Staff Software Engineer

EngagedMD, LLC; Northern (KY); Hybrid; USD 140,000 - 190,000; Full time

Benefits offered by this job

Equity

Medical/dental/vision

Open PTO

Paid family leave

Paid holidays

401(k)

Job summary

EngagedMD is seeking a senior backend engineer to join our fully remote team in the United States. You will design, build, and scale backend services in TypeScript and Node.js, partnering with Product, Design, and Customer Success to translate goals into reliable systems.

You will mentor engineers, own complex domains end-to-end, and help define standards for observability, security, and performance across the stack.

Qualifications

• 8+ years of professional software engineering experience with backend focus.
• Deep expertise in TypeScript and production backend services.
• Strong system design skills for large-scale systems.
• Autonomous and decisive in ambiguous environments.
• Translate product goals into pragmatic engineering solutions.

Responsibilities

• Design, build, and maintain backend services and APIs using TypeScript/Node.js.
• Lead system design for new and existing platforms with scalability and reliability.
• Own complex backend domains end-to-end from design to operation.
• Collaborate with Product, Design, frontend, and Customer Success teams.
• Drive technical direction, observability, and performance standards.
• Mentor engineers through reviews and technical discussions.

Skills

TypeScript

Node.js

Backend development

System design

Autonomous work

Cross-functional collaboration

Mentoring

Communication

Education

Bachelor's degree or equivalent

Tools

AWS

Docker

Kubernetes

PostgreSQL

Job description

Join a winning Team

EngagedMD is a Patient Journey Management solution for specialty care that helps practices improve patient experience, reduce administrative burden, and convert more patients to care, faster.

We embrace a mission-driven culture where committed individuals come together to make a real impact in healthcare. Join us today in our mission to help carers carry on caring.

You’re an experienced engineer with exceptional skill, judgment and leadership ability, capable of making an impact across our product ecosystem. We’re EngagedMD, a Patient Journey Management solution, used by more than 3 million users nationwide and internationally since its launch. We continue to see enormous growth and adoption from medical clinics across multiple markets. This is an exciting opportunity to join us in our mission to help carers carry on caring.

At EngagedMD, Staff Engineers play a key role not only in building software, but also in shaping how technical solutions are defined and executed. Our Product team defines priorities, customer needs, and desired outcomes and engineers partner closely in shaping the implementation approach and execution strategy needed to deliver those outcomes effectively.

You will have the opportunity to architect backend infrastructure, develop new features for our customers, and collaborate closely with our Platform, Product, Design, and Customer Success teams to turn complex business and user needs into scalable, maintainable product capabilities.

This fully remote role reports to our Director of Engineering and candidates are required to reside in the United States. This role requires legal authorization to work in the United States. EngagedMD is unable to sponsor current H1B visa holders for this role.

What You’ll Do

• Design, build, and maintain backend services and APIs using TypeScript and modern Node.js frameworks
• Lead system design efforts for new and existing platforms, including data modeling, scalability, reliability, and long-term maintainability considerations
• Own complex backend domains end-to-end, from initial solution design through implementation, deployment, and long-term operation
• Collaborate closely with Product, Design, frontend, infrastructure, and Customer Success teams to translate product goals and customer needs into clear technical execution plans
• Propose and refine implementation approaches, including technical tradeoffs, sequencing, scope definition, and operational considerations
• Break down ambiguous initiatives into actionable engineering work with clear assumptions, risks, and dependencies
• Drive technical direction and standards across the backend stack, including coding practices, observability, error handling, maintainability, and performance
• Make pragmatic technical decisions that balance delivery speed, system quality, maintainability, and user impact
• Identify and proactively address technical debt, scalability bottlenecks, security concerns, and operational risks
• Use modern tooling, automation, and AI-assisted development workflows to improve engineering efficiency and execution velocity
• Mentor and support engineers through code reviews, design discussions, technical guidance, and collaborative problem-solving
• Contribute to incident response, root-cause analysis, and improvements to system resiliency and operational maturity

Technical Focus Areas

• TypeScript and Node.js backend development
• React frontend workflows
• API design (REST,, or equivalent)
• Scalable application architecture and backend systems design
• Databases, schema design and data consistency
• Cloud-based deployments and production operations
• System reliability, observability, and operational excellenceTechnical planning, solution decomposition and execution strategy

What You’ll Bring

• 8+ years of professional software engineering experience, with significant backend focus
• Deep expertise in TypeScript and building production backend services
• Strong system design skills, with experience designing and evolving large-scale or business-critical systems
• Proven ability to operate autonomously and make sound technical decisions in ambiguous environments
• Ability to translate high-level product goals into pragmatic, executable engineering solutions
• Strong problem decomposition and technical planning skills
• Excellent written and verbal communication skills; able to clearly explain technical concepts, tradeoffs, and implementation decisions to engineers and non-engineers alike
• Experience balancing long-term architectural quality with short-term delivery needs
• Strong collaboration skills and comfort working cross-functionally with Product, Design, and customer-facing teams
• Ability to understand customer workflows and evaluate technical decisions in the context of user impact
• Comfort working in a fast-paced, AI-assisted engineering environment with high expectations around ownership and execution
• A mission-driven orientation to all you do
• Ability to thrive in a small, fast-paced organization
• Bachelor’s degree or equivalent career experience

It’s Also Nice If You…

• Have at least a passing familiarity with the fertility industry and/or experience in healthtech with a focus on patient journey software
• Have successfully worked remotely with distributed teams in the past

What We Offer

• Competitive compensation and equity
• Medical, dental, and vision coverage heavily subsidized by the company
• Open Paid Time Off
• Paid family and medical leave
• Generous paid holidays
• 401(k) retirement savings plan

EngagedMD is an equal opportunity employer. We’re committed to diversity, equity, and inclusion. We believe our company and products are made better by the varied perspectives of our employees, each of whom we seek to empower and support in their individuality. We hire our team members on the basis of merit, qualifications, and the needs of our business in order to best achieve our mission to help carers carry on caring. Pursuant to this commitment, EngagedMD will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact [e-mail].

About EngagedMD

EngagedMD is a Patient Journey Management solution for specialty care that helps practices improve patient experience, reduce administrative burden, and convert more patients to care, faster.

We embrace a mission-driven culture where committed individuals come together to make a real impact in healthcare. Our core values of integrity, collaboration, impact, recognition and growth inform how we work together. They also make possible our culture of belonging and excellence where our team members can be themselves, grow professionally, do their best work, and be rewarded for it. Join us today in our mission to help carers carry on caring.

What We Offer

• Competitive compensation and equity
• Medical, dental, and vision coverage heavily subsidized by the company
• Open Paid Time Off
• Paid family and medical leave
• Generous paid holidays
• 401(k) retirement savings plan

EngagedMD is an equal opportunity employer. We’re committed to diversity, equity, and inclusion. We believe our company and products are made better by the varied perspectives of our employees, each of whom we seek to empower and support in their individuality. We hire our team members on the basis of merit, qualifications, and the needs of our business in order to best achieve our mission to make life easier for the clinics and patients we serve.

About EngagedMD

EngagedMD is a Patient Journey Management solution for specialty care that helps practices improve patient experience, reduce administrative burden, and convert more patients to care, faster.

We embrace a mission-driven culture where committed individuals come together to make a real impact in healthcare. Our core values of integrity, collaboration, impact, recognition and growth inform how we work together. They also make possible our culture of belonging and excellence where our team members can be themselves, grow professionally, do their best work, and be rewarded for it. Join us today in our mission to help carers carry on caring.