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True Talent Solutions Partners

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Senior Full Stack Engineer

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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 spans greenfield product development with React/TypeScript/FastAPI, building and evaluating LLM-powered agents, and establishing HIPAA/SOC 2-compliant systems — on-site in Boston, with mentoring duties.

About the Role

Join an early-stage healthtech team building AI agents that coordinate logistics for people living with serious chronic conditions. This hands-on role combines full stack engineering, product ownership, and technical leadership to deliver patient-centered products and enterprise solutions.

What You'll Do

  • Lead the greenfield development of enterprise solutions and related consumer app updates.

  • Partner with the company's leadership to shape the near-term and longer-term product roadmap.

  • Build, debug, and evaluate AI agents, including prompt design and evaluation harnesses.

  • Help establish secure, enterprise-ready systems that meet HIPAA and SOC 2 requirements.

  • Mentor engineers, assign work, review code, and contribute to growing the team.

What We're Looking For

  • Six to ten years of full stack engineering experience, with a record of shipping user-facing products from zero to one at an early-stage or high-growth company.

  • Experience with React, TypeScript, Python, FastAPI, and cloud platforms such as AWS or Google Cloud, including Firebase or Firestore.

  • Production experience building LLM-powered products, including agent orchestration, prompt and context design, tool use, evaluation, guardrails, and observability.

  • Experience as a founding engineer, technical lead, staff engineer, or mentor to other engineers.

  • Healthcare or other regulated-industry experience is valuable, as is familiarity with HIPAA, SOC 2, Figma, and front-end design engineering.

  • Strong engineering fundamentals and sound judgment in building products for patients and families.

Compensation & Benefits

Base salary: $185,000 to $210,000 annually. Visa sponsorship is not available.

Location

On-site in Boston, Massachusetts, five days per week.

Skills

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