Scale Health Forward is an early-stage healthcare AI company building software that improves how clinical care is delivered and coordinated. We're a lean, high-conviction team working on problems that matter — and we move fast.

We're looking for a contract full-stack engineer who is sharp, self-directed, and already operating in an AI-native way. Compensation and rates will be discussed with qualified candidates during the interview process.

What you'll do

Use agentic AI coding tools as a primary part of your daily engineering workflow — not occasionally, but as a default
Build and ship full-stack features across a clinical software platform
Design and integrate APIs with third-party services and healthcare data systems
Work with structured and unstructured data pipelines in a HIPAA-compliant environment
Contribute to backend services, database architecture, and frontend interfaces
Collaborate directly with clinical and product leadership to turn requirements into working software

What we're looking for

3+ years of full-stack engineering experience with strong TypeScript/Node.js fundamentals (not necessary if skills are there)
Solid experience with relational databases and RESTful API design
Hands-on experience with agentic coding tools (Claude Code, Cursor, Copilot Workspace, or similar) — you rely on these tools, not just tolerate them
Familiarity with Linear for project and ticket management
Experience integrating complex third-party APIs, especially in regulated or data-heavy domains
Healthcare data experience or familiarity with HIPAA-compliant environments is a strong plus
Self-directed, async-first, and comfortable owning work end to end with minimal hand-holding
Startup-ready — you thrive with ambiguity and can iterate quickly without a fully defined spec

Why work with us

Work that has real impact on patient care and provider outcomes
Direct access to founding leadership and influence over product direction
Remote-first, async-friendly culture
Small team — your contributions are visible and valued

What to expect in our interview process

We take agentic coding seriously — it's not a nice-to-have, it's how we work. As part of the interview process, candidates will be asked to share Markdown files demonstrating their use of AI agents in their workflow, and will complete a live or async exercise that shows their ability to write code using agentic tools. If you're not already working this way day-to-day, this role is likely not the right fit.

This is a contract role. Rates are discussed with qualified candidates during the interview process. We are an equal opportunity employer. If you're excited about this work and don't check every box, we still want to hear from you.