Staff Software Engineer (Full-Stack, Backend-Focused) – San Francisco, CA (Hybrid)

Prestigewfs; San Francisco, Northern (CA, KY); Hybrid; USD 180,000 - 240,000; Full time

Job summary

Prestige Workforce Solutions, partnering with a healthcare software startup, seeks a Staff Software Engineer (full-stack with backend focus) in a hybrid San Francisco role. You will build end-to-end features using TypeScript, React, PostgreSQL, and AWS Lambda, and shape scalable systems for clinical environments.

You will ship LLM-powered user-facing features, work with AI tools like ChatGPT and Copilot, and own projects from idea to launch while collaborating with product and clinical teams.

Qualifications

• 4–8 years of full-stack engineering experience.
• Strong proficiency in TypeScript and system design.
• Experience designing complex production systems and infrastructure.
• Experience working in early-stage startups (pre-Series C).
• Comfortable working with AI tools and LLMs.

Responsibilities

• Build end-to-end product features using TypeScript, React, PostgreSQL, and AWS Lambda.
• Design scalable and reliable systems for clinical environments.
• Define and ship LLM-powered user-facing features that improve hospital workflows.
• Use modern AI development tools to accelerate development.
• Own projects from concept through architecture, launch, and iteration.
• Collaborate closely with product and clinical teams.

Skills

Full-stack engineering

System design

Ownership

Tools

TypeScript

React

PostgreSQL

AWS Lambda

Job description

Prestige Workforce Solutions is partnering with a venture-backed healthcare software startup to find an experienced Staff Software Engineer (Full-Stack, Backend-Focused). This hybrid role in San Francisco offers the opportunity to shape AI-powered tools that improve hospital workflows and patient experiences.

Position Overview

As a Staff Software Engineer, you will build end-to-end product features using TypeScript, React, PostgreSQL, and AWS Lambda. You will design scalable systems for clinical environments, ship LLM-powered user-facing features, use modern AI development tools, own projects from idea through launch, and collaborate closely with product and clinical teams.

Key Responsibilities

• Build end-to-end product features using TypeScript, React, PostgreSQL, and AWS Lambda
• Design scalable and reliable systems for clinical environments
• Define and ship LLM-powered user-facing features that improve hospital workflows
• Use modern AI development tools (Cursor, ChatGPT, GitHub Copilot) to accelerate development
• Own projects from concept through architecture, launch, and iteration
• Collaborate closely with product and clinical teams

Qualifications

• 4–8 years of full-stack engineering experience
• Strong proficiency in TypeScript and system design
• Experience designing complex production systems and infrastructure
• Experience working in early-stage startups (pre-Series C)
• Comfortable working with AI tools and LLMs
• Clear communicator with a strong sense of ownership

Nice-to-Have

• Experience mentoring or managing contractors
• Experience in healthcare or regulated environments

Not a Fit If

• You are uncomfortable using AI-assisted development tools
• Your background consists of short-term contracts or frequent job hopping
• You prefer narrowly scoped tickets over full project ownership

Why This Role?

• Backed by top healthcare investors
• Experienced founders who have built and scaled companies before
• Early traction in a $20B+ market
• AI-first mindset with real production impact
• Opportunity for significant influence on a small team without bureaucracy