Senior Full Stack Software Engineer

Summary

Join Pine Park Health, a fast-growing healthcare technology company, as a Senior Fullstack Software Engineer. You will play a key role in shaping our technical strategy and product decisions, partnering with product managers to develop impactful solutions. This position requires 5+ years of experience in fast-paced startup environments and expertise in modern frontend and backend development, including experience with LLMs and AI. We offer a remote-friendly culture, comprehensive benefits, and opportunities for professional development. If you are a pragmatic builder with a passion for healthcare technology and a commitment to technical excellence, we encourage you to apply.

Requirements

• 5+ years of hands-on engineering experience in fast-paced startup environments
• Proven track record of shipping complex features end-to-end
• Strong product intuition and ability to challenge requirements when necessary
• Experience making architectural decisions that stood the test of time
• Deep expertise in modern frontend frameworks (React preferred) and NodeJS backend development
• Strong understanding of database design and optimization (PostgreSQL)
• Experience building and shipping LLM-based features in production environments
• Bias toward action: You know when to dive deep and when to move fast
• Systems thinking: You can see how individual components fit into the larger architecture
• Product mindset: You understand user needs and business impact, not just technical requirements
• Pragmatic perfectionism: You know when to make trade-offs between perfect and practical
• Leadership potential: You raise the bar for the entire team through your work and mentorship
• Frontend: Advanced React, state management, performance optimization
• Backend: NodeJS ecosystem (Remix, Next.js, or similar), API design
• Database: PostgreSQL, query optimization, schema design
• DevOps: Cloud infrastructure (GCP), CI/CD pipelines
• AI/ML: Experience developing LLM-powered features and integrating AI models into production applications
• Experience leveraging LLMs and AI tools to enhance development productivity

Responsibilities

• Partner with product managers to shape product strategy, focusing on impactful solutions rather than just technical elegance
• Lead technical architecture discussions with an emphasis on practical, scalable solutions that align with business goals
• Design and implement systems that balance immediate needs with long-term scalability
• Make pragmatic decisions about technical debt, knowing when to optimize and when to ship
• Drive engineering excellence through mentorship, code reviews, and fostering a culture of continuous improvement
• Lead complex technical initiatives from conception to deployment across our full stack
• Proactively identify opportunities for system improvements while maintaining focus on business priorities
• Design and implement AI-powered features using LLMs to enhance clinical workflows and improve patient care delivery

Preferred Qualifications

Mobile: Experience with or strong interest in React Native

Benefits

• Remote-friendly culture with regular in-person team off-sites
• Comprehensive benefits package including equity, healthcare, and professional development
• Stock Option Plan
• Paid Parental Leave
• Medical, Vision, and Dental Insurance
• 401K Retirement Plan
• Mileage and Cell Phone Reimbursement
• Annual Wellness Allowance
• Professional and Personal Development Annual Allowance
• FSA and Dependent Care FSA
• 10 Paid Holidays
• Paid Time Off
• Paid Sick days