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Principal TypeScript Engineer - AI-Driven Healthcare Backend

Summary

Owns delivery and sets technical direction for backend systems/architecture, partners with leadership to scale the platform. Core technologies: TypeScript, Node.js, NestJS.

Alaaffia Health in New York (SoHo) is hiring a Principal Engineer focused on backend systems and architecture across multiple teams. You will own delivery, set technical direction, and partner with product and business leadership to scale our platform.

We look for real hands-on TypeScript backend depth (Node.js, NestJS or similar), 15+ years of experience, and comfort with healthcare or regulated-data environments. This is a hybrid role with four days a week in the NYC office.

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