Founding Full-stack Engineer

About the role

The role is for a full-stack TypeScript engineer to join the Outro team as engineer #2. The product surface is expanding from a high-touch clinical service towards an integrated experience for patients, clinicians, and operations. You will work directly with clinicians and operations staff to transform complex clinical workflows into reliable software.

Responsibilities

• Integrate Outro with insurance and data platforms to bill insurance broadly, scale care, and improve patient outcomes.
• Extend the custom tool used by clinicians to integrate external services like patient-provider messaging or develop AI tools to assist patient care.
• Develop patient-facing features such as launching new educational products or working on the React Native app.
• Support operations by continuing development on AI agents and collaborating with academic research partners on data collection.
• Own end-to-end feature development from design through deployment, monitoring, and iterating based on real user feedback.

Requirements

• A TypeScript-focused product engineer with experience shipping software, even in side projects.
• Comfortable working across the backend, frontend, and mobile stacks.
• Experience with data modeling and domain boundaries, especially in connecting data from various sources.
• Good at resolving ambiguity and proposing solutions to vague problems.
• Excited about a broad range of projects, including clinical workflows, patient education, insurance integrations, and research data.
• Experience with AI tools and a willingness to experiment with them.
• 3+ years of non-internship experience as a full-stack software engineer, though flexibility for the right candidate is considered.

Skills

• Backend: Next.js, Node.js, TypeScript
• Frontend: React, Vite, Next.js
• Mobile: React Native
• Infra: Google Cloud Platform (GCP), managed via Terraform

Benefits

Compensation: $165,000 - $220,000 based on experience

Equity: Early-stage equity ranging from 0.25% to 0.75%

Health Insurance: Includes medical, dental, and vision benefits

Time Off: 20 days of paid vacation plus holidays

Tooling: Access to tools like Claude, Codex, and Cursor