Senior Full Stack Engineer
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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