Senior and Lead Fullstack Engineer

About the job

We’re hiring a Senior and Lead Fullstack Engineer to help build next-generation healthcare technology systems — from scalable backend architectures to seamless front-end experiences. If you’re hands-on with Node.js, React, and modern cloud tech — and excited about building products that impact lives through healthcare innovation — this role is for you. What You’ll Work On • Architect and lead the design of secure, scalable, and HIPAA-compliant healthcare systems • Build and enhance backend microservices (Node.js/NestJS, Python) and front-end applications (React, React Native) • Collaborate with product and data teams to deliver full-stack features and integrations • Mentor engineers and set technical standards for clean, high-performance code • Drive innovation by exploring AI/ML use cases and data-driven features • Monitor, optimize, and improve application reliability, performance, and scalability What You Bring Lead position (10+ years with 3+ years in a technical lead/architect role) • Deep expertise building scalable production systems using Node.js (NestJS) and React.js • Excellent knowledge of backend REST API design, database architecture, SQL, authentication (JWT/session), async programming, ORM (Prisma), and DevOps/cloud deployment (AWS/GCP, Docker, CI/CD) • Strong frontend fundamentals: React hooks, state, props, lifecycle, performance optimizations, code splitting, error boundaries, Context/Redux, CSS/responsive UI, debugging • Demonstrated leadership in fast-paced or startup environments, with experience guiding teams, solutioning, and client engagement • Awareness of healthcare standards (EHR, FHIR, HIPAA), cloud-native concepts, and compliance • System architecture/design experience with large scale integrations and event-driven systems • Hands-on Data Structures Senior position (6-10 years): • Strong hands-on delivery in Node.js, React.js, and supporting technologies • REST API development (Node.js), SQL: schema design, queries/joins, indexing • React fundamentals: hooks, state, component structure, performance, error boundaries, state management (Context/Redux), CSS, debugging • Basic cloud (AWS/GCP, Docker), DevOps (CI/CD), and ORM (Prisma/TypeORM) exposure • TypeScript: interfaces, enums, types, generics, custom types • Familiarity with GraphQL, healthcare data standards, cloud-native patterns • Hands-on Data Structures Bonus Points • Experience integrating healthcare systems (Elation, Athena, eCW, HIE, or claims pipelines) • Familiarity with Twilio, Mailgun, wearable APIs, or BI tools (Power BI, BigQuery) • Exposure to Value-Based Care (VBC) programs or US healthcare startups

Requirements

• Node.js
• React
• Modern cloud tech
• Python
• Microservices
• AI/ML
• Data Structures
• Frontend development
• Backend development

Qualifications

• 10+ years of experience (Lead)
• 6-10 years of experience (Senior)
• Strong hands-on delivery
• Experience guiding teams

Preferred Technologies

• Node.js
• React
• Modern cloud tech
• Python
• Microservices
• AI/ML
• Data Structures
• Frontend development
• Backend development