Software Engineer, Full Stack

Key Responsibilities & Duties

• Design, build, and ship full stack features across our Registry platform — frontend, backend, and database.

• Build and maintain integrations with our core platforms, including Healthie (EMR), Candid (RCM), Spruce (messaging), and HubSpot.

• Write and maintain APIs and webhooks that connect FamilyWell’s systems, with attention to idempotency, retries, and data reconciliation.

• Design and evolve database schemas and queries (Postgres), balancing performance, data integrity, and clarity.

• Partner with Product, Data, and Clinical Operations to translate requirements into technical designs and shipped software.

• Write unit, integration, and end-to-end tests; participate in code review and uphold engineering quality standards.

• Support CI/CD pipelines, deployments, and monitoring/observability for the systems you build.

• Follow HIPAA and security best practices for handling protected health information (PHI).

• Troubleshoot and resolve production issues, working cross-functionally to identify root causes.

Minimum Qualifications

• 3–6+ years of professional software engineering experience as a full stack developer.

• Proficiency with a modern JavaScript/TypeScript stack (e.g., React/Next.js on the frontend; Node.js or Python on the backend).

• Strong SQL skills and experience working with relational databases (Postgres preferred).

• Experience building and consuming REST APIs and integrating with third-party platforms/SaaS tools.

• Comfort working across the full stack — from UI to backend services to data layer — rather than specializing in one layer only.

• Strong testing discipline and code quality habits (unit/integration testing, code review, documentation).

• Ability to work independently in a fast-paced, remote startup environment and communicate clearly with cross-functional partners.

• Experience using AI-powered development tools (e.g., Claude Code, GitHub Copilot, Cursor) to accelerate coding, testing, and debugging workflows.

Nice-to-Haves

• Experience in healthcare or another regulated industry, with familiarity with HIPAA and PHI handling.

• Hands-on experience with healthcare platforms such as Healthie, Spruce, Candid, athenahealth, or similar EMR/RCM systems.

• Healthcare data experience — working with clinical, claims, or operational data in a warehouse/BI environment (e.g., Snowflake, dbt, Sigma).

• Familiarity with healthcare data standards and interoperability (FHIR, HL7, X12/837-835).

• Experience with cloud infrastructure (AWS/GCP), containerization (Docker), and CI/CD tooling (GitHub Actions).

• Prior experience at an early-stage startup, comfortable with ambiguity and shifting priorities.

Compensation

$140,000-$155,000. While the anticipated range is within this band, flexibility may be limited based on the candidate’s experience and overall fit.