Senior Full Stack Software Engineer

About Us 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 The Opportunity 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. What Sets Our Team Apart • 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 What You’ll Do • 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 What We’re Looking For Essential Experience • 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 Key Qualities • 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 Technical Skills • 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 Why You’ll Love Us • 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 Benefits Designed For You and Yours • 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.