Full Stack Engineer

We are looking for a Senior Full-Stack Engineer to join a US-based HealthTech startup developing AI-powered solutions that automate operational processes for medical clinics and specialized practices. The product helps clinics streamline time-consuming front-office operations such as insurance scoring, insurance workflows, patient scheduling, payments, and other administrative processes.

Responsibilities:

• Build and maintain agentic workflows that automate multi-step healthcare front-office processes end-to-end.
• Develop integrations with EHR systems, payer portals, and clearinghouses using APIs and structured data pipelines.
• Build and improve the product dashboard used by medical practices in their day-to-day operations.
• Develop full-stack functionality across backend services, data models, APIs, and deployment.
• Design and implement LLM-powered features and AI agents.
• Build and maintain browser automation workflows for interacting with external healthcare systems.
• Work with voice AI agents and integrate voice-based capabilities into the product.
• Contribute to architecture and make technical decisions that support scalability and long-term product growth.
• Ensure solutions follow HIPAA requirements and healthcare data security best practices when handling protected health information (PHI).
• Collaborate closely with the product team and take ownership of features from scoping to delivery.

Requirements:

• 5+ years of experience in backend engineering and building production systems.
• Strong proficiency in TypeScript and Node.js.
• Strong hands-on experience with AWS infrastructure.
• Experience with Next.js.
• Solid understanding of React.js and front-end development.
• Experience building and shipping LLM-powered features or agentic systems.
• Hands-on experience with Playwright or similar browser automation tools.
• Experience building or integrating voice AI agents.
• Strong understanding of APIs, integrations, and data pipelines.
• Understanding of HIPAA compliance, PHI, and healthcare data security.
• Ability to work effectively in an ambiguous, fast-paced environment and independently scope, prioritize, and deliver solutions.
• Strong product mindset and ability to think beyond the technical implementation.
• Good communication skills and ability to collaborate with cross-functional teams.

Nice to Have:

• Experience integrating with EHR systems.
• Experience in an early-stage startup, preferably pre-Series A.
• Background in Healthcare IT or other regulated industries.
• Hands-on experience working with HIPAA-compliant systems or environments.
• Experience designing multi-tenant SaaS architectures.
• Experience working with healthcare data and workflows.

Our Benefits:

• Professional growth: Individual development plan, mentorship, reimbursement for professional certifications and English lessons, access to professional courses in Corporate Learning Management System.
• Community: Tech community and knowledge-sharing events, English speaking club, corporate library and book club, volunteering and charity initiatives.
• Wellbeing: Medical insurance, regular medical check-ups, sport reimbursement, paid vacation and sick leave, mental health support and events.
• Work environment: Fully-equipped offices, top-notch equipment, flexible work format, activities both in-office and online, Y-bucks and access to the Yalantis store.

Please note that feedback on the results of the CV review will be provided only in the event of a decision to consider your candidacy further.
Otherwise, your data will be retained in the company’s CV database, and we will gladly contact you if a suitable vacancy becomes available. The consideration period is 7 working days.

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