Full Stack Engineer

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

📋 Description

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

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

• Transform ambiguous challenges into concrete solutions by collaborating with operators and clinicians, defining problems, crafting specifications, and delivering initial versions.

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

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

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

• Safeguard protected health information by employing least-privilege access, ensuring no PHI is logged, and maintaining auditable changes.

• Develop and sustain engineering skills, plugins, MCP integrations, and review bots for Claude Code and Codex.

• Operate within a flat engineering team across the platform without sub-teams.

• Work closely with clinicians and operators who utilize the products.

⛳️ Requirements

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

• Recent, hands-on experience with AI harnesses, including project instructions, tools, and MCP servers, as well as skills, hooks, subagents, and evaluations.

• At least one personal project that is live and usable on the web, preferably a SaaS with functional payment capabilities such as Stripe.

• Strong full-stack proficiency in Python and TypeScript across the frontend, backend, databases, and cloud infrastructure.

• Comfortable working within a large, established codebase.

• Practical experience with LLMs, including tool usage, agent orchestration, structured outputs, retrieval, and evaluations.

• Daily engagement with AI coding agents like Claude Code, Codex, or Cursor.

• Ability to configure AI coding agents with project instructions, skills, MCP servers, hooks, and subagents, manage multiple tasks concurrently, and meticulously review output.

• Strong product intuition and capacity for making UI decisions without a dedicated designer.

• High sense of agency and capability to resolve obstacles independently.

• Excellent written communication skills.

• Experience in healthcare or another regulated industry, familiarity with HIPAA, payer and claims workflows, EHR integrations, or HL7/FHIR is a plus.

• Experience with Temporal or another durable workflow engine is advantageous.

• Familiarity with React Native is a plus.

• Experience conducting LLM evaluations or safety checks in a production environment is a plus.

• Experience in building an agent harness, MCP server, or coding-agent plugin is a plus.

• Contributions to open-source projects or internal tools utilized by others are a plus.

🏝️ Benefits

• Flexible remote work arrangement.

• Contract-based employment.

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

• Contribute to an AI-native healthcare platform.

• Work within a distributed team across various time zones.