Staff Software Engineer - Fullstack

Summary

Join Pair Team as a Senior Fullstack Engineer and become a key technical leader, driving the evolution of our care delivery platform. Lead the development of end-to-end product features, set technical direction, and solve high-leverage technical problems. Collaborate with cross-functional teams to deliver patient-centered solutions, mentor engineers, and drive alignment between technical execution and business goals. This is a high-impact opportunity to blend technical leadership with mission-driven product work, building systems that improve access to care for underserved communities. You will be a recognized leader, respected for technical ability, direction-setting, and ability to navigate ambiguity. This role requires deep technical expertise and a commitment to building technology that serves individuals facing complex needs.

Requirements

• 5+ years of experience as a high-impact individual contributor, building and scaling user-facing products in a startup or similarly fast-paced environment
• Proven ability to design and deliver complex, full-stack web applications across both frontend and backend systems
• Strong experience with relational database design and data modeling
• Proficiency with modern web frameworks—React and Ruby on Rails experience preferred
• Familiarity with cloud infrastructure and deployment, especially within AWS
• Comfortable navigating ambiguity, owning technical decisions end-to-end, and aligning solutions with product and operational goals
• Deeply mission-aligned—motivated to build technology that serves individuals facing complex needs such as homelessness, severe mental illness, and substance use disorder

Responsibilities

• Lead the development of end-to-end product features, with a focus on long-term scalability, performance, and impact
• Set technical direction and architectural standards across projects and pods
• Identify and solve high-leverage technical problems, balancing speed with thoughtful design
• Collaborate closely with product, design, clinical, and operations teams to deliver cohesive, patient-centered solutions
• Serve as a technical mentor and multiplier—uplifting the team’s capabilities and contributing to our engineering culture
• Drive alignment between technical execution and business goals, ensuring measurable outcomes

Benefits

• Competitive salary: $205,000 - $240,000
• Equity compensation package
• Flexible vacation policy – take the time you need to recharge
• Comprehensive health, vision & dental insurance
• $50 employer contribution to active HSA accounts
• 401k through Guideline
• Life insurance and AD&D
• Work entirely from the comfort of your own home
• Monthly $100 work from home expense stipend
• We provide the equipment needed for the role
• Opportunity for rapid career progression with plenty of room for personal growth!