Full Stack Developer

Excel Medical; North Carolina; On-site; USD 80,000 - 110,000; Full time

Job summary

A rapidly growing telehealth company is looking for a Full Stack Developer to join their Charlotte-based IT team. In this hands-on role, you will design, build, and maintain applications that support the company's operations. The ideal candidate has strong Node.js experience and familiarity with frameworks like Express.js and React. This position emphasizes collaboration, agile practices, and a passion for solving complex problems in a high-velocity startup environment. Location is in Charlotte, North Carolina.

Qualifications

• Hands-on experience with Node.js.
• Familiarity with Express.js, Nest.js, React, or similar frameworks.
• Understanding of relational databases and modern data systems.
• Experience with GitHub / GitHub Actions or comparable version control tools.
• Knowledge of automated testing frameworks.
• Strong understanding of web security principles.
• Excellent communication and collaboration skills.

Responsibilities

• Participate in the full software development lifecycle.
• Develop and optimize cloud-based applications.
• Build and maintain backend applications with Node.js.
• Develop user interfaces using React or React Native.
• Work with relational databases and emerging data technologies.
• Use GitHub for version control and GitHub Actions.
• Assist with troubleshooting and iterative product improvements.

Skills

Node.js

Express.js

Nest.js

React

Automated testing frameworks

GitHub

Web security principles

Communication

Tools

Jira

Docker

Kubernetes

Job description

Excel Medical is a rapidly growing telehealth company specializing in Hormone Replacement Therapy for men and women. We combine modern technology, evidence-based treatment, and a high-touch patient experience to deliver care nationwide. As we scale, we are expanding our engineering team to strengthen the digital infrastructure that supports our clinical, operational, and patient-facing systems.

Position Overview

We are seeking a Full Stack Developer to join our Charlotte-based IT team. Reporting to the VP of IT, this developer will design, build, and maintain both front‑end and back‑end applications that support the company’s rapidly growing operations. This is a hands‑on role for someone who enjoys solving complex problems, working across the stack, and contributing to a high‑velocity startup environment.

Key Responsibilities

Software Development & Architecture

• Participate in the full software development lifecycle: scoping, design, implementation, testing, deployment, and maintenance.
• Develop and optimize cloud‑based applications using modern technologies.
• Build new software components and enhance existing systems based on evolving business needs.
• Write clean, maintainable, and well‑documented code.

Front-End & Back-End Engineering

• Build and maintain backend applications with Node.js using frameworks such as Express.js and Nest.js.
• Develop user interfaces using React or React Native.
• Implement automated testing to support reliability and scalability.

Data & Infrastructure Support

• Work with relational databases and emerging data technologies.
• Use GitHub for version control and GitHub Actions for CI/CD workflows.
• Apply secure coding practices and contribute to application security compliance.

Cross-Functional Collaboration

• Partner with internal stakeholders to gather requirements and deliver technical solutions.
• Participate in Agile development processes and sprint planning.
• Use Jira to manage tasks and communicate progress.
• Assist with troubleshooting, issue resolution, and iterative product improvements.

Qualifications

Required

• Hands‑on experience with Node.js.
• Familiarity with Express.js, Nest.js, React, or similar frameworks.
• Understanding of relational databases and modern data systems.
• Experience with GitHub / GitHub Actions or comparable version control tools.
• Knowledge of automated testing frameworks.
• Strong understanding of web security principles.
• Excellent communication and collaboration skills.
• Located in Charlotte, North Carolina.

Preferred

• Experience with Python, Golang, Java, or Ruby.
• Exposure to Docker or Kubernetes.
• Experience working in a startup, healthcare, or regulated environment.