Build and optimize complex, state-machine-driven intake flows using React and Next.js to manage clinical eligibility and patient state.
Manage the scaling of our NestJS "majestic monolith" and help determine when and how to extract focused services as our domain models grow.
Ship strictly-typed TypeScript features across a Turborepo monorepo, ensuring high performance for our patient, doctor, and admin interfaces.
Design and maintain Postgres schemas and handle asynchronous job queuing (retries, idempotency) via pg-boss.
Connect and scale third-party integrations, including Stripe, Authorize.Net, Vouched, and Customer.io, to power clinical and business workflows.
Own deployments and infrastructure health within AWS, utilizing Datadog for observability and incident response.
Participate in (and lead) thoughtful code reviews to maintain high standards for readability, maintainability, and test coverage across the team.
Document architectural decisions and API contracts to ensure the team can scale and new members can onboard quickly.
Proactively identify bottlenecks in the patient onboarding funnel or backend services and implement optimizations to maintain a "snappy" user experience.
Ensure that all features are built with security best practices in mind, particularly regarding the handling of sensitive patient data.

8+ years shipping full-stack TypeScript, with real ownership of features in production.
Strong on React / Next.js on the frontend and a modern Node backend (NestJS, Express, or similar).
Comfortable in Postgres, schema design, modern ORMs, and a sense for the cost of a bad query.
Experience with event-driven systems: queues, retries, idempotency, distributed gotchas.
Real AWS fluency, you can read a container deployment spec and trace an incident without hand-holding.
Solid instinct for product: you care whether a feature actually works for users, not only whether it ships.

Senior Product Engineer

Key skills