Full Stack Engineer, Senior

Blue Shield of CA; Washington (District of Columbia); Hybrid; USD 120,000 - 165,000; Full time

Job summary

Blue Shield of CA is seeking a Senior Full Stack Engineer to architect and deliver mission-critical healthcare applications. You will work across UI, backend, and data layers in a hybrid workplace, collaborating with product, design, QA, security, and platform teams.

The role emphasizes ownership, pragmatic engineering, and responsible use of AI-assisted coding tools in regulated healthcare settings.

Qualifications

• 5+ years of experience in full stack development
• BA/BS or equivalent IT experience
• Experience building backend services and APIs using .NET, Java, Node.js, Python, or similar
• Strong knowledge of SQL (MS SQL Server, Oracle) and/or NoSQL and RESTful integrations
• Experience with containerization (Docker)
• Familiarity with Infrastructure as Code tools (Ansible, Bicep, ARM, Terraform)
• Working knowledge of CI/CD pipelines and version control (GitHub, GitLab, Bitbucket)
• Experience using AI-assisted coding tools in professional development
• Experience in regulated environments (healthcare) preferred
• Familiarity with healthcare interoperability standards (Epic) preferred
• End-to-end ownership mindset over UI, logic, and data
• Engineering pragmatism balancing architecture with delivery value
• AI-augmented builder using AI tools with good judgment
• Effective collaboration with product, design, QA, security, and platform teams
• Ability to operate in dynamic, evolving environments with changing priorities
• Clear communication of technical concepts to diverse stakeholders

Skills

Full stack dev

APIs

RESTful services

CI/CD

Git workflows

AI coding tools

Regulated environments

Education

BA/BS or equivalent IT experience

Tools

Docker

Terraform

Ansible

Bicep

ARM

GitHub

GitLab

Bitbucket

Job description

As a Full Stack Engineer in the healthcare space, you'll architect seamless, missioncritical applications that clinicians and patients depend on. From polished interfaces to highperformance backends, you'll shape technology that improves care delivery and enhances lives.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• 5+ years of experience in full stack development
• BA/BS or equivalent IT experience
• Experience building backend services and APIs using .NET, Java, Node.js, Python, or similar technologies
• Strong knowledge of SQL (e.g., MS SQL Server, Oracle) and/or NoSQL databases and RESTful integrations
• Experience with containerization (e.g., Docker)
• Familiarity using Infrastructure as Code (e.g., Ansible, Bicep, ARM, Terraform) to provision and manage cloud resources
• Working knowledge of CI/CD pipelines and version control systems (e.g., GitHub, GitLab, Bitbucket)
• Experience using AI-assisted coding tools in professional software development (e.g., GitHub Copilot, Cursor, Claude, or similar)
• Experience working in regulated environments (e.g., healthcare) preferred
• Familiarity with healthcare interoperability standards or enterprise healthcare platforms (e.g., Epic) preferred
• End-to-end ownership mindset - thinks about UI, logic, and data as one cohesive system
• Engineering pragmatism - balances ideal architecture with delivery speed and business value
• AI-augmented builder - leverages AI tools effectively while maintaining strong engineering judgment
• Effective collaboration with product, design, QA, security, and platform teams
• Ability to operate in dynamic, evolving environments with shifting priorities
• Clear communication of technical concepts to both technical and non-technical stakeholders

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.