Note: The job is a remote job and is open to candidates in USA. The client is a growing healthcare technology business developing software and data solutions for managing sensitive clinical and operational information. They are seeking a Staff Full-Stack Engineer to shape and deliver a healthcare technology platform through hands-on full-stack development, AI-enabled functionality, cloud architecture, data systems, platform reliability, and technical guidance.
Responsibilities
- Design and deliver full-stack software using TypeScript/Node.js with React
- Build and maintain APIs, backend services, integrations, and data-driven application features
- Create AI-supported functionality for document handling, information extraction, retrieval, and automated decision support
- Introduce practical safeguards around AI outputs, including validation, review steps, and exception handling
- Develop robust business workflows involving approvals, permissions, process status, and traceability
- Contribute to cloud architecture, deployment pipelines, containerised environments, monitoring, and operational tooling
- Maintain strong controls around sensitive healthcare information and system access
- Work with product, clinical, data, and commercial teams to turn requirements into workable technical solutions
- Improve application quality through testing, documentation, performance tuning, and operational support
- Provide technical guidance to other engineers and help improve development standards as the team grows
Skills
- 7+ years of commercial software engineering experience, including significant responsibility for technical delivery
- Strong full-stack development skills across TypeScript/Node.js and React
- Experience deploying AI or LLM-based capabilities within live software products
- Practical experience with technologies such as OCR, document extraction, RAG, or AI workflow automation
- Understanding of how to assess and control the quality of AI-generated results in production
- Strong SQL and PostgreSQL experience, including relational schema design
- Experience implementing complex business workflows, approval processes, and auditable application logic
- Hands-on experience with cloud infrastructure, CI/CD, containers, monitoring, and Infrastructure as Code
- Experience working with sensitive or regulated information, ideally within healthcare or another controlled environment
- Proven ability to make architectural decisions and take responsibility for production software
- Comfortable combining hands-on development with senior technical leadership
- Previous healthcare software experience, particularly clinical documentation, coding, revenue cycle, risk adjustment, or EHR-related systems
- Experience with GCP services including Cloud Run, Cloud SQL, Pub/Sub, BigQuery, or Vertex AI
- AWS experience
- Experience with dbt or modern analytics platforms
- Background building document-processing solutions using PDF parsing, OCR, and structured extraction
- Experience with Terraform, CDK, or comparable infrastructure tooling
- Knowledge of IAM, secrets management, cloud monitoring, and cost optimisation
- Experience acting as a senior technical lead within a small or growing engineering function
- Familiarity with AI-assisted software engineering tools
Benefits
- Remote (US)
- Take a broad technical role within a growing healthcare technology business.
- Work on complex software spanning application engineering, AI, data, and cloud infrastructure.
- Help develop new automation and document-processing capabilities.
- Have meaningful input into architecture, engineering practices, and platform direction.
- Join at a stage where strong technical decisions can materially influence how the product develops.
Company Overview