We're looking for a seasoned Senior Full Stack Engineer - Team Lead to join our high-performing, fully remote engineering team. In this role, you'll lead a small team of engineers while remaining deeply hands-on in building and evolving our user-facing applications, strengthening core platform capabilities, and delivering high-quality features across both the frontend and backend.

You'll be expected to operate with a high degree of autonomy-consistently delivering high-impact features, shaping implementation patterns, and elevating the technical quality of the systems you work on. This role blends technical leadership and direct people management: you will lead a small team across multiple domains including API development, CRM systems, core application features, and data ingestion workflows, while remaining actively hands-on in code development.

The ideal candidate is an experienced engineering leader who can navigate complex systems, make sound architectural decisions, and bring structure and accountability to multi-project delivery. We're looking for someone who not only writes excellent code, but also raises the technical bar for the team through strong judgment, proactive problem-solving, thoughtful engineering practices, and effective team leadership.

You'll be responsible for:

• Leading a small team of engineers across multiple concurrent initiatives, ensuring clear scoping, execution discipline, and delivery accountability
• Driving team execution rituals (sprint planning, backlog refinement, retrospectives) and ensuring work is well-scoped with clear acceptance criteria and measurable outcomes
• Owning delivery tracking and transparency using Jira and documentation via Confluence, keeping stakeholders aligned on status, risks, tradeoffs, and priorities
• Designing and building robust GraphQL and REST APIs and scalable backend services that are both internal and external facing
• Taking end-to-end technical ownership of features across both product and data domains
• Contributing hands-on production-level code across frontend (React, TypeScript) and backend (Node.js, SQL, GraphQL, REST) systems
• Developing and supporting data ingestion workflows and integration logic, including ETL-style processing and downstream system integrations
• Designing technical solutions that support application growth, reliability, performance, and maintainability
• Owning complex cross-domain engineering initiatives spanning application features, API systems, CRM functionality, and data workflows
• Promoting engineering excellence through code quality, performance optimization, testing best practices, and architecture documentation
• Partnering closely with Product and cross-functional stakeholders to translate business requirements into scalable engineering solutions
• Leveraging AI-assisted development tools (e.g., Claude Code) to improve engineering velocity, code quality, and delivery efficiency, while tracking measurable impact through KPIs such as cycle time, defect rates, and throughput.
• Mentoring engineers through code reviews, design discussions, career development conversations, and structured feedback

The ideal candidate:

Technical Skills

• 8+ years of experience as a software engineer building production-grade applications
• Strong expertise in React, TypeScript, and modern front-end development practices.
• Proven experience designing, building, and scaling APIs (GraphQL and REST) in production environments
• Strong backend development experience using Node.js, TypeScript, and SQL (PostgreSQL preferred)
• Experience working within modern monorepo setups (Nx, Turborepo, Yarn Workspaces, etc.)
• Strong data modeling and database design experience, ideally with PostgreSQL
• Experience building, integrating, and supporting data ingestion pipelines and application-level data processing logic (Node.js, Python, or SQL), with attention to performance, scalability, and maintainability
• Comfortable building, supporting, and integrating with production-grade ETL/data pipelines
• Strong understanding of automated testing practices and CI/CD workflows
• Familiarity with cloud infrastructure (AWS preferred) and containerization
• Comfortable working across both greenfield and legacy systems

Business Skills

• Technically versatile and capable of leading projects across both application and data-focused initiatives
• Confident in navigating ambiguity and owning delivery from problem framing through execution
• Strong communication skills with an ability to bridge technical and non-technical stakeholders
• Demonstrated experience mentoring engineers, developing talent, and contributing to engineering culture and growth
• Experience in fast-paced startup or scaling environments
• Proactive in identifying architectural and systemic improvements
• Experience balancing team delivery accountability with individual technical contribution
• Experience leading teams in an Agile environment and using tools such as Jira to manage delivery, track progress, and communicate status effectively
• Prior experience in healthcare, life sciences, or regulated data environments is a plus

Bonus Skills

• Experience building or supporting admin tools and internal platforms
• Experience with data observability, schema governance, or data lineage tooling
• Exposure to machine learning pipelines, business intelligence tools, or product instrumentation
• Familiarity with mobile development frameworks such as React Native or Capacitor

Benefits:

• Competitive Salary
• 100% Company-Paid Premiums for Employee's Medical Health (HDHP 4500), Vision, and Dental Plans + $4,400 company sponsored contribution into an HSA
• Short-term and Long-term Disability
• Life Insurance
• 401k Matching
• Work from Anywhere within the US
• Flexible PTO
• Paid Parental Leave
• Post-Parental Leave Program - $5k stipend to assist with expenses, 4 week 100% paid "Ease-Back" return to work transition period
• Starter+ Membership to Wellhub (access to over 5k gyms and studios)
• Charitable donation matching

Location:

Our "Work from Anywhere" (within the United States) philosophy is aimed at making sure that we recruit a diverse range of thought leadership to ensure that our technology is better able to serve local health care providers. Our goal is to hire the country's top talent and allow them to create an environment where they can do their best work. PLEASE NOTE: Our "work from anywhere" only applies to the continental U.S. where our open roles are posted.