Senior Fullstack Engineer

Imagine Pediatrics; United States; Remote; USD 160,000 - 180,000; Full time

Benefits offered by this job

Health insurance

401(k) with 4% match

Paid new parent leave

PTO + holidays

Job summary

Imagine Pediatrics is seeking a Senior Fullstack Engineer to develop, maintain, and mature backend systems and architecture that enable care for special needs children. You will design, build, and scale backend services, integrate external APIs, and ensure secure, well‑documented production features.

You will collaborate in a remote Product Engineering team, communicating with stakeholders and contributing to data‑driven product decisions across the stack.

Qualifications

• Must be able to design and implement scalable backend architectures.
• Strong API design and integration capabilities.
• Experience in healthcare or virtual care a plus.

Responsibilities

• Design, build, and maintain backend applications, microservices, and APIs for scalability.
• Integrate third‑party APIs to enhance platform capabilities.
• Ensure backend systems are secure, well-documented, and tested.

Skills

Collaborative

API design

Healthcare experience

Remote collaboration

Tools

Node.js / TypeScript

AWS

Terraform

React

Job description

Who We Are

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.

What You’ll Do

As a Senior Fullstack Engineer with Imagine Pediatrics, you will be responsible for developing, maintaining, and maturing our backend systems and architecture that enable Imagine Pediatrics to seamlessly provide care for special needs children.

• Design, build, and maintain backend applications, microservices, and APIs that enable high scalability and performance


• Implement third-party integrations and external APIs to enhance the platform’s capabilities


• Ensure backend systems are secure, well-documented, and thoroughly tested


• Develop, test, and deliver client-facing, production-ready features


• Be a strong collaborator in a cross-disciplinary, remote Product Engineering team


• Effectively communicate while interacting with technical and non-technical audiences


• Communicate with business stakeholders to understand goals and translate them to technical architecture and requirements


• Have a collaborative, data-driven, and iterative approach to building products


• Estimate product scope and timelines


• Jump in to work on various parts of the stack as needed


• Perform other duties as assigned

What You Bring & How You Qualify

First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support they deserve.

• Deep understanding and experience with cloud-based services, service design patterns, data structures, data integrations


• A collaborative, client-friendly approach to API design


• Experience with modern technologies (NodeJS/Typescript (or similar languages), AWS, Terraform, React)


• Strong understanding and value for all the layers of a production system including data, internal and third-party integrations, testing, and user-facing clients


• Familiarity with AWS infrastructure


• Experience building highly scalable and performant backend services strongly preferred


• Experience working in a fast-paced, hypergrowth, collaborative environment


• Experience in healthcare / virtual care preferred, FHIR experience a bonus


• An understanding of web/mobile uses cases and a willingness to jump into different parts of the stack when needed

What We Offer (Benefits + Perks)

The role offers a base salary range of $160,000 - $180,000 in addition to annual bonus, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

We provide these additional benefits and perks:

• Competitive medical, dental, and vision insurance


• Healthcare and Dependent Care FSA; Company-funded HSA


• 401(k) with 4% match, vested 100% from day one


• Employer-paid short and long-term disability


• Life insurance at 1x annual salary


• 20 days PTO + 10 Company Holidays & 2 Floating Holidays


• Paid new parent leave


• Additional benefits to be detailed in offer

What We Live By

We’re guided by our five core values:

Our Values:

• Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future.


• Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments.


• Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale.


• Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve.


• One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward — together.

We Value Diversity, Equity, Inclusion and Belonging

We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We’re proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.