Full Stack Engineer

About the role

Own features end-to-end - from UI to API to database
Build complex feature flag systems for multi-tenant hospital deployments
Wrangle messy clinical data - turning unstructured text into structured, usable information
Work on the explainability problem: surfacing why a patient scored high, not just the score
Help clinicians find in seconds what currently takes them hours buried in charts
Ship directly to production at hospitals like Cedars-Sinai, Penn Medicine, Houston Methodist

Why you

• You've built systems that real users depend on
• You know what it feels like when something you shipped actually matters
• You're energized by hard problems - messy data, complex permissions, systems that need to work every time
• You've felt the chaos of a startup and you liked it

What you'll do

• Build the product clinicians rely on every morning
• Own features end-to-end - from UI to API to database
• Build complex feature flag systems for multi-tenant hospital deployments
• Wrangle messy clinical data - turning unstructured text into structured, usable information
• Work on the explainability problem: surfacing why a patient scored high, not just the score
• Help clinicians find in seconds what currently takes them hours buried in charts
• Ship directly to production at hospitals like Cedars-Sinai, Penn Medicine, Houston Methodist

What we're looking for

• 4+ years building production web applications
• Strong in React and TypeScript, comfortable building APIs
• Experience with complex data transformations and messy real-world data
• Comfortable with relational databases, auth systems, and feature flags at scale
• You've shipped products, not just features
• Moved fast and iterated based on what you learned

Nice to have

• Experience with LLMs or AI/ML pipelines
• Background in healthcare or clinical software
• Familiarity with Postgres, AWS, or containerized deployments

What we're not looking for

• If Startup unpredictability feels like chaos to you
• If you need detailed specs before you start
• If you wait to be told what to do next
• If you're looking for a 9-5 with predictable hours

Interview process

• Intro call - Get to know each other
• Technical - 1-2 interviews on system design + coding
• Onsite - Meet the team in SF
• Decision - Same week as onsite

Compensation & Benefits

• Salary: $175,000 - $275,000 base
• Equity: Meaningful ownership in an early-stage company
• Healthcare: 100% of premiums covered
• PTO: Unlimited, with a recommended minimum of 20 days
• 401(k): 4% match
• Equipment: Laptop + budget for your home office

Location

San Francisco, hybrid (Mon/Wed/Fri in office)