Staff Full-Stack Engineer

Plenful

• $150K — $180K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years of software engineering experience, full-stack proficiency
  • Proficient in JavaScript and TypeScript, working knowledge of Python
  • Experience delivering customer-facing products, not just internal tools
  • Ability to navigate across different layers of the tech stack
  • Familiarity with fast-paced, high-growth environments
  • Strong understanding of 'production-ready' standards in compliance-focused healthcare
  • Excellent communication skills with diverse stakeholders

Responsibilities

  • Build and ship full-stack features end-to-end for compliance workflows
  • Collaborate with product managers and pharmacy experts to refine user needs
  • Take full ownership of development, from design through deployment
  • Evaluate trade-offs between speed and durability during platform scaling
  • Contribute to the technical architecture, particularly in AI integration
  • Utilize AI tools effectively as part of the development process
  • Review code and offer input on design to enhance team quality

Benefits

  • Full medical, dental, and vision coverage for you and family participation
  • 401(k) plan with a 50% company match on the first 3% contributed
  • Equity options for full-time employees
  • Unlimited paid time off (PTO) policy
  • Weekly lunch stipend of $100 for meals
  • Monthly wellness stipend of $100 for health-related costs
  • Commuter benefits of $100 a month for SF and NYC employees
  • Paid parental leave for new families
Full Job Description
About the Role

Plenful is hiring Staff Full-Stack Engineers across all three of our product teams - 340B, Intake, and a new pod opening up a fresh area of pharmacy operations. You'll build features that pharmacy and health system teams use every day to run compliance-critical work, not internal tools only other engineers will ever see.

This is a senior role with real scope. You'll take a problem from a rough product idea to something live in production, and make sound technical calls along the way without needing every decision reviewed.
  • Real ownership, fast. We're past the earliest startup stage but still small enough that one engineer can define how a whole workflow works for hundreds of health systems.
  • Problems that matter. Pharmacy and health system teams are drowning in manual, compliance-critical work. What you ship directly changes how much of that work a human still has to do.
  • AI as a daily tool, not a slogan. We expect you to use AI deliberately in how you build, and we're building AI into the product itself.
  • Backing to build for the long term. Series B funding from investors including Bessemer Venture Partners, Notable Capital, and Danaher co-founder Mitchell Rales gives us the runway to invest in the engineering foundation, not just ship quick fixes.
What You'll Do
  • Build and ship full-stack features end to end, from the database to the UI, for workflows like 340B compliance, intake, rebate management, and claims reconciliation.
  • Partner directly with product managers and pharmacy operations experts to understand what pharmacy teams actually need, not just what's in the ticket.
  • Own what you ship: design it, build it, test it, deploy it, and support it in production.
  • Make sound tradeoffs between speed and durability as Plenful scales its platform to serve more health systems.
  • Contribute to the technical foundation of the platform, including how AI gets embedded into product workflows.
  • Use AI tools deliberately as part of how you work, not just how you demo.
  • Review code, weigh in on design docs, and help raise the technical bar across the team.
You May Be a Fit If
  • You've spent 10+ years in professional software engineering, working across the stack.
  • You're proficient in JavaScript and TypeScript, with working proficiency in Python.
  • You've built customer-facing products - not primarily internal tooling or developer platforms.
  • You're comfortable moving across layers of the stack instead of staying in one.
  • You've worked in a fast-moving, high-growth environment where priorities shift as the product and customer base scale.
  • You have strong instincts for what "production-ready" means in a compliance-critical, enterprise healthcare context.
  • You communicate clearly with product, design, and non-technical stakeholders.
  • You're open to being based in San Francisco (hybrid, in-office Mondays and Wednesdays) or Chicago (remote).
  • Bonus points for experience with Java or Ruby (if you don't know Python, you're willing to learn it), healthcare or pharmacy experience, or a track record at startups that scaled from 0 to 1 and beyond.
Why You'll Love Working Here
  • Mission-Driven, World-Class Team - Join an exceptional group of professionals aligned around a meaningful mission and committed to making an impact
  • Opportunities for Growth - Strengthen your expertise through collaboration with experienced, high-performing leaders across the organization
  • Flexible Hybrid Work Environment - We're remote-first, with meaningful office presence in San Francisco and New York. R&D roles follow a hybrid model, with two days per week in our San Francisco office
Benefits & Perks
  • Healthcare Coverage - Full medical, dental, and vision insurance for you and participation for your family
  • 401(k) with Company Match - Plenful matches 50% of your first 3% contributed
  • Equity - Every full-time employee shares in our success
  • Unlimited PTO - Take the time you need, when you need it
  • Daily Lunch Stipend - $100/week to cover your midday meals
  • Wellness Stipend - $100/month to support your health and well-being
  • 🚇 Commuter Benefits - $100/month for SF and NYC-based employees
  • Parental Leave - Paid leave to support growing families

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