Sr.Full Stack Software Engineer

Enhance.MD is a telehealth company operating consumer platforms for GLP-1 weight management, longevity care, women's health, and biomarker-driven care. The Senior Full Stack Software Engineer will take hands-on ownership of the platform, build and ship ecommerce and AI-powered features, stabilize live systems, and establish engineering workflows, standards, and testing practices.

Responsibilities:

• Work alongside Product and Marketing teams to scope and prioritize high impact features
• Design and implement a clean, scalable patient-facing featuring
• Work within the core systems across ecommerce + telehealth workflows
• Deliver strong foundations (APIs, data models, services) where they are missing
• Integrate AI-powered features into real product workflows
• Work across a live system with real users and real complexity
• Debug issues across services, data flows, and integrations
• Partner with customer support and operations to resolve dev-related issues quickly
• Identify root causes behind recurring issues and reduce requests through systemic fixes
• Define and implement:
• Development workflows
• Code quality standards
• Definition of Done
• Automated testing practices
• Bring consistency across frontend, backend, and APIs
• Improve how the team delivers, not just what it builds
• You take responsibility for outcomes
• You can set direction without overcomplicating things
• You introduce structure that increases speed
• You can translate business priorities into shipped features
• You are able to effectively communicate with non-technical business partners
• You understand that shipping matters more than perfection Strong analytical mindset: you break down problems, identify root causes, and make data-informed decisions
• Business-aware: you understand tradeoffs between speed, cost, and impact, and prioritize accordingly
• You think beyond single tasks: you understand how your work affects the business, operations, and customer experience
• Strong system design and architectural thinking
• Comfortable working in evolving, imperfect environments
• Able to push back on requirements when needed, clearly communicating tradeoffs and impact
• Forward-thinking as you anticipate downstream effects and avoid decisions that create unnecessary complexity or risk
• Comfortable calling out when a solution is too costly, too fragile, or negatively impacts other parts of the system, and proposing better alternatives
• Be comfortable using a variety of AI tools, open to adopting new ones
• Know when to prototype quickly versus apply engineering rigor
• Be excited about using AI to improve both development speed and product capabilities

Requirements:

• You take responsibility for outcomes
• You can set direction without overcomplicating things
• You introduce structure that increases speed
• You can translate business priorities into shipped features
• You are able to effectively communicate with non-technical business partners
• You understand that shipping matters more than perfection
• Strong analytical mindset: you break down problems, identify root causes, and make data-informed decisions
• Business-aware: you understand tradeoffs between speed, cost, and impact, and prioritize accordingly
• You think beyond single tasks: you understand how your work affects the business, operations, and customer experience
• Strong system design and architectural thinking
• Comfortable working in evolving, imperfect environments
• Able to push back on requirements when needed, clearly communicating tradeoffs and impact
• Forward-thinking as you anticipate downstream effects and avoid decisions that create unnecessary complexity or risk
• Comfortable calling out when a solution is too costly, too fragile, or negatively impacts other parts of the system, and proposing better alternatives
• Be comfortable using a variety of AI tools, open to adopting new ones
• Know when to prototype quickly versus apply engineering rigor
• Be excited about using AI to improve both development speed and product capabilities
• Microservices Architecture - FastAPI (Python) and ASP.NET Core (C#)
• UI - React/NextJS, TypeScript
• Backend Databases: Redis, PostgreSQL
• Cloud Environment: GCP, Container Apps, IaaC (TF), GitHub Actions
• AI Development: Azure Foundry with Azure OpenAI, Microsoft Agent Framework
• AI Native Development Practices: Includes Skill development, AI Agent Development, Obsidian AI Brain
• You understand of Microservices architecture and multi-tenant platform design
• You understand pub-sub and eventual consistency models
• You understand DDD (Domain-Driven Design) and Software Architecture principles such as ACL (Anti-Corruption Layer), Events-Driven design, Ports & Adapter design
• You understand AI-native development and can develop AI agents and skills to assist in daily workflows
• You understand the 12 Factor Framework for Software Development
• Experience or strong awareness of: HIPAA / healthcare data handling
• Data privacy and security best practices
• Understands how to: Handle sensitive data safely
• Make pragmatic tradeoffs between speed and compliance
• Design secure systems without over-engineering
• Nice to have: experience working with Saleor