Metric Tree Labs

Metric Tree Labs is hiring for our client — a US-based healthcare AI startup founded by Harvard Business School & UC Berkeley alumni. Their platform helps hospitals and clinical research teams find and engage patients for clinical trials: it connects to EHR systems, screens patient records against trial criteria using AI, and powers patient outreach through AI-driven SMS and voice calls.

This is a live product on AWS with real customers. You'll work directly with the founder and a small engineering team, owning features end to end — from customer requirements through deployment and production support.

 

What you'll build

* Product workflows for trial setup, patient screening, and eligibility review
* EHR integrations (Epic, eClinicalWorks, athenahealth, OncoEMR) — authentication, bulk exports, recurring sync
* Reliable data pipelines — queues, workers, retries, and failure recovery at scale
* AI workflows — document parsing, patient matching, LLM-powered SMS and voice screening

 

The stack: TypeScript, Node.js (NestJS), Next.js/React, PostgreSQL (+pgvector), AWS (SQS, ECS Fargate, CDK), FHIR R4/HL7, OpenAI APIs, Twilio, ElevenLabs

What we're looking for

* 5–6 years building production web applications, with clear examples of features or services you personally owned
* Strong TypeScript/Node.js backend skills; hands-on React and Next.js
* Solid SQL and data modeling; experience with async processing, queues, or data pipelines
* Practical AWS and Docker deployment and debugging experience
* AI-native engineer — daily use of AI coding tools (Claude Code, Copilot, Cursor) with the judgment to ship AI-assisted code at production quality

Strong pluses

* Healthcare software experience — EHR/EMR systems, clinical records, or FHIR/SMART/HL7 integrations
* Experience handling PHI within HIPAA or SOC 2 environments
* LLM APIs in production — structured outputs, retrieval, evaluation, cost/latency management

Details: Full-time, dedicated engagement through Metric Tree Labs

Remote (India) · 3–4 hours daily overlap with US Eastern Time

TypeScript

Node.js

React

Amazon

Data

Software Development

Data modeling

PostgreSQL

Data Pipelines

Docker

Next.js

Web Development

NestJS

Amazon SQS

FHIR

OpenAI

Twilio

Eleventy

Senior Full Stack Engineer (TypeScript/Node.js)-Immediate Joiner