Senior Full Stack Engineer

Tandem Inc.; Lehi (UT); On-site; USD 100,000 - 130,000; Full time

Benefits offered by this job

Competitive salary

Meaningful equity

Remote-friendly work environment

Job summary

Tandem Inc. is seeking a Senior Full Stack Engineer to build and scale their AI platform, Enzo Health, focused on automating home health operations. This role involves designing and delivering key features across the tech stack while ensuring high performance. Ideal candidates will have over 5 years of experience in full stack engineering, expertise in modern frameworks like React and backend technologies like Node.js. The company offers a competitive salary, equity, and a remote-friendly work culture.

Qualifications

• 5+ years of experience as a full stack engineer, ideally in a startup or high‑growth environment.
• Strong proficiency in modern frontend frameworks like React and backend development with Node.js or Python.
• Experience designing and building scalable systems and APIs.

Responsibilities

• Design, build, and ship end‑to‑end features across frontend and backend systems.
• Own major parts of the codebase and help define technical architecture.
• Work closely with product and design to translate user needs into scalable solutions.

Skills

Full Stack Engineering

React

Node.js

Python

Cloud Infrastructure

Job description

Enzo Health is a healthcare technology company transforming home health operations through purpose‑built artificial intelligence. We deliver a secure, HIPAA‑compliant AI platform that unifies intake, clinical documentation, coding, and quality assurance—enabling agencies to reclaim time and revenue while elevating patient care.

Enzo addresses the critical challenges facing home health agencies today: rising operational costs, clinician burnout, shrinking reimbursement margins, and increasing compliance demands. Our integrated AI solution automates documentation workflows from referral to final QA, allowing clinical staff to focus on delivering exceptional patient care.

Our Solutions

• Enzo Intake: Delivers intake decisions in seconds, automatically extracting key data from referrals to increase admissions and reduce processing delays.
• Enzo Scribe: Auto‑generates OASIS documentation, clinical narratives, and care plans, reducing documentation time by up to 75%.
• Enzo QA: Ensures documentation meets the highest clinical standards with approximately 95% coding accuracy, reducing compliance risk while increasing reimbursement by an average of $185 per episode.

Our Impact

Trusted by top‑performing home health agencies nationwide, Enzo delivers measurable results: documentation time under 25 minutes per visit, referral intake under 5 minutes, and 30‑50% savings per episode of care. These efficiencies effectively double staff capacity while maintaining exceptional quality and compliance.

As reimbursement pressures intensify, Enzo Health empowers agencies to navigate cost‑cutting measures without compromising care quality, positioning AI as the essential strategy for sustainable growth in home health.

About the role

We’re looking for a high‑impact Senior Full Stack Engineer to help build and scale the core infrastructure powering Enzo Health. You’ll work across the stack to develop fast, reliable, and intuitive products that automate critical workflows in home health. This is a hands‑on role for someone who thrives in a fast‑paced startup, enjoys solving complex problems, and wants to directly shape both product and technical direction.

What you’ll do

• Design, build, and ship end‑to‑end features across frontend and backend systems
• Own major parts of the codebase and help define technical architecture
• Work closely with product and design to translate user needs into scalable solutions
• Build systems that leverage AI/ML to automate healthcare workflows (OASIS, intake, scribe, etc.)
• Optimize performance, reliability, and scalability of our platform
• Write clean, maintainable code and establish best practices across the engineering team
• Participate in code reviews and mentor other engineers as the team grows
• Move quickly—balancing speed with long‑term technical quality

Qualifications

• 5+ years of experience as a full stack engineer, ideally in a startup or high‑growth environment
• Strong proficiency in modern frontend frameworks (e.g., React) and backend development (e.g., Node.js, Python, etc.)
• Experience designing and building scalable systems and APIs
• Comfort working across the entire stack, from UI/UX to infrastructure
• Strong problem‑solving skills and ability to navigate ambiguity
• Experience working with cloud infrastructure (AWS, GCP, etc.)
• Familiarity with AI/ML systems or integrating APIs (e.g., LLMs) is a plus
• Bias toward action and a strong sense of ownership

Why This Role Matters

Enzo Health is automating some of the most manual and error‑prone workflows in post‑acute healthcare. The quality and speed of our engineering directly determine how quickly we can deliver value to customers and scale our impact. As a Senior Full Stack Engineer, you’ll play a critical role in building the foundation of our platform and shaping the technical decisions that power our growth.

What We Offer

• Competitive salary and meaningful equity
• High ownership and the ability to shape core systems from an early stage
• A fast‑paced, product‑driven engineering culture
• Direct collaboration with founders and leadership
• Remote‑friendly work environment
• The opportunity to build technology that meaningfully improves healthcare operations