OverviewWe're looking for aSenior Full‑Stack Engineer with a strong backend focusto build reliable, scalable systems that power critical workflows across our healthcare platform. You'll work across architecture, backend services, integrations, and data flows - while also contributing to front‑end features when needed. This is a hands‑on, product‑focused engineering role where clarity in communication, ownership, and customer empathy matter just as much as technical depth.Roles & ResponsibilitiesArchitect, build, and maintain backend services using, PostgreSQL, and modern service patterns.Design reliable APIs and integrations that support healthcare operations, internal tools, and user-facing functionality.Develop and optimize server‑side logic, data models, and infrastructure to ensure performance, reliability, and scalability.Implement secure, maintainable backend architectures that follow best practices for error handling, logging, and monitoring.Contribute to front‑end development using React or similar frameworks when needed.Collaborate cross‑functionally with product, engineering, and operations teams to turn user needs into practical engineering solutions.Integrate with third‑party APIs, external systems, and internal services.Write clear documentation, share progress openly, and participate in code reviews.Own the full development lifecycle - scoping, technical planning, delivery milestones, and quality assurance.Monitor and improve system reliability, performance, and operational health.Requirements5+ years of full-time experience in full‑stack or backend development.Strong expertise in, PostgreSQL, and building production-grade backend architectures.Experience designing RESTful APIs, data models, and integrations.Comfortable working with front‑end technologies such as React.Strong understanding of cloud environments (AWS preferred), CI/CD pipelines, and deployment automation.Experience with caching, queues, ORMs, and scalable system design.Strong product intuition - you focus on how engineering decisions impact users and business outcomes.Excellent written communication skills and willingness to work transparently in a remote, asynchronous environment.Strong debugging, problem‑solving, and ownership mindset.Nice-to-HavesExperience working in healthcare, staffing, operations-heavy, or marketplace platforms.Exposure to AI‑powered systems, RAG pipelines, or workflow automation (though not required).Experience with infrastructure-as-code, observability tooling, or event‑driven architectures.Cultural Qualities We ValueCustomer‑centric thinking: You aim to deeply understand how our healthcare users work and enjoy building solutions that make their daily workflows easier.Writing clarity + working in the open: We operate remotely; sharing context, decisions, and updates clearly is essential.Ownership & project management: Engineers are responsible for driving projects end‑to‑end - from scoping to delivery to iteration.