Company Name: Pine Park Health

Job Details: Hiring,Remotely,in,USA,Remote,Senior,level

Job Url: https://builtin.com/job/senior-full-stack-software-engineer/7326824

Job Description: About UsPine Park Health is a value-based primary care practice that redesigns how senior living community residents get or stay healthy and lead a life they love. We’re on a mission to dramatically improve healthcare for seniors by building a new model of care designed around everyone involved — patients, families, community staff members, providers, and payers.Our value-based offering has led to over 150 communities partnering with us in the last year and allowed us to achieve 10X patient growth. We're a fast-growing company backed by lead investors, including First Round Capital, Google’s AI fund, Canvas Ventures,  Foundation Capital, Y Combinator, and Susa. If you share in our vision of helping every senior, no matter their health status, be able to lead a life they find meaningful and worthwhile, join us! Learn more at www.pineparkhealth.com/aboutThe OpportunityWe're looking for a Senior Fullstack Software Engineer who embodies the qualities that make our current team exceptional: technical excellence combined with sharp product intuition. This role goes beyond just writing code – you'll be a key player in shaping our technical strategy and product decisions.What Sets Our Team ApartWe're builders who understand the "why" behind every feature and can see the entire system holisticallyWe know when to make pragmatic trade-offs between perfect code and shipping valuable featuresWe maintain high standards while being practical about delivery timelinesWe think strategically about technical decisions and their long-term impactWe're comfortable with the ambiguity and rapid iteration typical in a fast-growing startupWhat You’ll DoPartner with product managers to shape product strategy, focusing on impactful solutions rather than just technical eleganceLead technical architecture discussions with an emphasis on practical, scalable solutions that align with business goalsDesign and implement systems that balance immediate needs with long-term scalabilityMake pragmatic decisions about technical debt, knowing when to optimize and when to shipDrive engineering excellence through mentorship, code reviews, and fostering a culture of continuous improvementLead complex technical initiatives from conception to deployment across our full stackProactively identify opportunities for system improvements while maintaining focus on business prioritiesDesign and implement AI-powered features using LLMs to enhance clinical workflows and improve patient care deliveryWhat We’re Looking ForEssential Experience5+ years of hands-on engineering experience in fast-paced startup environmentsProven track record of shipping complex features end-to-endStrong product intuition and ability to challenge requirements when necessaryExperience making architectural decisions that stood the test of timeDeep expertise in modern frontend frameworks (React preferred) and NodeJS backend developmentStrong understanding of database design and optimization (PostgreSQL)Experience building and shipping LLM-based features in production environmentsKey QualitiesBias toward action: You know when to dive deep and when to move fastSystems thinking: You can see how individual components fit into the larger architectureProduct mindset: You understand user needs and business impact, not just technical requirementsPragmatic perfectionism: You know when to make trade-offs between perfect and practicalLeadership potential: You raise the bar for the entire team through your work and mentorshipTechnical SkillsFrontend: Advanced React, state management, performance optimizationBackend: NodeJS ecosystem (Remix, Next.js, or similar), API designDatabase: PostgreSQL, query optimization, schema designDevOps: Cloud infrastructure (GCP), CI/CD pipelinesMobile: Experience with or strong interest in React NativeAI/ML: Experience developing LLM-powered features and integrating AI models into production applicationsExperience leveraging LLMs and AI tools to enhance development productivityWhy You’ll Love UsWe're a team of pragmatic builders focused on making real impact in healthcareWe maintain high standards while staying humbleWe believe in sustainable pace and long-term thinkingRemote-friendly culture with regular in-person team off-sitesComprehensive benefits package including equity, healthcare, and professional developmentBenefits Designed For You and YoursStock Option PlanPaid Parental LeaveMedical, Vision, and Dental Insurance401K Retirement PlanMileage and Cell Phone ReimbursementAnnual Wellness AllowanceProfessional and Personal Development Annual AllowanceFSA and Dependent Care FSA10 Paid HolidaysPaid Time OffPaid Sick daysIf you're energized by the challenge of building impactful healthcare technology and want to join a team that values both technical excellence and practical delivery, we'd love to talk to you.