Senior Full Stack Systems Engineer (AI-Enabled)

Senior Full Stack Systems Engineer (AI-Enabled)

Remote | Full-Time

About the Role

We are looking for a Senior Full Stack Systems Engineer with AI-enabled development capabilities to join our growing engineering team. This is not a single-discipline role — we need an end-to-end systems engineer who can take an application from zero to MVP, into production, and through the challenges of scaling to a massive, distributed system. You will architect, build, deploy, and maintain full-stack SaaS applications that serve healthcare organizations nationwide.

Healthcare IT experience is a strong plus but not required — we will invest in teaching the domain. What is required is a genuine desire to specialize in HealthIT and build technology that directly impacts patient care and healthcare delivery.

Responsibilities

• Architect, develop, and maintain scalable full-stack web applications end-to-end — from front-end interfaces through back-end services, infrastructure, CI/CD, QA, and production operations.
• Own the full application lifecycle: ideation → MVP → production → performance optimization → scaling to distributed systems that far exceed original design requirements.
• Integrate AI-powered tools and workflows (GitHub Copilot, Claude, Cursor, ChatGPT, or similar) into daily development to accelerate delivery and improve code quality.
• Build and consume RESTful APIs and microservices architectures.
• Design and manage cloud infrastructure, CI/CD pipelines, monitoring, and observability.
• Implement quality assurance strategies including automated testing, integration testing, and production health checks.
• Collaborate with product, design, and operations teams to translate business requirements into robust technical solutions.
• Implement and maintain EHR integrations, ensuring HL7/FHIR compliance where applicable.
• Ensure all development adheres to HIPAA security and privacy standards.

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• Conduct code reviews, mentor junior developers, and contribute to engineering best practices.
• Troubleshoot production issues, optimize application performance, and lead incident response.
• Participate in architectural decisions and contribute to long-term technical strategy.
• Stay current with emerging AI tools, frameworks, and full-stack technologies relevant to HealthIT.

Requirements

• 7–15 years of professional experience in full-stack web development, with demonstrated progression in scope and complexity.
• End-to-end systems thinking: proven experience not just building features, but owning applications through the full lifecycle — from initial build through production operations and scaling. You must understand how DevOps, QA, infrastructure, and application development interconnect.
• Proven experience scaling applications beyond their original architecture to support significantly larger loads, distributed workloads, or multi-tenant requirements.
• Strong proficiency in modern front-end frameworks (React, Next.js, Vue, or Angular) and back-end technologies (Node.js, Python, or similar).
• Demonstrated experience using AI-assisted development tools to enhance productivity and code quality.
• Solid understanding of relational and non-relational databases (PostgreSQL, MongoDB, etc.).
• Experience with cloud platforms (AWS, Azure, or GCP), containerization, and CI/CD pipelines.
• Excellent problem-solving skills and the ability to work independently in a remote environment.
• Strong communication and collaboration skills.
• A genuine interest in specializing in healthcare technology.
• Must have a personal PC/workstation capable of handling professional development workloads.

Nice to Have

• Prior experience in HealthIT, MedTech, or regulated industries.
• Familiarity with healthcare interoperability standards (HL7, FHIR).
• Working knowledge of HIPAA compliance as it relates to software development.
• Experience building or integrating AI/ML features into web applications (e.g., NLP, predictive analytics, intelligent automation).
• Background in DevOps practices, containerization (Docker, Kubernetes), and infrastructure-as-code.
• Contributions to open-source projects or a strong public portfolio.

What We Offer

• Fully remote work environment.
• The opportunity to work on meaningful technology that directly impacts healthcare delivery.
• A collaborative, innovation-driven team culture.
• Professional growth within a company at the intersection of healthcare and cutting-edge technology.

To apply, send your resume and portfolio or GitHub profile. We'd love to hear from you.