Senior Full Stack Engineer
Summary
Senior full stack engineer at an early-stage healthtech startup building AI agents that coordinate care logistics for people with serious chronic conditions. Day to day: greenfield development, building and evaluating LLM agents (prompting, guardrails, evals), ensuring HIPAA/SOC 2 compliance, and mentoring — using React, TypeScript, Python, FastAPI, and AWS/GCP.
About the Role
Join an early-stage healthtech team building AI agents that coordinate logistics for people living with serious chronic conditions. As a senior individual contributor and product-minded engineer, you will help shape the product and engineering team while delivering secure, user-focused software.
What You'll Do
Lead greenfield development for enterprise customer needs and related updates to the consumer application.
Partner with company leadership to shape the product roadmap across near-term priorities and longer-term plans.
Build, debug, and evaluate AI agents, including prompt engineering and evaluation harnesses.
Help ensure agent systems meet healthcare security and compliance requirements, including HIPAA and SOC 2.
Mentor engineers, delegate work, review code, and contribute to hiring.
What We're Looking For
Six to ten years of full stack engineering experience, including shipping consumer or user-facing products from zero to one at an early-stage or high-growth startup.
Experience with React, TypeScript, Python, FastAPI, and cloud platforms such as AWS or Google Cloud Platform, including Firebase or Firestore.
Production experience with LLMs, including agent orchestration, prompt and context design, tool use, evaluations, guardrails, and observability.
Experience as a founding or staff engineer, technical lead, or mentor to other engineers.
Healthcare or other regulated-industry experience is valuable, as is familiarity with HIPAA or SOC 2.
Strong product and front-end design sensibilities, with experience using Figma.
Equivalent experience or a degree demonstrating strong technical fundamentals.
Compensation & Benefits
Base salary: $185,000 to $210,000 annually. Visa sponsorship or transfer is not available.
Location
On-site in Boston, Massachusetts, five days per week. Relocation assistance is not available.
Skills
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