Full-Stack Engineer
Summary
Full-stack engineer on Surgo Health's R&D team building Derin, an LLM-led interview platform for healthcare research. You ship features end to end: Next.js/React frontends, NestJS/Prisma and Python FastAPI APIs on PostgreSQL, working AI-first with tools like Claude Code and Cursor.
- Work AI-first: use AI agents (Claude Code, Cursor and others) throughout your day to design, build, debug and optimize, and help the team keep raising the bar on AI-assisted engineering
- Build and evolve Derin's client-facing results dashboard and participant web app in Next.js and React (TypeScript), from data visualizations and filters to multilingual survey experiences
- Design and implement the APIs behind them (NestJS, Prisma, PostgreSQL), and contribute to our Python services (FastAPI), including access control, exports and data-retention features
- Turn product requirements and designs into well-structured, reusable components in our shared design system
- Keep the product fast and reliable at scale: server-side rendering, caching, pagination and performance tuning on large datasets
- Own the quality of what you ship: automated tests, code reviews and observability
- Help run our release process (develop → stage → production), including hotfixes and dependency and security updates
- Build security and privacy into how we handle sensitive participant data, in a SOC 2 and HIPAA-compliant environment
- Collaborate closely with product managers, designers, researchers and backend/data engineers
- Contribute to shaping our engineering culture as we grow
- You have at least 3 years of professional experience building web applications with TypeScript
- You have strong, production experience with React and Next.js (App Router, server components/SSR)
- You have built and maintained backend APIs on a relational database, ideally PostgreSQL: in Node.js (NestJS or similar) and in Python (FastAPI or similar). TypeScript is your strongest language, and you are productive in Python too: you can read, change and ship code in our Python services
- You have hands-on experience with Microsoft Azure (required)
- You have built data-heavy interfaces: dashboards, charts (e.g. Recharts, D3), tables and complex filters
- You value testing (Jest, React Testing Library, Playwright, pytest or similar), code review and CI/CD
- Experience with a component library or design system (e.g. MUI) and with internationalization (i18n) is a plus
- Experience with LLM-powered features (chat interfaces, streaming responses, AI-generated content) is a strong plus
- You are AI-native: you use agentic tools such as Claude Code and Cursor every day to design architectures and diagrams, write and review code, debug and improve performance. You know how to set them up (context, rules, MCP servers, subagents) and when not to trust their output. Surgo is an AI-driven company that uses AI for almost everything we do, not only code, and our interview process asks you to show how you work with it
- You hold a University degree in Computer Science or a related field
- You are independent, proactive, and able to deliver features end to end with minimal supervision
- You are fluent in English, both written and spoken, and comfortable working remotely with substantial overlap with US Eastern and UK hours
- Fantastic, fun and collaborative colleagues; opportunity to solve tough challenges in healthcare
- Ability to be entrepreneurial and tremendous opportunities for growth
- Public Benefit Corporation with an impact and equity mission
- Competitive compensation
- Professional development opportunities