Senior Full Stack Engineer

What you'll do

The Senior Full Stack Engineer will work directly with our Chief Technology Officer to build and extend our AI-first technology suite. This role is central to our engineering strategy — you will use Claude Code and the Anthropic API daily to build intelligent clinical workflows, automate patient communication, and extend our no-code pathway builder with LLM capabilities.

You'll work across our three core products:

• No-code pathway builder for clinical journey design

• Communication management CRM for patient interactions

• Interoperability layer for real-time data feed ingestion

AI Engineering

• Build and maintain AI-powered features using Claude Code and the Anthropic API

• Design prompt engineering strategies for patient-facing and internal clinical workflows

• Integrate LLM capabilities responsibly within HIPAA-compliant systems

• Build guardrails and safety layers for AI-generated patient-facing content

• Evaluate new AI capabilities and determine production readiness

Full Stack Development

• Collaborate with the CTO to develop features and updates across our technology suite

• Develop, test, deploy, maintain, and improve software to meet clinical and product requirements

• Design and implement scalable APIs and data pipelines for real-time patient interactions

• Contribute to code reviews and architecture discussions

• Ensure all systems adhere to regulatory security standards (HIPAA, SOC 2)

• Scope projects from customer interviews and shadow sessions to drive product decisions

Communication

• Communicate effectively with clinical teams, business users, and external partners

• Mentor and support other team members in executing on product

• Foster cross-functional collaboration on system design and product scoping

Required Skills & Experience

• Claude Code & Anthropic API: Hands-on production experience required

• LLM Integration: Experience building with LLMs in production environments

• Full Stack: 5+ years across frontend and backend (React, Node.js, Python, or similar)

• Data Integration: Experience ingesting and normalizing third-party data feeds

• Healthcare/Regulated Tech: Understanding of HIPAA or similar compliance frameworks

• Startup Mindset: Comfortable with ambiguity, fast pace, and wearing multiple hats

Preferred Skills

• Experience with no-code/low-code platform development

• Workflow engine or rules engine design

• AI safety practices in regulated or sensitive domains

• Real-time communication systems at scale

Pay Range $175K-$250K depending on experience. Candidate needs to be located in San Francisco.

The above statements are intended to describe the general nature and level of the work being performed by people assigned to this job. They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it.

Rely Health does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Rely Health is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

Working Conditions
Requires frequent use of the telephone and computer. Prolonged periods of sitting at the desk, computer work and reading can be anticipated.

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance
• LT/ST Disability and Life Insurance
• Technology reimbursement
• Paid time off (Vacation, Sick, Holiday)
• Paid Parental leave
• Professional development
• Technology Reimbursement