Fullstack Engineer - CPaaS

Designed for beauty, built for growth, PatientNow brings clinical-grade EMR with intuitive charting, smart AI automation, advanced photography, marketing, patient engagement, and seamless practice management into one elegant system. Everything works together naturally, helping clients create a smooth, intentional patient experience from consultation to checkout. Supported by a U.S.-based team that understands the pace and artistry of aesthetics, PatientNow provides the technology and partnership to scale with confidence. This role will focus on the Recura product line, a newly integrated part of PatientNow.

About the role

The CPaaS Fullstack Engineer builds customer-facing communication features on top of Recura’s messaging and voice infrastructure. This role focuses on turning carrier and system events into usable product experiences such as inboxes, automations, templates, and workflows. You will work across backend and frontend surfaces, shipping features that customers interact with daily. This role is ideal for an engineer who enjoys product ownership, fast iteration, and building clear abstractions over complex systems.

Responsibilities

• Build and maintain fullstack features for messaging and communication workflows.
• Implement inbox functionality, message threading, and conversation state.
• Develop automation triggers and responses based on communication events.
• Integrate backend services with frontend user experiences.
• Collaborate closely with infrastructure and product-focused engineers.
• Ensure reliability and correctness in event-driven user flows.
• Participate in on-call and incident response as needed.

Requirements

• 3+ years of experience as a fullstack or backend engineer.
• Experience building SaaS products with real-time or event-driven behavior.
• Comfort working across frontend and backend codebases.
• Prior startup experience (required).
• Familiarity with TypeScript, Postgres, and modern web frameworks (preferred).
• Familiarity with CPaaS concepts (SMS, voice, messaging) (preferred).
• Familiarity with Google Suite (preferred).

Competencies

• Adaptability - Demonstrates persistence and overcomes obstacles. Measures self against standard of excellence. Recognizes and acts on opportunities. Sets and achieves challenging goals. Takes calculated risks to accomplish goals.
• Business Ethics – Inspires the trust of others. Keeps commitments. Treats people with respect. Upholds organizational values. Works with integrity and ethically.
• Communications - Exhibits good listening and comprehension. Expresses ideas and thoughts in written form. Expresses ideas and thoughts verbally. Keeps others adequately informed. Selects and uses appropriate communication methods.
• Continuous Learning - Assesses own strengths and weaknesses. Pursues training and development opportunities. Seeks feedback to improve performance. Shares expertise with others. Strives to continuously build knowledge and skills.
• Problem Solving - Develops alternative solutions. Gathers and analyzes information skillfully. Identifies problems in a timely manner. Resolves problems in early stages. Works well in group problem solving situations.
• Teamwork - Balances team and individual responsibilities. Contributes to building a positive team spirit. Exhibits objectivity and openness to others' views. Gives and welcomes feedback. Puts success of team above own interests.

Why You’ll Thrive Here

• Work at the intersection of innovation and impact, helping real-world practices grow and thrive in a rapidly expanding market;
• Collaborate with a talented, curious team that values experimentation, learning, and customer empathy;
• Be empowered to lead with autonomy while supported by strong leadership and product discipline; and
• Help modernize aesthetics software in an industry that’s ripe for transformation through innovative, AI-native technology.

Pay

$130,000 - $155,000 USD per year.