Full Stack Engineer
biztech staffingNew York, NY
Full Stack Engineer
L5
biztech staffingNew York, NY3 days ago
About the Opportunity:
Our client is a fast-growing healthcare technology company building a platform that manages patient care from first contact through treatment. They're hiring Senior Full Stack Engineers to own their core product end to end, working across the frontend, the backend and the shared code in between. The hardest problems here aren't algorithmic. They're about real-world data: patient records that don't match across systems, dates that mean different things in different places, and patients who reschedule or don't answer. The team wants engineers who enjoy modeling that complexity instead of ignoring it. The Tech Stack Frontend: Vue 3 (Composition API), Type Script, internal component library Backend: Node.js, Express, MongoDB/Mongoose Architecture: a single monorepo with shared Type Script packages and contract-first APIs. API schemas are defined once and type-checked on both frontend and backend, so a broken endpoint fails the build instead of reaching production.
What You'll Do:
Build user-facing screens in Vue 3 with the internal component library Design and build contract-first API routes with schemas shared across the stack Model clinical and patient data in MongoDB and keep it fast as the data grows Contribute to shared Type Script packages that every app in the monorepo depends on Take features from spec to production, and support them after launch What You Bring 5+ years building and shipping production web applications Strong Type Script on both frontend and backend Hands-on Vue 3 experience (required; this role works in Vue every day)Backend experience with Node.js, Express and MongoDB/MongooseA solid understanding of query performance, indexing and schema design at scale The ability to weigh the tradeoffs and weaknesses of your tools, not just their features Experience designing systems for growth you couldn't fully predict, and lessons learned from doing itA track record of improving large existing codebases without rewriting them
Nice to Have:
Healthcare domain knowledge: clinical workflows, care pathways, patient journeys Health data integration: HL7, FHIR, EHR connectivity Twilio, Live Kit or the OpenAI APIMonorepo tools such as Turborepo or NxReal-time or streaming applications Workflow orchestration tools such as Temporal, Cadence or AWS Step Functions Cloud experience: AWS, Azure or GCPWork EnvironmentA distributed team with hybrid offices in NYC and Canada with regular on-site presence required Collaborative culture with weekly team syncs and pair programming (camera on during meetings)
Apply now
Level
SeniorL5
Location
New York, NY
Occupation
Software Developers
Industry
Custom Computer Programming Services
Posted
3 days ago
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