Staff Full-Stack Engineer

requirements - Define and maintain shared component libraries, design system, and development infrastructure

WHAT WE'RE LOOKING FOR - 7+ years of production full-stack engineering experience, with significant time at elite engineering organizations - Expert-level React/TypeScript skills with deep understanding of performance, rendering, and state management - Strong experience building Python backend services, REST APIs, and distributed systems - Proven track record designing systems that scale—you've built and operated high-traffic production applications - Deep understanding of real-time systems (WebSockets, streaming, event-driven architectures) - Experience with relational databases, data modeling, query optimization, and caching strategies - History of establishing engineering standards and mentoring engineers - Extremely high standards for code quality, reliability, and operational excellence - Both execution-oriented and defensive-minded: you ship fast while anticipating failure modes - Strong product instincts—can translate ambiguous

requirements into robust technical solutions - Excellent written and verbal communication across engineering and executive stakeholders

NICE TO HAVE - Experience with healthcare applications or regulated industries (HIPAA, SOC 2) - Background with voice/telephony systems or real-time communication protocols - Experience building no-code/low-code platforms or developer tools - Track record building and scaling engineering teams - Understanding of accessibility

requirements for clinical software - Experience with mobile development (React Native, iOS, Android)

BENEFITS (AVAILABLE TO FULL-TIME EMPLOYEES) HEALTH & WELLNESS - Comprehensive health, dental, and vision insurance - Daily catered lunch and dinner - Mental health support and wellness coaching - Flexible wellness stipend for fitness, therapy, or personal growth GROWTH & DEVELOPMENT - Annual learning budget for courses, books, or conferences - Conference attendance budget for professional development - Annual team offsite - Academic collaboration opportunities - Unlimited PTO OUR CORE VALUES 1. Patients Win, We Win If patients aren't getting better care, we haven't earned the right to scale. Every internal decision gets pressure-tested: does this make patients' lives better? If we can't draw the line, we question why we're doing it. 2. High Standards, High Care We hold a high bar for

the team because patients are counting on us to get this right. But high standards only work with genuine investment in each other. You can take risks, admit mistakes, and challenge ideas—not despite our standards, but because of them. 3. Thoughtful Urgency We move fast by default, but speed without judgment is recklessness. The discipline is knowing which decisions are reversible vs. not. In healthcare AI, the companies that win will be fast everywhere they can be and careful everywhere they must be. We build the muscle to do both. 4. Intensely Measured We instrument patient outcomes, provider ROI, system performance, and clinical accuracy. But data without action is surveillance. Every metric should have an owner, a threshold, and a response plan. If we're measuring something but never acting on it, we stop measuring it. WHO BUILDS WITH US - Low ego: Politics and territory don't interest you. The best ideas win, regardless of who has them. - Direct: You say the hard thing, challenge ideas openly, and commit fully once decided. - High agency: You thrive on trust rather than instruction. When you see something is broken, you fix it. You don’t file tickets and wait for someone else. - Bar of excellence: You hold yourself to a bar most people wouldn't, and you want teammates who do the same. - Skeptical: You push back on rules that don’t make sense and question assumptions that haven’t earned their place.

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If they’re a yes, I book the chat. You show up — that’s the whole job-hunt.