Staff Engineer

pagerhealth; United States; Remote; USD 190,000 - 210,000; Full time

Benefits offered by this job

Stock options

Medical

Dental and vision coverage

Financial and wellness benefits

Paid time off

Professional development support

Job summary

pagerhealth is seeking a staff-level lead engineer to design and deliver digital healthcare products, spanning architecture, full-stack development, and production operations. This remote-first role partners with product and design to align business goals with reliable software.

You will guide engineers, shape technical direction, and own delivery across multi-project initiatives while mentoring teams and improving CI/CD, testing, and infrastructure.

Qualifications

• Seven+ years designing large-scale distributed systems.
• Experience leading architecture and mentoring engineering teams.
• Strong collaboration and communication across varied audiences.
• Relational data modeling and query optimization.
• Hands-on with TypeScript/Next.js/NestJS/React, plus .NET/C#.
• Cloud (AWS/GCP), Docker/Kubernetes, IaC, databases and deployment pipelines.
• Willingness to participate in on-call rotation roughly every 2–3 months.

Responsibilities

• Design scalable, high-performing distributed systems and shape technical direction.
• Guide and mentor engineers, including senior colleagues, and promote sound practices.
• Build, review, and maintain application code across front-end and back-end services.
• Define requirements with product and design, aligning multi-project work with business goals.
• Drive delivery through planning, testing, deployment, and production monitoring; diagnose issues.
• Improve developer workflows, CI/CD, internal tooling, and infrastructure while reducing complexity.

Skills

Distributed systems design

Technical leadership

Collaboration & communication

Relational data modeling

Tools

TypeScript

Next.js

NestJS

React

.NET

C#

AWS

GCP

Docker

Kubernetes

Infrastructure as Code

Job description

Role overview

Lead engineering design and delivery for digital healthcare products that support patient access to care and enterprise collaboration. This staff-level role spans architecture, hands-on full-stack development, production operations, and technical mentorship, with close partnership across product and design to connect business goals with dependable software.

Responsibilities

• Design scalable, high-performing distributed systems and shape technical direction for new health and wellbeing experiences.
• Guide and mentor engineers, including senior colleagues, and promote sound engineering practices through reviews and shared standards.
• Build, review, and maintain application code across front-end and back-end services.
• Work with product, design, and engineering partners to define requirements and align multi-project work with business goals.
• Drive delivery through planning, implementation, testing, deployment, and production monitoring; diagnose performance and reliability issues.
• Improve developer workflows, automated testing, CI/CD, internal tooling, and infrastructure while reducing system complexity and technical debt.

Requirements

• At least seven years designing, building, and deploying large-scale distributed systems and microservices.
• Demonstrated ability to lead architecture and provide technical direction and mentorship to engineering teams.
• Strong collaboration and communication skills, including explaining technical decisions to varied audiences.
• Experience with relational data modeling and query optimization.
• Practical expertise in at least one of TypeScript, Next.js, NestJS, or React, plus hands-on .NET and C# experience.
• Cloud and infrastructure experience with AWS or GCP, containers such as Docker and Kubernetes, infrastructure as code, databases, and deployment pipelines.
• Willingness to take part in an incident escalation on-call rotation, approximately once every two to three months.

Benefits and work setup

The role is remote-first. The compensation range listed for certain US locations is $190,000-210,000; the package may also include

• stock options
• medical
• dental and vision coverage
• financial and wellness benefits
• paid time off
• professional development support