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Senior Product Engineer, Full Stack
Location: New York City or San Francisco - Hybrid 3 days per week
Work Style: Hybrid
Employment Type: Full-time
Compensation: $180K–$240K base salary + equity
Focus: Full-Stack Engineering, AI Healthcare, Patient Experience, Clinical Workflows
About Our Client
Our client is building an AI-native healthcare platform that gives people free, private access to AI health guidance and affordable visits with human physicians.
Millions of consultations already flow through the product, and the company is scaling quickly across patient experience, clinical operations, healthcare integrations, and AI-powered care delivery.
This is an opportunity to join a small, senior engineering team building real healthcare products used by patients, clinicians, and healthcare partners.
About the Role
Our client is hiring a Senior Product Engineer, Full Stack to build and ship features across the entire product.
This is not a frontend-only or backend-only role. Product engineers are expected to own complete features across the stack. A project may include a patient workflow in Next.js, a FastAPI endpoint, a new data model, and changes to how a service runs in production.
The team works AI-natively. Coding agents are part of daily delivery, not an occasional assistant. Engineers use agents to explore code, plan changes, implement, test, review, debug, and automate repeated work while remaining responsible for product decisions, system design, and correctness.
What You'll Do
Build patient experiences across onboarding, AI consultations, health records, prescriptions, physician visits, and follow-up care
Connect AI consultations with clinical workflows so patients can move from guidance to treatment
Turn new clinical and AI capabilities into clear product features with appropriate safeguards
Build tools and integrations for clinicians and healthcare partners
Work across frontend, backend, data models, APIs, and production infrastructure
Improve performance, accessibility, privacy, and reliability across web and mobile experiences
Use coding agents to run parallel investigations, shorten the path from idea to production, and automate repeated engineering work
Review product usage and customer feedback after launch, then improve the feature
Partner closely with clinical, product, design, AI, operations, and engineering teams
Own projects from initial definition through launch and production support
What We're Looking For
Experience shipping user-facing products across frontend and backend systems
Strong skills in at least one part of the stack, with the ability to work effectively across the rest
Good product judgment and strong attention to interface quality
Ability to define and deliver solutions when requirements are incomplete
Daily experience directing coding agents
Ability to provide context to agents, split work effectively, verify outputs, and know when to work directly
Habit of turning manual engineering work into scripts, tools, or reusable agent workflows
Sound judgment around privacy, security, accessibility, reliability, and maintainability
Clear communication across clinical, product, design, AI, and operations teams
Strong ownership and comfort operating in a high-autonomy engineering environment
Many candidates will have 5+ years of professional experience. Our client cares more about the products you have shipped and your role in shipping them than a specific degree or exact tool match.
Bonus Experience
Experience in healthcare, fintech, AI products, or another regulated industry
Experience building patient-facing, clinician-facing, or partner-facing healthcare software
Experience with telehealth systems, healthcare APIs, FHIR workflows, or clinical operations
Experience improving coding-agent workflows, automation, or AI-assisted engineering systems
Experience working in small, senior engineering teams with high ownership
Production Stack
Relevant technologies include:
Next.js
React
TypeScript
Swift
Kotlin
Python
FastAPI
MariaDB
SQLAlchemy
Redis
Celery
Docker
AWS ECS
AI provider integrations
Telehealth systems
Healthcare APIs
FHIR-based workflows
Experience with every part of the stack is not required. The right candidate should be able to learn unfamiliar systems and ship across product and backend code.
How the Team Works
Small, senior engineering team with high autonomy
Engineers own projects from definition through launch and production support
Short planning cycles and frequent releases
High standards for patient safety, privacy, reliability, and code quality
AI-native development workflows are part of daily engineering delivery
Why This Opportunity
Build AI-native healthcare products used by millions of patients
Work on features that connect AI guidance with real clinical care
Own full-stack product development across patient, clinician, and partner workflows
Join a small, senior team where individual engineers have meaningful product impact
Use coding agents as a core part of how software gets built
Work in a high-stakes environment where safety, privacy, and reliability matter
Help shape the next generation of healthcare access and AI-powered care delivery
Compensation & Benefits
$180K–$240K base salary
Meaningful equity
Benefits reimbursement
Ideal Candidate Profile
The ideal candidate is a senior full-stack product engineer who wants to build real healthcare products used by real patients and clinicians.
They are product-minded, technically strong, comfortable across the stack, and AI-native in how they work. They can own ambiguous problems, ship complete features, use coding agents effectively, and maintain strong judgment around safety, privacy, reliability, and user experience.
This person does not want to sit in a narrow frontend or backend lane. They want to own the outcome.