Full Stack Software Engineer

As a Software Engineer on the full stack, you will own features end-to-end, from the React interfaces our members and provider partners use to the Python or .NET services and data models behind them. You will ship AI-first experiences on Azure, backed by our data platform, and set the technical bar for the engineers around you. This is a hands-on IC role. You will lead workstreams, drive code and design reviews, and make pragmatic architecture decisions. We deliver incrementally: every initiative articulates a first deliverable within four weeks. We ship fast through automation and testing, never by cutting corners, because quality and reliability are non-negotiable in healthcare. Location: Hybrid - at least 3 days/wk in our Dallas, TX or Vancouver, BC Canada offices What You Will Own • Design, build, and operate full-stack features end-to-end across React front ends and Python or .NET back-end services. • Model and query relational data in PostgreSQL or SQL Server, with a focus on correctness, performance, and data quality. • Build and run services on Azure, provisioned and managed as code with Terraform. • Embed AI into the products you build, integrating LLM and AI capabilities into member and provider experiences and internal tooling. • Work with our data platform (Databricks) and engineering partners to treat data as a first-class strategic asset with automated PHI governance. • Lead technical design and code reviews, and raise the quality bar through testing, observability, and CI/CD automation. • Break large problems into incremental deliverables, shipping a first useful increment within four weeks. • Partner directly with product, design, and clinical stakeholders as an equal owner of product decisions. • Uphold security and HIPAA/PHI obligations by design, building safe-by-default systems rather than treating security as a gate. What You Bring • 5+ years of professional software engineering experience building and operating production web applications. • Strong front-end skills with React and modern JavaScript/TypeScript. • Strong back-end skills in Python or .NET (C#), including designing and consuming REST and event-driven APIs. • Solid relational database experience with PostgreSQL or SQL Server, including schema design and query optimization. • Hands-on experience deploying and operating workloads on Azure. • Infrastructure-as-code experience with Terraform. • Experience with CI/CD, automated testing, and containerized deployment (Docker, Kubernetes/AKS). • Demonstrated AI curiosity and fluency: you use AI tools in your daily work and are eager to build AI-powered features. • A track record of owning work end-to-end and delivering incrementally in a fast-moving environment. Strong Candidates Will Also Have • Experience building AI or LLM-powered product features in production. • Experience with data platforms such as Databricks, and with data pipelines feeding analytics or ML. • Experience in healthcare, or another regulated domain, handling sensitive data such as PHI under HIPAA. • Full comfort across both Python and .NET, and both PostgreSQL and SQL Server. • A habit of mentoring peers and elevating team standards without formal authority. Benefits: • Medical Insurance • Dental Insurance • Vision Insurance • Short & Long Term Disability • Life Insurance • 401k with company match • Flexible Paid Time Off • Paid Parental Leave