Full Stack Engineer

This is a fully remote position, open to applicants in Brazil.

📋 Description

• Create and develop AI agents and automated workflows for clinic operations, which encompass insurance benefits verification, prior authorizations, patient intake, claims, and clinical documentation.

• Develop web and mobile functionalities for clinicians, patients, families, and the internal operations team.

• Transform ambiguous issues from concept to implementation by collaborating with operators and clinicians to clarify the problem, draft specifications, and deliver an initial version.

• Design services, data models, and APIs while managing infrastructure as code.

• Take ownership of production services, including deployments, monitoring, and incident response.

• Write evaluations for model-facing features and monitor workflow metrics.

• Safeguard protected health information by ensuring least-privilege access, avoiding PHI in logs, and maintaining auditable changes.

• Develop and sustain skills, plugins, MCP integrations, and review bots utilized by engineers with Claude Code and Codex.

• Collaborate across the platform within a flat engineering team devoid of sub-teams.

• Manage features from start to finish, including working with clinicians and operators, design, implementation, deployment, and follow-up on production performance.

⛳️ Requirements

• Over 5 years of experience in building and deploying production software.

• Recent, hands-on experience in utilizing or constructing AI harnesses beyond merely calling a model API, encompassing project instructions, tools and MCP servers, skills, hooks, subagents, or evaluations.

• At least one personal project that has been built and published online, which is live and accessible to the public; preferably a SaaS with operational payment systems like Stripe.

• Proven history of owning products or features from inception to completion, transforming unclear problems into systems that users rely on.

• Proficient full-stack abilities in Python and TypeScript, covering frontend, backend, databases, and cloud infrastructure.

• Comfortable navigating a large, established codebase.

• Practical experience in working with LLMs, including tool utilization, agent orchestration, structured outputs, retrieval, and evaluations; familiarity with LangGraph, an agents SDK, or similar frameworks.

• Regular use of AI coding agents such as Claude Code, Codex, or Cursor, including configuring project instructions, skills, MCP servers, hooks, and subagents; adept at running parallel tasks and meticulously reviewing output.

• Strong product sense with the ability to make UI decisions independently of a dedicated designer, utilizing a component library.

• High level of agency and the capability to independently resolve issues, seek context, and ask pertinent questions when necessary.

• Excellent written communication skills.

• Nice to have: experience in healthcare or regulated industries, including HIPAA, payer and claims workflows, EHR integrations, or HL7/FHIR.

• Nice to have: familiarity with Temporal or another durable workflow engine.

• Nice to have: experience with React Native.

• Nice to have: practical involvement in production LLM evaluations or safety checks.

• Nice to have: development of your own agent harness, MCP server, or coding-agent plugin.

• Nice to have: contributions to open-source projects or internal tools utilized by others.

🏝️ Benefits

• Flexible remote work arrangement.

• Contract employment opportunity.

• Chance to contribute to an AI-native healthcare platform.

• Opportunity to work with AI coding agents, including Claude Code and Codex.

• Ability to create products used by clinicians, patients, families, and healthcare operations teams.