Senior Full Stack Software Engineer

Pine Park Health; United States; Remote; USD 100,000 - 130,000; Full time

Job summary

A healthcare technology company is seeking a Senior Fullstack Software Engineer to lead product strategy and technical architecture. This role requires deep expertise in modern frontend frameworks, NodeJS backend development, and building LLM-based features to enhance clinical workflows. The ideal candidate will have over 5 years of experience in fast-paced environments and a strong product mindset, focusing on both technical excellence and practical delivery. This position offers a comprehensive benefits package and a remote-friendly culture.

Benefits

Stock Option Plan

Medical, Vision, and Dental Insurance

401K Retirement Plan

Mileage and Cell Phone Reimbursement

Professional and Personal Development Annual Allowance

FSA and Dependent Care FSA

10 Paid Holidays

Paid Time Off

Paid Sick days

Qualifications

• 5+ years of hands-on engineering experience in fast-paced startup environments.
• Proven track record of shipping complex features end-to-end.
• Strong product intuition and ability to challenge requirements.
• Experience making architectural decisions that stood the test of time.

Responsibilities

• Partner with product managers to shape product strategy.
• Lead technical architecture discussions.
• Design and implement scalable systems.
• Drive engineering excellence through mentorship.
• Identify opportunities for system improvements.

Skills

Hands-on engineering experience in startup environments

Product intuition

Architectural decision-making

Modern frontend frameworks (React)

NodeJS backend development

Database design and optimization (PostgreSQL)

Building LLM-based features in production

Tools

React

NodeJS

GCP

React Native

Job description

The Opportunity

We're looking for a Senior Fullstack Software Engineer who embodies the qualities that make our current team exceptional: technical excellence combined with sharp product intuition. This role goes beyond just writing code – you'll be a key player in shaping our technical strategy and product decisions.

What Sets Our Team Apart

• We're builders who understand the "why" behind every feature and can see the entire system holistically
• We know when to make pragmatic trade-offs between perfect code and shipping valuable features
• We maintain high standards while being practical about delivery timelines
• We think strategically about technical decisions and their long-term impact
• We're comfortable with the ambiguity and rapid iteration typical in a fast-growing startup

What You’ll Do

• Partner with product managers to shape product strategy, focusing on impactful solutions rather than just technical elegance
• Lead technical architecture discussions with an emphasis on practical, scalable solutions that align with business goals
• Design and implement systems that balance immediate needs with long-term scalability
• Make pragmatic decisions about technical debt, knowing when to optimize and when to ship
• Drive engineering excellence through mentorship, code reviews, and fostering a culture of continuous improvement
• Lead complex technical initiatives from conception to deployment across our full stack
• Proactively identify opportunities for system improvements while maintaining focus on business priorities
• Design and implement AI-powered features using LLMs to enhance clinical workflows and improve patient care delivery

What We’re Looking For

• 5+ years of hands-on engineering experience in fast-paced startup environments
• Proven track record of shipping complex features end-to-end
• Strong product intuition and ability to challenge requirements when necessary
• Experience making architectural decisions that stood the test of time
• Deep expertise in modern frontend frameworks (React preferred) and NodeJS backend development
• Strong understanding of database design and optimization (PostgreSQL)
• Experience building and shipping LLM-based features in production environments

Key Qualities

• Bias toward action: You know when to dive deep and when to move fast
• Systems thinking: You can see how individual components fit into the larger architecture
• Product mindset: You understand user needs and business impact, not just technical requirements
• Pragmatic perfectionism: You know when to make trade-offs between perfect and practical
• Leadership potential: You raise the bar for the entire team through your work and mentorship

Technical Skills

• Frontend: Advanced React, state management, performance optimization
• Backend: NodeJS ecosystem (Remix, Next.js, or similar), API design
• DevOps: Cloud infrastructure (GCP), CI/CD pipelines
• Mobile: Experience with or strong interest in React Native
• AI/ML: Experience developing LLM-powered features and integrating AI models into production applications
• Experience leveraging LLMs and AI tools to enhance development productivity

Why You’ll Love Us

• We're a team of pragmatic builders focused on making real impact in healthcare
• We maintain high standards while staying humble
• We believe in sustainable pace and long-term thinking
• Remote-friendly culture with regular in-person team off-sites
• Comprehensive benefits package including equity, healthcare, and professional development

Benefits Designed For You and Yours

• Stock Option Plan
• Medical, Vision, and Dental Insurance
• 401K Retirement Plan
• Mileage and Cell Phone Reimbursement
• Professional and Personal Development Annual Allowance
• FSA and Dependent Care FSA
• 10 Paid Holidays
• Paid Time Off
• Paid Sick days

If you're energized by the challenge of building impactful healthcare technology and want to join a team that values both technical excellence and practical delivery, we'd love to talk to you.

Equal Employment Opportunity: Pine Park Health is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected status. We encourage candidates from all backgrounds to apply.