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Full Stack Engineer - job 1 of 2

Role Overview

Our small product squad (2 fullstack engineers + PM) ships quickly, but customer demand is growing faster than we can build. We’re looking for a senior, product‑minded engineer who can wear many hats — architecture, data, fine-tuning & RAG, with a bit of product taste — and help lay the technical and cultural foundations of the company.

This is a remote role, with the expectation to meet the Founder in California once a quarter (2–3 days in person).

What You’ll Do

Own features end‑to‑end: design, build, ship, and iterate on backend services, web front‑end, and internal tooling.
Scale our Gen‑AI stack: productionize retrieval‑augmented generation pipelines, implement evaluation harnesses, and harden monitoring/alerting.
Shape engineering culture: introduce best‑in‑class CI/CD, code quality standards, security, and mentoring practices.
Collaborate: work with product and sales to translate real patient pain points into elegant solutions.
Influence roadmap: participate in product discovery, weigh technical trade‑offs, and keep us focused on what moves the needle.

Required Technical Skills

  • Our core technologies: Python, Postgres, MySQL, NextJS, LangSmith, AWS. We're flexible—use the right tool for the job.
  • 5+ years building and operating production software
  • U.S. work authorization & residency required
  • Proven experience shipping LLM or conversational‑AI products at scale (LLM‑APIs, vector stores, agent frameworks)
  • Proficiency in Python and modern JavaScript
  • Familiarity with SQL and schema design
  • Comfort with cloud infrastructure (AWS preferred) and infrastructure as code (IaC)
  • Working knowledge of agents, vector search, embeddings, and RAG performance tuning
  • Product taste: you sweat the UX details
  • Good communication skills: you can explain complex trade‑offs to non‑engineers

Nice-to-Haves

  • Prior healthcare experience
  • Understanding of HIPAA, SOC‑2, or other security/compliance frameworks
  • Performance and cost‑optimization of ML workloads
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Average salary estimate

$185000 / YEARLY (est.)
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$150000K
$220000K

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Full-time, remote
DATE POSTED
September 6, 2025
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