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Ellipsis Health is seeking a Senior Full-Stack Engineer to design, build, and scale our AI-powered healthcare platform. You’ll work across TypeScript-based backend services and React/Redux frontend applications, owning features end-to-end in a hybrid SF environment.
Collaborate with AI/ML engineers, product managers, and designers to deliver secure, reliable healthcare software that complies with HIPAA, FHIR, and related standards. Remote-friendly within the United States.
If you’ve responded to an advertisement or been contacted by someone claiming to be from Ellipsis Health, you should be very careful and confirm that you are communicating with us by contacting us directly at info@ellipsishealth.com . There have been several fraudulent job postings made by scammers pretending to be Ellipsis Health that are in fact totally unrelated to our company. You can learn more about job scams here: https://consumer.ftc.gov/articles/job-scams
Full time
Hybrid
We are seeking a Senior Full Stack Engineer to help design, build, and scale the core systems powering our conversational AI platform. In this role, you will work across backend services and frontend applications, collaborating closely with AI/ML engineers, product managers, designers, and other engineers to deliver secure, reliable, and user-friendly solutions for the healthcare industry.
Ellipsis Health is located in the San Francisco Bay Area, but we are open to remote candidates within the United States.
Design, develop, and maintain end-to-end features across TypeScript-based backend services and modern frontend applications
Architect and implement scalable APIs and microservices using TypeScript to support conversational AI workflows and healthcare integrations
Build and evolve frontend user interfaces using React and Redux, focusing on usability, performance, and reliability
Own services in production end-to-end, including deployment, monitoring, incident response, and continuous improvement of reliability and performance
Lead the design and implementation of database schemas and data pipelines for structured and unstructured healthcare data
Design and maintain secure integrations with healthcare systems, scheduling systems, and external platforms
Implement and manage authentication and authorization across systems
Integrate and manage identity and access management solutions such as Zitadel
Ensure security, privacy, and compliance (HIPAA, FHIR, and related standards) across the full stack
Optimize systems for performance, reliability, and scalability, supporting high-volume, real-time workloads
Build and maintain CI/CD pipelines, infrastructure automation, and observability for production services
Troubleshoot and resolve complex production issues; participate in on-call or production support rotations as needed
Mentor junior engineers and contribute to engineering best practices, code quality, and architectural standards
Stay current with emerging technologies and frameworks, applying them thoughtfully to improve product velocity and quality
Bachelor’s or Master’s degree in Computer Science or equivalent practical experience
Experience building frontend applications using React and state management libraries such as Redux
Expertise in designing and consuming RESTful APIs and/or GraphQL
Solid understanding of microservices architectures, distributed systems, and system design
Hands-on experience with cloud platforms (AWS, GCP, or Azure) and containerized deployments (Docker, Kubernetes)
Strong database skills with SQL and NoSQL systems (e.g., PostgreSQL, MongoDB, DynamoDB)
Deep understanding of security best practices, authentication/authorization, and secure data handling
Experience building and maintaining CI/CD pipelines and production monitoring/alerting systems
Excellent collaboration and communication skills in cross-functional teams
Experience implementing role-based access control (RBAC) and fine-grained permission systems
Familiarity with identity providers and access management platforms such as Zitadel, Auth0, or similar
Familiarity with healthcare data standards such as FHIR and HL7
Experience with conversational AI, voice systems, or real-time systems
Prior experience working in health tech or other regulated industries
Exposure to DevOps practices, infrastructure-as-code, or site reliability engineering concepts
We offer competitive salary and benefits, including 401(k) matching, health, vision, and dental insurance, and very flexible paid time off.
The typical salary range for this role is $160,000 to $210,000 USD, depending on skills, qualifications, and relevant experience.
As a health technology company, we reserve the right to run background checks on candidates to whom we extend offers, in compliance with applicable laws. We evaluate candidates holistically and comply with all “ban the box” regulations.
If you have a disability or require accommodations during the application or recruitment process, please contact careers@ellipsishealth.com.