Senior Full-Stack Engineer

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

📋 Description

• Design, develop, and deploy features from start to finish, covering data model and API design all the way to frontend implementation.

• Create and construct robust, scalable APIs using TypeScript and Node.js, published in OpenAPI format.

• Architect resilient distributed systems and third-party integrations, ensuring effective error handling, failure mode mitigation, and transaction control.

• Engage with FHIR R4 resources and clinical data models within Medplum.

• Contribute to the frontend transition from Flutter to React.

• Make decisions on build versus buy and identify non-differentiated capabilities.

• Take ownership of testing and contribute to QA and DevOps efforts.

• Ensure that development practices comply with medical-device regulatory standards.

• Draft clear specifications that can be implemented by AI agents and verified by engineers.

• Factor in verification, failure modes, risk-based reviews, monitoring, alerting, incident response, and automated pre-release verification.

• Assist in determining when agent-authored changes can be deployed directly to production.

• Establish standards and define engineering practices for AI-assisted development.

⛳️ Requirements

• Approximately 6+ years of experience in building software from start to finish, preferably in TypeScript, Node.js, and React; adjacent stacks will be considered if the fundamentals are solid.

• Significant experience in system design and architecture with production systems.

• Practical experience with distributed systems and third-party integrations, including authentication, webhooks, rate limits, retry strategies, fault tolerance, and transaction management.

• Strong testing skills and practices.

• Experience utilizing AI coding agents in production work, along with a well-informed perspective on their strengths and limitations.

• Experience working in a small team with incomplete requirements.

• Ability to articulate precise system descriptions and specifications.

• Clear and confident communication skills in a fully remote environment.

• Capability to work independently and collaboratively.

• A drive to create products that positively impact people.

• Experience in regulated industries such as healthcare or finance.

• Familiarity with FHIR R4 or other healthcare data standards and platforms like Medplum.

• Experience with AWS infrastructure.

• Some exposure to Flutter.

• Experience in startups, scale-ups, or as a founding engineer is beneficial.

• A keen interest in software craftsmanship through writing, open-source contributions, or community involvement is desirable.

🏝️ Benefits

• 30 days of annual leave each year, in addition to UK statutory and public holidays.

• 3 days of paid leave annually to volunteer with a charity or community group of your choice.

• Access to the YuLife wellbeing app.

• Company-provided laptop and any additional equipment necessary for the role.

• Participation in Perci's pension scheme.

• Income protection coverage.

• Enhanced company sick pay benefits.

• Enhanced maternity and adoption pay for primary caregivers: 20 weeks at full pay, 16 weeks at 25% pay.

• Enhanced paternity and adoption pay for secondary caregivers: 6 weeks at full pay, followed by 6 weeks at 50% pay.

• Access to over 400 co-working spaces throughout the UK.

• Remote-first working environment that supports genuine work-life balance.

• Employee Share Option Incentivisation.