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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-powered care coordination for people with serious chronic conditions. Day to day: lead greenfield enterprise product development, build and evaluate LLM agents, support HIPAA/SOC 2 readiness, and mentor engineers using React, TypeScript, Python, FastAPI, and AWS/GCP. On-site in Boston, five days a week.

About the Role

Join an early-stage healthtech team building AI-powered care coordination for people living with serious chronic conditions. As a senior individual contributor and product-minded engineer, you will help shape the product and engineering practices while building tools that support patients and their families.

What You'll Do

  • Lead greenfield development for enterprise products and deliver related improvements to a consumer-facing application.

  • Partner with company 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 and support HIPAA and SOC 2 compliance.

  • Mentor engineers, assign work, review code, and contribute to hiring as the team grows.

What We're Looking For

  • Six to ten years of full stack engineering experience, including shipping user-facing products from 0 to 1 at an early-stage or high-growth startup.

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

  • Production experience building with LLMs, including agent orchestration, prompt and context design, tool use, evaluations, guardrails, and observability.

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

  • Healthcare or other regulated-industry experience is valuable, as is familiarity with HIPAA or SOC 2.

  • Strong front-end design engineering skills and experience with design tools such as Figma.

Compensation & Benefits

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

Location

On-site, five days per week in Boston, Massachusetts. Relocation assistance is not available.

Skills

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