About this role
- Build and own product features across the stack using Python, Django, React, and Next.js
- Design and implement the systems behind clinical and operational workflows, including scheduling, messaging, and practice operations
- Build APIs, application logic, and integrations with clinical and third-party systems
- Collaborate with engineers, designers, and clinical stakeholders to turn complex workflows into intuitive software
- Debug and resolve production issues across the frontend, backend, and infrastructure
- Design systems that remain reliable, maintainable, and predictable as the product grows
- Contribute to system design, technical planning, architecture discussions, and code reviews
- 5+ years building production web applications
- Strong backend engineering experience with a modern server-side language or framework (Python, Go, Kotlin, TypeScript, Java, C#, or similar)
- Comfortable building product features across the stack, including React/Next.js
- Strong engineering judgment and debugging skills
- Comfortable owning features from design through production
- Comfortable using AI development tools while maintaining ownership of the systems you build
- Ability to commute to Kinstead’s Columbus Circle office 3x week
- Experience building workflow-driven or stateful systems
- Experience with React and Next.js
- Experience with Kubernetes or distributed systems
- Experience with healthcare, FHIR, or other regulated software
- Experience working at an early-stage startup
- Python (Django, async-first with django-ninja and Channels), Next.js, PostgreSQL (with pgvector), Redis, WebSockets, asynchronous background jobs, workflow state machines, and clinical integrations using Medplum and FHIR.
- Our services run on AWS and Kubernetes, and we rely on Terraform for IaC and Datadog for APM and infrastructure monitoring.
- We maintain automated testing and deployment pipelines using Github Actions and integrate with AI providers including Google (Vertex AI), Anthropic (AWS Bedrock), and OpenAI.
Tech stack
PythonDjangoReactNext.jsKotlinTypeScript
Salary context
+10%
above median
Based on 22,000+ Engineering roles with disclosed salary ranges tracked on NewJob.
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