The RoleWe're hiring a senior full-stack engineer to build Altro's platform alongside our CTO and founders. This is a full-stack role with a front-end lean. You'll spend most of your time crafting the consumer and partner-facing interfaces that operators and their clients touch every day, while still owning the backend work needed to ship features end-to-end.
You'll work directly with our CTO - an experienced healthtech engineer who's built and scaled products through multiple acquisitions and mentors engineers in a top AI Masters program. He'll be your manager, your code reviewer, and your mentor.
What You'll Do- Build the interfaces customers see and touch. Consumer, partner-facing, and clinician-facing portals - polished, fast, intuitive. UX matters here.
- Own features end-to-end. From fuzzy problem ("operators want X") to shipped product (the page, the API, the migration, the analytics) - all of it.
- Work full-stack, with most of your day in the front end and the rest in the backend services that power what you're building.
- Partner closely with our designer to ship polished UI. You care about the difference between "it works" and "it feels great to use."
- Leverage AI tooling throughout the SDLC - write, review, and deploy with AI where it helps. Speed matters. So does quality.
- Work across a small cross-functional team - clinical ops, product, design, sales. No throwing things over the wall.
- Engineer for simplicity. Bias toward minimal dependencies, boring technology where it matters, and architecture that scales without ceremony.
How We Work- Ship often. We deploy daily, instrument what matters, and fix forward.
- Boring foundations, exciting features. Proven technology for the core so we can experiment freely at the edges.
- Customers first. Every decision starts with the operator, clinician, or consumer using what we build.
- Real ownership. You touch the whole stack and see the impact of your work in the business, fast.
- Low ego. We hire people who care about the work, not the optics.
RequirementsWho You Are- 4-7 years writing production software. Quality and ownership matter more than years.
- Deep TypeScript + React/Next.js fluency. You've shipped complex, polished interfaces and think about component architecture, state management, performance, and accessibility.
- Strong design sensibility. You can take a Figma file and ship something that feels exactly right - and push back when something could be better.
- A modern typed backend language in production. You're not a front-end specialist; you can build the API your front-end consumes.
- API design experience (GraphQL, REST), schemas, contracts, versioning.
- Comfortable with a cloud platform (GCP, AWS, or Azure) and infrastructure configuration.
- A track record of owning features end-to-end, not just pieces.
- Clear writing and strong async communication - critical for a small team moving fast.
- High agency. You spot what needs to be built, scope it, build it, ship it. You don't wait for a perfect spec.
Nice to Have- GraphQL at real scale (schema design, performance, tooling)
- Animation libraries (Framer Motion, GSAP) or advanced CSS/Tailwind work
- Design system experience - building or maintaining one
- Comfort with tracing, metrics, and structured logs
BenefitsWhy This RoleThis is a founding-team-caliber seat at a seed-stage company with real momentum and one of the strongest tailwinds in healthtech. You'll work directly with a CTO who's built and scaled healthtech products through multiple acquisitions, founders with deep operating experience, and a team small enough that your decisions matter. You'll own real product surface - not slivers.
If you want a front-row seat to building a company from the very early phases, this is that seat.
Logistics- Location: New York City (Midtown)
- Schedule: Hybrid - 2-3 days in-office, remainder remote
- Reports to: CTO
Compensation & Benefits- Base salary: $170,000 - $200,000, depending on experience
- Equity: Meaningful founding-team equity grant
- Health benefits: Medical, dental, and vision (100% covered by Altro)
- Unlimited PTO
- Commuter benefits
- One Medical membership
- Peloton Digital membership
- Learning and development budget
- $150 monthly reimbursement for Altro products
