We're hiring a Senior Full Stack Engineer to build and evolve patient-facing features across our healthcare platform. You'll own end-to-end feature delivery, from API design through polished UI while mentoring teammates and driving technical excellence across the stack.

What You'll Do:

Feature Development

Design and implement patient-facing features spanning our NestJS backend and Next.js frontend
Build complex workflows including appointment booking, insurance verification, and patient portal experiences
Create responsive, accessible interfaces using React, Radix UI, and Tailwind CSS
Develop robust APIs with proper validation, error handling, and documentation

Technical Leadership:

Guide architectural decisions for new features and refactors
Establish patterns for state management, form handling, and API integration
Conduct code reviews with focus on maintainability and performance
Mentor engineers on full stack best practices and healthcare domain knowledge

System Integration:

Build features that integrate with EHR systems, payment processors, and third-party services
Work with background job systems (Bull queues) for async operations
Implement proper error handling across distributed system boundaries

Quality & Reliability:

Write comprehensive tests (Jest, React Testing Library) for critical paths
Ensure HIPAA compliance in patient data handling
Monitor feature performance and address issues proactively
Participate in on-call rotation for patient-facing systems

Qualifications Required:

5+ years of full-stack engineering experience
Strong proficiency with TypeScript across frontend and backend
Experience with React (Next.js preferred) including hooks, context, and state management
Experience with Node.js backend frameworks (NestJS, Express)
Solid understanding of PostgreSQL, TypeORM or similar ORMs
Experience with form handling libraries (React Hook Form, Formik) and validation (Zod, Yup)
Track record of shipping complex, user-facing features end-to-end
Experience mentoring engineers or leading technical initiatives

Preferred

Healthcare industry experience (EHR integrations, HIPAA compliance)
Experience with Redux, React Query for state management
Background with component libraries (Radix UI, shadcn)
Experience with background job systems (Bull, BullMQ, Sidekiq)
Familiarity with Salesforce integration
Experience with feature flagging and gradual rollouts - Experience with observability tools (Datadog, analytics platforms)