Staff Full Stack Engineer

New York, New York

Development - Full Stack

Permanent

Our client, an AI-driven organization within the Healthcare industry, is hiring a Staff Full-Stack Engineer to join their team in New York. The successful candidate will own the technical direction of core applications, including leading architectural decisions, setting engineering standards and building highly reliable, scalable systems for high-stakes clinical environments.

Responsibilities

Lead the technical architecture across all core platforms.
Set and uphold engineering standards for code quality, testing, observability and incident response.
Design and scale real-time clinical oversight systems, including live conversations, escalations and audit trails.
Build natural language query capabilities over complex healthcare data.
Develop safe, intuitive no-code tools for configuring agent behavior.
Architect APIs, data models, and caching for real-time, voice and multi-channel systems at scale.
Own authentication, authorization and audit logging for healthcare-grade security and compliance.
Drive build-vs-buy decisions and evaluate platform-wide technical trade-offs.
Mentor engineers and raise the technical bar across the team.
Collaborate with clinicians, engineers and customers to turn complex workflows into robust systems.

Skillset

At least 7 years of hands-on full-stack engineering experience, including work in high-performing or top-tier engineering environments.
Deep expertise in React and TypeScript, with a strong grasp of performance, rendering and state management.
Proven experience building Python backend services, RESTful APIs and distributed systems.
A strong track record of designing, scaling and operating high-traffic production systems.
Solid understanding of real-time architectures, including WebSockets, streaming and event-driven systems.
Experience with relational databases, data modeling, query optimisation and caching strategies.
Demonstrated ability to set engineering standards and mentor engineers across a team.
Extremely high bar for code quality, reliability, and operational excellence.
Strong product intuition, with the ability to turn ambiguous requirements into robust technical solutions.
Clear, confident communicator across engineering, product and executive stakeholders.