Thoughtful is pioneering a new approach to automation for all healthcare providers! Our AI-powered Revenue Cycle Automation platform enables the healthcare industry to automate and improve its core business operations.

We're looking for an Exceptional Staff Software Engineer, Fullstack to join our Core Platform Engineering team.

As a Staff Engineer, you’ll be a technical anchor across the stack - shaping everything from scalable backend services to responsive, intuitive frontends. You’ll lead by example, building systems that are reliable, maintainable, and thoughtfully engineered for scale - avoiding premature complexity while leaving room for growth. Your work will directly support both internal teams and customer-facing products.

Learn more about our Warrior culture. Join us to transform how leading healthcare companies operate.

Your Role

Lead End-to-End Builds

Own projects across the full development lifecycle - from greenfield prototypes to scaling out mature systems. You’ll take loosely defined problems and return well-architected, production-ready solutions.

Design for Clarity and Change

Build backend services and user interfaces that are modular, testable, and ready to evolve. You prioritize simplicity, knowing where abstraction helps - and where it just adds noise.

Drive Pragmatic Scalability

Design for growth without overengineering. You’ll apply best practices in schema design, API modeling, and state management with a clear sense of tradeoffs and long-term maintainability.

Collaborate Closely

Partner with product, design, and other stakeholders to understand real-world needs and shape the right technical solutions. You'll operate autonomously but never in isolation.

Continuously Level Up

Bring curiosity and humility. We’re a senior team that shares learnings freely and pushes each other to do our best work.

Your Qualifications

Frontend

Deep experience building complex, interactive UIs using React, Vue, or Angular.
Strong grasp of state management patterns and reactive paradigms (e.g. refs, signals, RxJS, or similar).
Proficiency in TypeScript and JavaScript, with clean, maintainable component architecture.
Familiarity with frontend performance profiling, accessibility, and design system integration.
Comfortable working with designers and PMs to turn wireframes and mockups into polished interfaces.

Backend

Proficiency in Python and TypeScript, with experience across modern backend frameworks (e.g. FastAPI, Next.js, Express).
Skilled in API design, including versioning, pagination, and error modeling.
Solid understanding of authentication and authorization protocols (OAuth, JWT, etc.).
Experience with relational (PostgreSQL, MySQL) and NoSQL (MongoDB, DynamoDB) databases, including schema design, indexing strategies, and performance tuning.
Familiarity with AWS and infrastructure concepts like CI/CD pipelines, containerization, and cloud deployments.
Invested in setting up logging, monitoring, and alerting from day one.
Builds with testability in mind - unit tests, integration tests, and end-to-end test frameworks.

What Sets You Apart