Full-Stack Software Engineer

Full-Stack Software Engineer San Francisco or remote Contract or full-time $80K to $150K 3+ years You will work full stack: design and build features spanning front end, back end, data storage, and processing. New product modules and services from scratch, or evolve existing ones, guided by real healthcare data and workflows. You will integrate large language models, process large clinical and claims datasets, apply traditional ML where it works better, and build tooling around AI-driven flows. WHAT YOU WILL DO Design and build features across React and TypeScript on the front end, Python or Node on the back end, and the data layer that connects them. Build new product modules from scratch, or evolve existing ones, against real healthcare data and workflows. Integrate LLMs, process large clinical and claims datasets, apply traditional ML, and build tooling around AI-driven flows. Make architectural decisions across frameworks, data models, APIs, and storage. Balance performance, scalability, maintainability, and complexity. Collaborate directly with co-founders to turn product vision into a working, maintainable codebase. WHAT WE ARE LOOKING FOR At least 3 years of full-stack engineering experience, including substantial work with AI/ML. Strong skills across front end, back end, and databases. Demonstrated ability to design end-to-end systems. Experience integrating AI/ML: LLMs, data pipelines, long-form text processing, and traditional ML. Good design sense and architectural thinking. You understand trade-offs and choose wisely based on constraints. Comfort in an early-stage startup environment. Nimble, iterative, high ownership. Bonus: prior startup or founder experience. We value entrepreneurial thinking, self-direction, and a willingness to wear multiple hats. Apply for Full-Stack →