Senior SWE Full Stack

### About the Role We're an early-stage, venture-backed AI-native healthtech startup building an intelligent operating system that empowers nurse practitioners to launch and run their own independent clinics. Our platform replaces fragmented, manual healthcare infrastructure with a single, cohesive system — so clinicians can focus on care, not paperwork. We're hiring a **Senior Software Engineer, Full Stack** to build and own core product functionality across the stack. You'll design and implement the systems that power reliable clinical and operational workflows — from backend services and APIs to the frontend experiences that clinicians use every day. This role reports to the CTO. You do **not** need prior healthcare or FHIR experience. We care more about strong engineering fundamentals, sound technical judgment, and the ability to ramp quickly on a complex domain. **Work arrangement:** Hybrid — 3 days per week in our New York City office. ### What You'll Do * Build and own product features across the stack using **Python, Django, React, and Next.js** * Design and implement systems behind clinical and operational workflows, including scheduling, messaging, and practice operations * Build APIs, application logic, and integrations with clinical and third-party systems * Collaborate with engineers, designers, and clinical stakeholders to turn complex workflows into intuitive software * Debug and resolve production issues across the frontend, backend, and infrastructure * Design systems that remain reliable, maintainable, and predictable as the product scales * Contribute to system design, technical planning, architecture discussions, and code reviews * Incorporate AI coding tools (e.g. Claude Code, GitHub Copilot) into your daily development workflow ### Our Stack * **Backend:** Python, Django, django-ninja, Django Channels (async-first) * **Frontend:** Next.js, React * **Data:** PostgreSQL, pgvector, Redis * **Clinical:** Medplum, FHIR, WebSockets * **Infrastructure:** AWS, Kubernetes, Terraform, Datadog, GitHub Actions ### What We're Looking For ### Required (5–8 years of experience): * Strong ability to design and own backend services and APIs — including data modeling, service architecture, scalability, and reliability * Frontend development experience building usable, intuitive UI/UX for real users * Experience with asynchronous processing and workflow design for reliable, real-world operational tasks * Experience building integrations and interfaces between internal and external systems to support end-to-end workflows * Deep commitment to reliability, correctness, and writing maintainable, testable code * Based in New York City and available for a hybrid work schedule (3 days/week in office) * Must be eligible to work in the United States without visa sponsorship ### Nice to have: * Familiarity with FHIR, Medplum, or clinical data standards * Experience at a healthtech, care delivery, or clinical operations company * Comfort operating in an early-stage, fast-moving environment with a small engineering team ### Compensation & Benefits * **Salary:** $160,000 – $205,000 per year * ### Equity participation * **Visa sponsorship:** Not available — candidates must be authorized to work in the United States ### Location New York City, NY — Hybrid (3 days per week in office). Candidates must be local to or willing to relocate to the New York City area. Originally posted on [Himalayas](https://himalayas.app)