Senior Full-Stack Engineer - Impactful HealthTech Platform

Milo & Mew; San Francisco (CA); On-site; USD 130,000 - 160,000; Full time

Benefits offered by this job

Competitive compensation

Equity ownership

Health, dental, and vision coverage

Paid time off

Professional development support

Job summary

A veterinary care technology company in California seeks a Senior Software Engineer to take ownership of significant components of their platform. You will develop end-to-end features that enhance both patient experiences and clinic workflows, focusing on performance and reliability. Ideal candidates have over 8 years of experience in software engineering, particularly in backend services using TypeScript and Node.js, along with familiarity in frontend frameworks like React. The position offers competitive compensation, equity opportunities, and a culture centered on care and support.

Qualifications

• 8+ years of professional software engineering experience with backend ownership.
• Strong experience in TypeScript and Node.js building production services.
• Familiarity with modern frontend development using React and TypeScript.

Responsibilities

• Build and ship end-to-end features improving care experience.
• Own backend services and APIs ensuring correctness and performance.
• Design data models that are durable, observable, and easy to extend.

Skills

TypeScript

Node.js

React

MongoDB

Cloud services (AWS and/or GCP)

Testing best practices

Data modeling

Job description

Engineering at Milo & Mew builds the systems that make excellent care scalable—inside the clinic and beyond it. We partner closely with clinical leadership and operations to translate real workflows into software that is fast, reliable, and calm to use.Our bar is simple: the product should reduce friction for teams, increase clarity for pet parents, and hold up under real-world complexity—high volume, high emotion, and high trust.

About the Role

As a Senior Software Engineer, Full Stack, you will own meaningful parts of our platform end-to-end—from backend services and data models to the front-end experiences teams rely on every day.You'll work with product, design, and clinical partners to ship features that improve patient flow, communication, and operational consistency, while keeping performance, privacy, and reliability at the center.

In this role, you will:

• Build and ship end-to-end features that improve the care experience for pet parents and the day-to-day workflows for clinic teams
• Own backend services and APIs, ensuring correctness, performance, and clear interfaces for product surfaces
• Develop clean, maintainable front-end experiences with strong UX fundamentals and attention to detail
• Design data models and persistence patterns that are durable, observable, and easy to extend
• Partner cross-functionally to define scope, make tradeoffs, and deliver high-quality outcomes on realistic timelines
• Raise the engineering bar through code review, system design, testing discipline, and thoughtful technical leadership
• Improve platform reliability through monitoring, incident learnings, and preventative engineering
• Build with trust in mind—privacy, security, and safe handling of sensitive information by default
• Deliver full-stack contributions across our core systems, including: internal tooling for clinic operations and staff workflows, client-facing booking, messaging, and care-plan experiences, integrations with external services and data sources, performance and reliability improvements across critical paths

You might thrive in this role if you:

• Care about shipping real products that hold up in real life—not just in demos
• Bring strong judgment and can simplify complex problems into clear, buildable solutions
• Write clean, readable code and invest in systems that other people can successfully extend
• Communicate clearly with technical and non-technical partners, especially when tradeoffs are required
• Enjoy building in a high-trust domain where quality and reliability genuinely matter

Qualifications

• 8+ years of professional software engineering experience, with significant backend ownership
• Strong TypeScript and Node.js experience building production services and APIs
• Experience with modern frontend development using React and TypeScript; Tailwind experience is a plus
• Hands-on experience with MongoDB (or comparable document or relational databases) and practical data modeling skills
• Experience shipping cloud-native systems on AWS and/or GCP, including observability and operational readiness
• Strong testing and quality practices, including unit, integration, and end-to-end approaches where appropriate
• Comfort working in ambiguous, fast-moving environments and turning requirements into shipped outcomes

What We'll Offer You

• Competitive compensation and meaningful equity ownership
• Performance bonus opportunity (role dependent)
• Comprehensive health, dental, and vision coverage
• Retirement plan support with employer contributions (where available)
• No non-compete agreements—ever
• Clear growth paths and leadership development opportunities
• Four weeks of paid time off
• Paid parental leave
• Paid company holidays
• Monthly Health & Wellness stipend
• Learning support for professional development (conferences, courses, continuing education)
• Discounted veterinary care and pet-care benefits
• The chance to make a tangible impact on your team, your clients, and your community
• A collaborative team that lives our values and shows up for each other

About Milo & Mew

Milo & Mew is building veterinary clinics that feel better to walk into—and better to work in. We're rethinking the care experience end-to-end: clearer communication, calmer spaces, and systems that support clinicians and staff so they can focus on what matters—great medicine and genuine connection.

We believe the best care is delivered by teams who feel supported, respected, and set up to succeed. To achieve that, we value different perspectives, lived experiences, and ways of working—and we build with that diversity at the center.

Equal Opportunity, Fair Chance, and Accommodations

Milo & Mew is an equal opportunity employer. We do not discriminate on the basis of any legally protected characteristic.

Background checks may be administered in accordance with applicable law, and qualified applicants with arrest or conviction records will be considered consistent with relevant local and state requirements.

We are committed to providing reasonable accommodations for applicants with disabilities throughout the recruitment process.

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