• Build and scale systems that power clinician and patient experiences end-to-end • Design, build, and own fullstack features across web and backend systems supporting telehealth workflows • Partner closely with product, design, and clinical teams to deliver intuitive, compliant, and high-quality user experiences • Build scalable backend services and APIs integrating with EHRs, pharmacies, labs • Develop modern frontend applications (React-based) powering internal tools and member experiences • Ensure performance, reliability, and security across critical healthcare flows • Contribute to architecture decisions, technical strategy, and system design for a rapidly evolving platform • Drive experimentation and iteration for rapid product improvements while maintaining high quality • Mentor engineers and raise the bar for engineering excellence, code quality, and operational rigor

• Design, build, and own core components of the agent platform, from the orchestration layer to the tool integrations connecting it to internal systems. • Build and evolve the capabilities layer: APIs, data access patterns, and service integrations for agents to execute operational workflows. • Architect the knowledge and memory infrastructure, allowing agents to retrieve the data and act across our systems. • Design and implement the trust and safety framework, including audit trails, human-in-the-loop controls, and guardrails for safe and auditable AI-driven operations. • Contribute to agent evaluation and testing infrastructure, defining how we measure accuracy, reliability, and regression across agent behaviors. • Partner directly with Operations to understand workflows, identify automation opportunities, and translate process knowledge into agent capabilities. • Mentor other engineers on the team as it grows.

Role Description We’re looking for a Senior Full-Stack Engineer who thrives across the stack and refuses to be boxed in. You move fluidly between frameworks - Next.js to Hono APIs to SvelteKit to Postgres - without friction or hand-holding. AI tools are part of your daily toolkit, and you write specs that make implementation straightforward. Responsibilities - Build and ship features across frontend and backend systems - Move seamlessly between Next.js, SvelteKit, and Hono depending on what the problem requires - Work with Postgres as the primary data layer, designing schemas and optimizing queries - Write TypeScript across the stack - React/Svelte on the frontend, Hono/Node.js services on the backend - Contribute Python services where appropriate - Write technical specifications that define APIs, data models, and UI behavior before coding - Use AI-assisted development tools to increase velocity and code quality - Collaborate with product and design to translate requirements into working software - Participate in code reviews, architecture discussions, and technical planning - Improve developer experience through tooling, documentation, and automation Qualifications - 5+ years of professional software engineering experience across frontend and backend - Framework fluency - you pick up new frameworks quickly and don’t have strong allegiances; moving from Next.js to SvelteKit to Hono feels natural, not stressful - Strong TypeScript proficiency - it’s your primary language - Experience with multiple frontend frameworks (React, Svelte, Vue - you’re not married to one) - Familiarity with lightweight API frameworks like Hono, Express, or Fastify - Deep Postgres experience - you understand indexing, query optimization, and schema design - Familiarity with event-driven architectures and message queues - Heavy daily use of AI coding assistants - you’ve developed workflows that make you faster - Hands-on experience with frontier LLMs beyond surface-level prompting - A spec-driven approach - you define what you’re building with precision before you start - Experience with Expo/React Native - Background with GraphQL, serverless architectures, or ClickHouse - Background in real estate, marketplaces, or consumer products - Contributions to internal tooling or developer productivity Skills - Relentlessly curious - you dig into new tools and technologies before they have comprehensive documentation - High agency - you don’t wait for permission or detailed instructions; you figure things out and drive forward - Comfortable with ambiguity - you can pick up bleeding-edge LLM tools and make them productive without hand-holding - Framework-agnostic - you see frameworks as tools, not identities; learning a new one is Tuesday, not a career change - Self-directed - you identify what needs to be done and do it

• Oversee product strategy, roadmap, and delivery for Women’s Health, Organ Health, and Rare Disease Diagnostics • Establish partnerships with General Managers to align on strategic goals • Audit existing product roadmaps and identify gaps in user experience • Support commercialization of new products and drive improvements in the existing products • Manage a team of Digital Product Managers, Solution Architects, and Integration Engineers • Collaborate with Software Engineering for technical roadmap implementation