Our client is transforming healthcare referral management for admissions teams. They aim to simplify what has long been a disjointed, inefficient process that hinders patient access to care. Their culture of radical candor and transparency enables rapid progress while maintaining alignment across teams.

As a startup, they operate in a dynamic environment where team members take on multiple responsibilities. Their talented team members actively mentor and coach each other toward excellence. Through their proven methodology for developing valuable vertical SaaS solutions, they plan to expand our product offerings annually.

They're looking for an exceptional engineer to join their founding team and take ownership of critical components across their technology stack. In this role, you'll collaborate directly with the CTO and CPO to architect, develop, and optimize their platform. As an early team member, you'll have significant influence on technical decisions, product direction, and company culture. Your work will directly translate to improved healthcare access for patients by streamlining referral processes that currently create bottlenecks in the system. This is a rare opportunity to leverage your technical expertise to solve meaningful problems in healthcare while having substantial impact on a growing organization.

The ideal candidate is someone who sees the value in joining an early-stage product that's already making real-world impact, and is interested in the potential of significant equity upside as we grow.

Key Responsibilities

Backend Architecture: Design and implement scalable backend services using Node.js, SQL, and ORMs like Prisma/Sequelize/Drizzle. Create efficient API endpoints that handle growing demands.
Frontend Development: Build responsive, intuitive user interfaces with Next.js that deliver exceptional user experiences while maintaining performance.
Automation Workflows: Develop and maintain automation processes, particularly using browser automation tools like Playwright/Puppeteer for testing and data processing.
Database Optimization: Design comprehensive data models and optimize queries to ensure database performance as the application scales.
Agile Execution: Ship high-quality code independently while staying aligned with the product roadmap and business objectives.

Requirements

4+ years with Node.js
2+ years with Next.js
3+ years with SQL
Experience with ORMs (Prisma, Sequelize, Drizzle)
Native-level English proficiency
Strong communication skills and ability to work independently
Proficiency with copilot-powered IDEs (VSCode + Copilot, Cursor, Windsurf, etc.)

Good to have:

Healthcare industry experience
Browser automation experience

What Our Client Offers

Direct mentorship from CTO and CPO
Opportunity to shape core product architecture in a fast-growing healthcare tech company
Remote-first culture with radical transparency
Clear growth path to leading a founding team

Location: US Based, Remote. US EST overlap required.

Must be legally authorized to work in the U.S. We are unable to sponsor or take over sponsorship of employment visas at this time.