- Applied AI: Using LLMs well inside a clinical workflow. The interesting problems here aren't "can we call an API" — they're latency, grounding, evaluation, and knowing when not to use a model at all.

WHAT WE'RE LOOKING FOR

- Deep Next.js experience. You've built production App Router apps and know where the sharp edges are.

- Strong full-stack instincts. You're comfortable designing a schema, writing the API, building the UI, and wiring the observability.

- Experience with healthcare interoperability — FHIR, HL7, SMART on FHIR, or direct EHR integration work. Bonus if you've shipped something that launches inside athenahealth or ModMed.

- Care about correctness when handling PHI. You understand why HIPAA exists and you treat it as a design constraint, not a compliance checkbox.

- Opinions about UX. You believe clinical software can be beautiful and you want to prove it.

- Comfort with ambiguity. At this stage, "what should we build" is as much your job as "how do we build it."

OUR STACK

Next.js 16 (App Router, RSC, Turbopack) · TypeScript · React 19 · Tailwind 4 · Shadcn · TanStack Query · Prisma 7 · Neon Postgres ·

Clerk · SMART on FHIR (BonFHIR) · Vercel AI SDK (Anthropic + OpenAI) · Algolia · Twilio · SendGrid · Vitest · Playwright · Datadog

Candidate must be based in the US