Note: The job is a remote job and is open to candidates in USA. Astrello provides an intelligence layer for ACOs, independent physician groups, and value-based care networks, using real-time patient data and automated quality reporting to improve healthcare outcomes and operational performance. The Lead Full Stack Developer will build healthcare technology features across web applications, APIs, databases, Chrome Extensions, and cloud services while leading and mentoring a small engineering team. The role also emphasizes secure handling of Protected Health Information, system reliability, and collaboration on patient management, reporting, and analytics capabilities.
Responsibilities
- Lead and mentor a small team of engineers, balancing hands-on development with team direction
- Build and maintain full stack features using Next.js, React, TypeScript, and Node.js
- Develop REST APIs and backend services with role based access control and HIPAA compliant audit logging
- Design and optimize PostgreSQL databases using Prisma ORM
- Build and maintain a Chrome Extension using Manifest V3 that integrates directly with web based EHR systems
- Develop and maintain Firebase Cloud Functions and other serverless backend services
- Work across PostgreSQL, Firestore, and BigQuery to support operational and analytical workflows
- Collaborate with cross functional teams to deliver patient management, reporting, and analytics features
- Debug and troubleshoot issues across frontend, backend, browser extension, database, and cloud environments
- Ensure application performance, reliability, scalability, and security when handling Protected Health Information
- Participate in code reviews and contribute to maintaining a high quality TypeScript codebase
Skills
- • 4+ years of professional software development experience. This is not an entry level or new graduate position
- • At least 1 year of experience leading or mentoring a small development team or group — this role is not purely an individual contributor position
- • Strong experience with TypeScript
- • Strong experience building applications with React and Next.js
- • Experience building full stack applications with Node.js
- • Experience developing Chrome Extensions using Manifest V3
- • Experience with Prisma ORM
- • Strong SQL skills and experience with PostgreSQL or other relational databases
- • Experience designing and building REST APIs
- • Experience with Firebase Cloud Functions or other serverless platforms
- • Experience debugging complex issues across frontend, backend, database, and browser environments
- • Experience working with both SQL and NoSQL databases
- • Strong problem solving skills and attention to detail
- • Excellent communication and collaboration skills
- • Experience with BigQuery and data analytics pipelines
- • Experience integrating LLMs such as Claude, OpenAI, or Gemini
- • Experience building speech to text or AI powered workflows
- • Experience with healthcare technology, including EHR integrations
- • Experience with Firebase, Google Cloud Platform, and Firestore
- • Familiarity with Rust for performance sensitive components, browser tooling, or systems programming
- • Familiarity with HIPAA compliance and secure handling of healthcare data
Benefits
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Parental leave
- Vision insurance
- Remote work
Company Overview