Lead Full-Stack Engineer - Backend Focus

CenterWell Primary Care$129K — $177K *
Information Technology
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • B.S. or M.S. in Computer Science, Engineering, or a related field (or equivalent experience)
  • 8+ years of software engineering experience with deep expertise in backend and platform engineering
  • Strong proficiency in TypeScript and/or Python for API and service development
  • Proven track record building scalable, production-grade REST or GraphQL APIs
  • Solid understanding of authentication (OAuth2, OIDC), API security patterns, and authorization model design
  • Working knowledge of HIPAA requirements, particularly secure transmission, storage, and access control for PHI
  • Experience with Next.js and React sufficient for full-stack feature contribution
  • Demonstrated ownership of complex backend systems end-to-end, from architecture through production operation

Responsibilities

  • Design and lead development of core backend services, REST and GraphQL APIs, and service-to-service integrations
  • Establish patterns for authentication, authorization, rate limiting, PHI access control, and audit logging ensuring HIPAA compliance
  • Define and implement reusable patterns for integrating AI capabilities into product APIs
  • Build logging, monitoring, and alerting infrastructure for platform operability at scale
  • Contribute to product feature development end-to-end using TypeScript and Next.js
  • Drive architecture reviews and define backend engineering standards for the team

Benefits

  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Paid time off, including personal holidays and paid parental/caregiver leave
  • Short-term and long-term disability
  • Life insurance coverage and other opportunities
Full Job Description
The Lead Software Engineer codes software applications based on business requirements. The Lead Software Engineer works on problems of diverse scope and complexity ranging from moderate to substantial.

As Centerwell builds its AI engineering function from the ground up, we need a platform foundation strong enough to support everything that comes next. As Lead Full-Stack Engineer focused on platform and API engineering, you will design and build the service layer that connects AI capabilities, data systems, and product frontends-setting the standards for how services are built, secured, and operated across the team.

You will work with meaningful architectural scope, making decisions that span API design, security patterns, and deployment practices. The platform you build will serve care teams and patients across hundreds of Centerwell clinics. If you want to build platforms that others build on-and do it in service of better primary care-this is the role for you.

Key Responsibilities
  • Platform and API Architecture:** Design and lead development of core backend services, REST and GraphQL APIs, and service-to-service integrations that connect all layers of Centerwell's AI product stack.
  • Security and Compliance by Design:** Establish patterns for authentication, authorization, rate limiting, PHI access control, and audit logging. Ensure HIPAA compliance is embedded in platform design from day one-not bolted on after the fact.
  • AI and LLM Integration Patterns:** Define and implement reusable patterns for integrating AI capabilities into product APIs, including LLM routing, streaming responses, tool orchestration, and model output handling.
  • Observability and Reliability:** Build logging, monitoring, and alerting infrastructure so the platform is operable and debuggable at scale.
  • Full-Stack Feature Delivery:** Contribute to product feature development end-to-end using TypeScript and Next.js, from server-side APIs to rendered UI.
  • Architecture Reviews and Standards:** Drive architecture reviews and define backend engineering standards that the full engineering team builds on.

Use your skills to make an impact

Required Qualifications
  • B.S. or M.S. in Computer Science, Engineering, or a related field (or equivalent experience)
  • 8+ years of software engineering experience with deep expertise in backend and platform engineering
  • Strong proficiency in TypeScript and/or Python for API and service development
  • Proven track record building scalable, production-grade REST or GraphQL APIs
  • Solid understanding of authentication (OAuth2, OIDC), API security patterns, and authorization model design
  • Working knowledge of HIPAA requirements, particularly secure transmission, storage, and access control for PHI
  • Experience with Next.js and React sufficient for full-stack feature contribution
  • Demonstrated ownership of complex backend systems end-to-end, from architecture through production operation
  • Hands-on experience with AI-assisted development tools and LLM coding harnesses (Claude Code, Pi Agent, Cursor, Codex, or similar)


Preferred Qualifications
  • Experience in healthcare, financial services, or other highly regulated industries
  • Exposure to event-driven architecture, microservices, or API gateway patterns at scale
  • Familiarity with AI/LLM integration patterns, including streaming APIs and tool-use orchestration
  • Experience in a greenfield or team-founding engineering environment


Additional Information

The candidate must live close to one of our designated IT locations: NYC, NY; Louisville, KY; Tampa, FL; Fort Lauderdale, FL; Dallas/Frisco, TX; Boston, MA; Washington, D.C: Atlanta, GA, Nashville, TN, Chicago, IL, or Charlotte, NC.

Scheduled Weekly Hours

40

Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$129,300 - $177,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About CenterWell Primary Care

CenterWell Primary Care Careers

Joining CenterWell Primary Care presents an unparalleled opportunity to advance one's career in a leading healthcare organization that is dedicated to innovation and quality care. CenterWell Primary Care is actively seeking professionals who are passionate about making a difference in the healthcare industry.

Explore Job Opportunities

CenterWell Primary Care offers a variety of job opportunities that enable professionals to grow their careers in an environment that values leadership and diversity. The company is committed to fostering a culture where innovation thrives and leadership skills are honed.

Professional Growth and Development

At CenterWell Primary Care, career growth is a priority. The company supports professional development through comprehensive training programs and opportunities for advancement. Employees are encouraged to expand their skills and knowledge, positioning themselves as leaders in the healthcare sector.

Diversity and Inclusion

CenterWell Primary Care is dedicated to creating a diverse and inclusive workplace. The company believes that diversity training and an inclusive culture are key to innovation and the delivery of exceptional care. Employees from various backgrounds bring unique perspectives that enhance the team's performance and patient outcomes.

Benefits and Culture

Employees at CenterWell Primary Care enjoy a range of benefits designed to support their professional and personal lives. The company's culture is centered on teamwork, respect, and integrity, providing a solid foundation for personal growth and job satisfaction.

Internship Programs

For those starting their career, CenterWell Primary Care offers internship programs that provide hands-on experience in the healthcare field. Interns gain valuable insights and skills, which are crucial for building a successful career in healthcare.

Hiring Process

The hiring process at CenterWell Primary Care is designed to identify candidates who are not only skilled but also passionate about making a difference in healthcare. Prospective employees can expect a thorough interview process where they can showcase their skills and learn more about the company's mission and values.

Networking and Professional Opportunities

CenterWell Primary Care encourages its team to engage in networking opportunities within and beyond the company. This engagement fosters professional connections and collaborative opportunities that can lead to innovative solutions and enhanced patient care.

Join the Team

CenterWell Primary Care is looking for curious, creative, and solution-driven team players. Search open positions that match your skills and interests on the CenterWell Primary Care Jobs page. Tailor your resume to reflect your expertise and prepare for a career that promises both professional and personal growth.

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Explore Careers at CenterWell Primary Care

Discover the rewarding opportunities awaiting at CenterWell Primary Care. With a commitment to employee growth, a diverse culture, and a drive for innovation, CenterWell Primary Care is the perfect place to advance your career in healthcare.
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