Senior Software Engineer, Fullstack

25madison LLC; San Francisco (CA); On-site; USD 180,000 - 210,000; Full time

Job summary

Midi Health is seeking an experienced full-stack engineer to design, build, and deliver patient, clinician, and operations features end-to-end. You will collaborate with product, design, marketing, clinical, and operations teams to translate ambiguous problems into shipped software.

You will write scalable code, contribute to architecture decisions, and uphold code quality with automated testing and CI/CD. A strong emphasis on mentorship and proactive ownership defines the role at Midi Health.

Qualifications

• 6+ years of experience building and shipping full-stack web applications at production scale.
• Strong hands-on coding skills in a modern web stack — we use Django/DRF and React/Next.js, but equivalent experience is fine
• Seasoned at system design: you can take an ambiguous product problem and produce a clean, pragmatic architecture
• Solid command of AI coding tools; comfortable adopting and applying the workflows the team converges on
• Good mentorship instincts — you share context generously and help peers grow through code review and pairing
• Strong written and verbal communicator; collaborates well with non-engineering stakeholders
• Proactive ownership mindset; advocate for automated testing, CI, and high code quality
• Low-ego, curious, humble

Responsibilities

• Design, build, and own full-stack features end-to-end across our patient, clinician, and operational products
• Partner closely with product, design, marketing, clinical, and operations stakeholders to turn ambiguous problems into shipped software
• Write thoughtful, scalable code that balances speed of execution with long-term maintainability
• Contribute to architecture decisions and raise the bar for code quality, testing, and CI/CD practices
• Review code, participate in technical discussions, and help teammates level up
• Use AI coding tools every day to multiply your output and help the team adopt better workflows

Skills

Full-stack web development

System design

Communication

Mentorship

Ownership

AI coding tools familiarity

Tools

Django/DRF

React/Next.js

Claude Code

Cursor

Copilot

CI/CD tooling

Job description

Location: Hybrid- San Francisco OR Palo Alto Office, Tuesday/Thursday
Job Type: Full-time W2

About Midi Health

Midi Health is the largest virtual care clinic for women in midlife navigating perimenopause, menopause, and other hormonal transitions. We combine expert clinicians, evidence-based protocols, and a modern technology platform to deliver care that has historically been underserved by the healthcare system. We're a fast-growing, mission-driven company building the infrastructure and products that define this new category of care.

How We Work

• Hybrid by design. Two days a week in-office (Tuesday and Thursday) in Palo Alto or San Francisco. We believe high-trust teams are built in person and scaled remotely.
• AI-native engineering. We expect every engineer to be fluent with modern AI coding tools (Claude Code, Cursor, Copilot, and similar) and to actively push the frontier of how we build software.
• Low-ego, high-curiosity. We approach disagreement with humility and technical rigor, not politics. We invest in each other's growth.
• Outcome-oriented. We move fast, own our work end-to-end, and balance speed with the durability that healthcare demands.

The Difference You Will Make

You will join a team building the products that power Midi's care — spanning the patient journey (discovery, booking, ongoing care) and the clinician and operational surfaces that deliver that care at scale. You'll drive significant projects from early brainstorming through architecture, execution, rollout, and iteration, shipping user-facing software that meaningfully changes how women experience healthcare.

What You Will Do

• Design, build, and own full-stack features end-to-end across our patient, clinician, and operational products
• Partner closely with product, design, marketing, clinical, and operations stakeholders to turn ambiguous problems into shipped software
• Write thoughtful, scalable code that balances speed of execution with long-term maintainability
• Contribute to architecture decisions and raise the bar for code quality, testing, and CI/CD practices
• Review code, participate in technical discussions, and help teammates level up
• Use AI coding tools every day to multiply your output and help the team adopt better workflows

About You

• 6+ years of experience building and shipping full-stack web applications at production scale
• Strong hands‑on coding skills in a modern web stack — we useDjango/DRF and React/Next.js, but equivalent experience is fine
• Seasoned at system design: you can take an ambiguous product problem and produce a clean, pragmatic architecture
• Solid command of AI coding tools; comfortable adopting and applying the workflows the team converges on
• Good mentorship instincts — you share context generously and help peers grow through code review and pairing
• Strong written and verbal communicator; collaborates well with non‑engineering stakeholders
• Proactive ownership mindset; advocate for automated testing, CI, and high code quality
• Low-ego, curious, humble

Nice to Have

• Experience in healthcare, EHR integrations, or other regulated domains
• Prior consumer-facing startup experience

Interview Process:

• Recruiter Screen (30 min)
• Hiring Manager Screen (45 min)
• Live Technical Assessment (2 hours: 2 x 60 min sessions)
• On-Site Interview and lunch (3 hours)

At this time, Midi Health is not able to sponsor or take over sponsorship of any employment visa (including H-1B, TN, or other work authorization). Applicants must be authorized to work in the U.S. without current or future visa sponsorship.

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At Midi Health, we are committed to pay transparency and equity. The estimated salary range for this role is $180,000-$210,000 per year, based on factors such as experience and skills. In addition to base salary, employees are eligible for a wide range of benefits and equity in the company,

We believe in fair and competitive compensation practices that align with our values of equity and inclusion. If you have any questions about how we determine pay, we’re happy to discuss further in the hiring process.

At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs.

Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at [e-mail].

Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history.

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