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Senior Full Stack Engineer

Job Description - Senior Full Stack Engineer

About the Role


We’re looking for a Senior Full Stack Engineer to help build the next generation of Full Health Medical’s platform. This is a hands-on engineering role where you’ll design, build and operate distributed systems that process healthcare data at scale.


You’ll work across the full technology stack, integrating with third-party platforms, cloud services and open-source technologies to deliver resilient, secure and scalable software.


What You’ll Do



  • Design, build and maintain distributed web applications and backend services.

  • Develop features across frontend, backend, APIs and infrastructure.

  • Integrate with third-party vendor platforms, healthcare systems and open-source technologies.

  • Design scalable APIs and data models.

  • Build and operate cloud-native services on AWS and Kubernetes.

  • Drive software quality through testing, observability and operational excellence.

  • Contribute to architectural decisions while remaining actively involved in implementation.

  • Review code, mentor engineers and raise engineering standards.

  • Troubleshoot production issues and improve system reliability and performance.


Skills & Experience


Essential



  • Significant commercial experience building modern web and backend applications.

  • Strong experience with:

    • Next.js

    • TypeScript / Node.js

    • PostgreSQL

    • AWS

    • Kubernetes



  • Experience designing and operating distributed systems.

  • Experience integrating with third-party APIs, commercial SaaS products and open-source technologies.

  • Strong understanding of REST APIs, authentication and application security.

  • Experience with CI/CD and modern software delivery practices.

  • Experience using AI-assisted software development tools.


Desirable



  • Experience working in healthcare or other regulated industries.

  • Experience working with FHIR R4/R4B and HL7 v2 healthcare interoperability standards.

  • Experience with event-driven architectures.

  • Experience with Infrastructure as Code.


What We’re Looking For


You’ll be someone who:



  • Designs scalable, maintainable systems and makes sound architectural decisions.

  • Takes ownership from design through to production, with a strong operational mindset.

  • Is comfortable working across multiple languages, frameworks and technology stacks.

  • Quickly understands unfamiliar codebases and third-party systems.

  • Makes pragmatic engineering decisions that balance quality, speed and long-term maintainability.

  • Builds secure, reliable software by default.

  • Writes clean, well-tested and maintainable code.

  • Enjoys solving complex technical problems.

  • Communicates effectively and collaborates well across engineering and product teams.

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