Senior Staff Engineer (Fullstack/Backend)

• We are seeking a visionary and technically exceptional Sr. Staff Engineer to lead architectural innovation and strategic technical direction. This individual will operate at the organizational level, shaping the long-term technical landscape, enabling cross-functional execution at scale, and aligning engineering efforts with product and business outcomes
• Architectural Vision & Strategy
• Define and evolve the architectural vision for customer-facing systems in alignment with business strategy. Lead cross-org initiatives that address long-term scale, system boundaries, and foundational capabilities
• Technical Leadership & Governance
• Establish patterns and frameworks that ensure quality, resilience, and operational excellence across the organization. Serve as the authority on design decisions and foster alignment across teams
• Org-Wide Enablement & Collaboration
• Collaborate with engineering and product leadership to shape product direction and ensure our architecture supports strategic goals. Drive org-wide adoption of scalable practices, tools, and development norms
• Mentorship & Talent Growth
• Mentor senior technical leaders, elevating engineering capabilities across the organization. Champion initiatives that foster talent density, engineering rigor, and a culture of continuous learning
• Ambiguity Navigation & Execution Acceleration
• Lead through complexity and ambiguity, clarifying direction where ownership is unclear. Remove organizational blockers, simplify decision-making, and accelerate delivery of strategic initiatives
• Customer-Centric Engineering
• Translate customer needs and product goals into scalable technical solutions. Define principles and patterns that embed customer obsession into our platform’s architecture
• Sustainability & Scalability
• Design systems and team boundaries to support sustainable growth. Drive investment in non-functional priorities (e.g., observability, migrations, reliability) early in the design process
• Create alignment and momentum in ambiguous or complex technical spaces
• Balance short-term deliverables with long-term scalability, system health, and customer experience
• Lead with curiosity, adaptability, and principled decision-making
• Take initiative to address cross-squad blockers, scale constraints, or misaligned priorities before they escalate
• Drive consistent, action-oriented execution even without perfect clarity
• Mentor senior engineering talent and reinforce a culture of growth, feedback, and high technical standards
• Inspire confidence through transparency, humility, and deep technical credibility
• Advocate for customers through scalable, resilient design that anticipates clinical complexity and future scale

Benefits

• Generous PTO: Take the time you need, when you need it - including generous parental leave
• Full healthcare: High-coverage medical, dental & vision coverage for individuals and families
• Retirement planning: Take advantage of our 401(k) plan including contribution matching
• Work from anywhere: We are a remote-first company, so you can work from anywhere you like in the uS
• Robust compensation: We offer competitive salary bands and stock options
• Employee discount: Employees can take advantage of product discounts
• Utility stipend: A extra $75 each month to cover extra cell phone, internet, or data usage
• Spending accounts: Options for additional HSA and FSA plans to help toward healthcare costs

• Experience with technologies such as Kotlin, Java or Go, with a deep understanding of system design for scale and performance
• Demonstrated ability to drive architectural clarity and strategic technical alignment across functions
• A track record of driving meaningful improvements in developer experience, team velocity, and system sustainability
• Proficiency with CI/CD workflows (e.g., CircleCI, GitHub), cloud infrastructure (AWS, Docker, Kubernetes), and observability tools (e.g., Datadog)
• 12+ years of professional software engineering experience, with a strong record of group-level technical leadership
• Experience introducing and scaling shared infrastructure, frameworks, or libraries across multiple teams
• Experience translating customer and clinical needs into reliable, maintainable, and high-impact technical solutions
• If you’re excited about this role, we encourage you to apply—even if you’re not sure if your background or experience is a perfect match