Lead Fullstack Engineer - Remote - Latin America & North America

Key Responsibilities

• Lead engineering efforts across patient-facing products, clinical workflows, and internal business operations.
• Partner closely with executive leadership, clinical teams, and operational stakeholders to identify opportunities and deliver impactful solutions.
• Design, build, and maintain scalable web applications, integrations, and automation workflows.
• Develop and optimize AI-powered systems, agent workflows, and business process automation.
• Integrate with healthcare platforms, billing systems, CRMs, and third-party vendors.
• Support healthcare data interoperability initiatives, including integrations involving standards such as HL7 and FHIR.
• Build and maintain cloud-native services and infrastructure on AWS and related platforms.
• Ensure solutions meet healthcare security, privacy, and compliance requirements.
• Contribute across the full product lifecycle, from discovery and architecture through implementation and ongoing optimization.
• Operate as a highly autonomous contributor capable of owning technical initiatives end-to-end.

Core Requirements

• 10+ years of professional full-stack software engineering experience.
• Strong experience building applications with modern backend technologies such as Python, Go, Ruby, or similar.
• Frontend development experience with modern JavaScript/TypeScript frameworks and tooling.
• Proficiency in at least two modern programming languages.
• Experience working with relational and NoSQL databases such as PostgreSQL, MySQL, Redis, or MongoDB.
• Proven track record designing, implementing, and scaling high-traffic applications and services on AWS or GCP.
• Strong hands-on experience building AI-enabled products, workflows, or automation systems.
• Experience leveraging AI tools and technologies to improve engineering efficiency and product capabilities.
• Previous experience working within healthcare organizations, healthcare technology companies, or patient-care focused environments.
• Experience with healthcare data, interoperability standards, and integrations, including HL7 and FHIR.
• Experience integrating with third-party systems such as EMRs, billing platforms, CRMs, marketing tools, and external data providers.
• Familiarity with connected health devices and platforms such as Apple Health, Google Health, Oura, or similar ecosystems.
• Strong understanding of healthcare security, privacy, and compliance requirements, including HIPAA.
• Comfortable working directly with executives, operators, and cross-functional stakeholders.
• Able to operate independently and take ownership of technical initiatives in a startup environment.
• Excellent written and verbal communication skills in English.
• Ability to work independently in a remote, fast-paced environment.

Nice-to-Have

• Experience with healthcare EMR platforms and integrations.
• Experience with workflow automation and orchestration platforms such as n8n.
• Familiarity with CRM, project management, and operational tooling.
• Experience with compliance frameworks such as SOC 2 or HITRUST.
• Prior experience supporting venture-backed startups or high-growth environments.