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The All-In-One Growth & Automation platform that helps healthcare organizations grow and amaze their patients.
Senior Full Stack Engineer
Location
United States
Posted
64 days ago
Salary
0
Seniority
Senior
Job Description
Senior Full Stack Engineer
Steer Health
• Own systems end-to-end - not tickets - across voice AI, healthcare interoperability, event-driven automation, and clinical AI. • Build voice AI pipelines: multi-turn LLM agents, real-time STT/TTS (ElevenLabs, Deepgram), autonomous outbound calling, and intent resolution at scale. • Create event-driven orchestration: Kafka-powered A2A workflows and multi-step clinical automation across hundreds of healthcare organizations. • Develop healthcare integrations: FHIR R4, HL7 v2.x, and production EHR connections with Epic, athenahealth, and eClinicalWorks. • Implement clinical AI features: SteerNotes AI scribe, scheduling automation, and revenue cycle.
Job Requirements
- 5+ years of backend or full-stack engineering with deep ownership of production systems
- Meaningful experience building in or for healthcare: EHR integrations, FHIR/HL7, clinical workflows, or regulated data environments
- Hands-on experience with LLMs, voice AI, or agent-based systems - you've shipped something that reasons, not just retrieves
- Strong distributed systems intuition: event-driven architecture, async processing, real-time data at scale
- A communicator and decision-maker - you can write a design doc, defend a trade-off, and mentor a junior engineer in the same week
- Comfort in ambiguity and fast iteration; you don't need a perfect spec to start moving
- A genuine belief that technology can meaningfully improve patient outcomes
Benefits
- Competitive base salary + equity in a high-growth company
- Direct access to founders and executive leadership
- Full healthcare, dental, and vision coverage
- Flexible remote culture with in-person offsites
- Learning and conference budget
- Work on problems that directly impact real patients
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Title: Software Engineer II Location: San Francisco United States Job Description: About Checkr Checkr is building the data platform to power safe and fair decisions. Established in 2014, Checkr's innovative technology and robust data platform help customers assess risk and ensure safety and compliance to build trusted workplaces and communities. Checkr has over 100,000 customers including DoorDash, Coinbase, Lyft, Instacart, and Airtable. We're a team that thrives on solving complex problems with innovative solutions that advance our mission. Checkr is recognized on Forbes Cloud 100 2025 List and is a Y Combinator 2024 Breakthrough Company. As a Software Engineer at Checkr, you will work on high impact engineering projects that help build a fairer future for all. You will work in a collection of small services built on Ruby and Javascript, with both SQL and NoSQL databases, as well as message queues for asynchronous tasks. Checkr was founded by engineers for engineers; we want to create the best environment for developers to build, learn and love their work. What you'll do: - Own the product development of features from design, implementation, to release - Partner with product, design and other stakeholders in designing new features - Collaborate with other engineers in architecting and implementing new features - Design, develop, test, deploy, maintain, and improve our products - Deliver performant, reliable, scalable, and secure code capable of supporting hundreds of thousands of transactions a day - Monitor, investigate, triage, and resolve production issues as they arise for services owned by the team - Bring a customer-centric, product-oriented mindset to the table - collaborate with customers and internal stakeholders to resolve product ambiguities and ship impactful features - Experimentation mindset - autonomy and empowerment to validate a customer need, get team buy-in, and ship a rapid MVP - Quality mindset - you insist on quality as a critical pillar of your software deliverables - Develop new end to end web applications - Instrument and deploy new product experiments with a data-driven mindset What you bring: - 2+ years of full stack software development experience - Proficiency in Ruby and Javascript/React (or similar languages/frameworks) - Proficiency with test frameworks and automation (e.g. Cypress) - Passionate about XP practices, Domain Driven Design, and Continuous Delivery - Experience developing RESTful APIs. 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To live by that value, we've made the decision to disclose salary ranges in all of our job postings. We use geographic cost of labor as an input to develop ranges for our roles and as such, each location where we hire may have a different range. If this role is remote, we have listed the top to the bottom of the possible range, but we will specify the target range for an exact location when you are selected for a recruiting discussion. For more information on our compensation philosophy, see our website. On-target Earnings OR Base Salary range (San Francisco, CA) $150,000 - $176,000 USD Pay Transparency Disclosure One of Checkr's core values is Transparency. To live by that value, we've made the decision to disclose salary ranges in all of our job postings. We use geographic cost of labor as an input to develop ranges for our roles and as such, each location where we hire may have a different range. If this role is remote, we have listed the top to the bottom of the possible range, but we will specify the target range for an exact location when you are selected for a recruiting discussion. For more information on our compensation philosophy, see our website. On-target Earnings OR Base Salary range (Denver, CO) $127,000 - $149,000 USD At Checkr, we believe a hybrid work environment strengthens collaboration, drives innovation, and encourages connection. Our hub locations are Denver, CO, San Francisco, CA, Nashville, TN, and Santiago, Chile. Individuals are expected to work from the office 3 days a week. In-office perks are provided, such as lunch five times a week, a commuter stipend, and an abundance of snacks and beverages. A relocation stipend may be available for those willing to relocate to a Checkr hub location. Equal Employment Opportunities at Checkr Checkr is committed to building the best product and company, which requires hiring talented and qualified individuals with a diverse set of perspectives and lived experiences. Checkr believes in hiring people of all backgrounds, including those whose histories are impacted by the justice system in accordance with local, state, and/or federal laws, including the San Francisco's Fair Chance Ordinance. Applicant Privacy Policy If you are a California resident or are located in Alberta or British Columbia, our Applicant Privacy Policy applies to our collection and processing of your personal information when you apply for a role with us or otherwise participate in our recruitment process. - Legitimate Checkr emails will always include our official domain name after the @ symbol (e.g., name@checkr.com or name@ext.checkr.com). Create a Job Alert Interested in building your career at Checkr? Get future opportunities sent straight to your email. 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