Job Title: Senior Fullstack Developer

Company Name: Exponential

Job Url: https://arc.dev/remote-jobs/details/senior-fullstack-developer-healthcare-ai-full-time-us-canada-israel-nyd56aivp6

Job Description: About the company
At Exponential we’re building AI-Native care coordination to eliminate the $1T administrative “tax” on US Healthcare.  The result is better care at lower cost, redirecting resources back to patient care.  We’re looking for a senior/lead engineer to join our early team and own major parts of the stack, working directly with our brilliant Co-Founder CTO. This is a once-in-a-lifetime **founder-style role—**you’ll be expected to be all-in to build this critical infrastructure for the US Healthcare system, and more importantly to build an unstoppable engineering team.

What you’ll build:
You will architect and build scalable backend services:

Performant web applications (Next.js)
Automation flows (browser automation with Playwright/Puppeteer is a plus)
Data models and optimizing queries
We ship quickly, working as team and independently, in tight sync with the bigger product vision.

Requirements:

Ambitious, growth mindset that is relentless about achieving huge outcomes for our customers, and excels at teamwork
6+ years web programming experience
4+ years with Node.js
2+ years with Next.js
3+ years with SQL
ORM experience (Prisma, Sequelize, Drizzle)
Native Level English
Comfort using a copilot-powered IDE (VSCode + Copilot, Cursor, Windsurf, etc)
Strong communication and independence
Bonuses:

Healthcare industry experience
Browser automation experience
Location: Remote (if you'd like, we have NJ office space)
**This is a contract-to-hire position and require full-time dedication. Client intend to switch to full-time hire once the contract work trial is complete.