Senior Full Stack Software Engineer

Pine 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/about

We'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.

• We're builders who understand the "why" behind every feature and can see the entire system holistically
• We know when to make pragmatic trade-offs between perfect code and shipping valuable features
• We maintain high standards while being practical about delivery timelines
• We think strategically about technical decisions and their long-term impact
• We're comfortable with the ambiguity and rapid iteration typical in a fast-growing startup

• Partner with product managers to shape product strategy, focusing on impactful solutions rather than just technical elegance
• Lead technical architecture discussions with an emphasis on practical, scalable solutions that align with business goals
• Design and implement systems that balance immediate needs with long-term scalability
• Make pragmatic decisions about technical debt, knowing when to optimize and when to ship
• Drive engineering excellence through mentorship, code reviews, and fostering a culture of continuous improvement
• Lead complex technical initiatives from conception to deployment across our full stack
• Proactively identify opportunities for system improvements while maintaining focus on business priorities
• Design and implement AI-powered features using LLMs to enhance clinical workflows and improve patient care delivery

• 5+ years of hands-on engineering experience in fast-paced startup environments
• Proven track record of shipping complex features end-to-end
• Strong product intuition and ability to challenge requirements when necessary
• Experience making architectural decisions that stood the test of time
• Deep expertise in modern frontend frameworks (React preferred) and NodeJS backend development
• Strong understanding of database design and optimization (PostgreSQL)
• Experience building and shipping LLM-based features in production environments

• Bias toward action: You know when to dive deep and when to move fast
• Systems thinking: You can see how individual components fit into the larger architecture
• Product mindset: You understand user needs and business impact, not just technical requirements
• Pragmatic perfectionism: You know when to make trade-offs between perfect and practical
• Leadership potential: You raise the bar for the entire team through your work and mentorship

• Frontend: Advanced React, state management, performance optimization
• Backend: NodeJS ecosystem (Remix, Next.js, or similar), API design
• Database: PostgreSQL, query optimization, schema design
• DevOps: Cloud infrastructure (GCP), CI/CD pipelines
• Mobile: Experience with or strong interest in React Native
• AI/ML: Experience developing LLM-powered features and integrating AI models into production applications
• Experience leveraging LLMs and AI tools to enhance development productivity

• We're a team of pragmatic builders focused on making real impact in healthcare
• We maintain high standards while staying humble
• We believe in sustainable pace and long-term thinking
• Remote-friendly culture with regular in-person team off-sites
• Comprehensive benefits package including equity, healthcare, and professional development

• Stock Option Plan
• Paid Parental Leave
• Medical, Vision, and Dental Insurance
• 401K Retirement Plan
• Mileage and Cell Phone Reimbursement
• Annual Wellness Allowance
• Professional and Personal Development Annual Allowance
• FSA and Dependent Care FSA
• 10 Paid Holidays
• Paid Time Off
• Paid Sick days

If 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.