Job Opportunities API

SENIOR SOFTWARE ENGINEER, FULL STACK Location: New York City (Hybrid, 3 days in office per week) Reports to: CTO Kinstead is building the AI-native operating system for independent healthcare, enabling nurse practitioners to launch and run their own clinics. We replace the fragmented, manual infrastructure behind healthcare with a single, intelligent system so clinicians can spend their time on care, not paperwork. This creates a new model of care, one where clinicians practice on their terms and patients get consistent, community-rooted care. We’re backed by Wisdom Ventures http://wisdom.ventures and leaders from PathAI, Pomelo Care, and Flatiron Health on our mission to deliver better care. ABOUT THE ROLE We’re hiring a senior software engineer to build and own core product functionality across the stack. You’ll design and implement the systems that power reliable clinical and operational workflows, from backend services and APIs to the frontend experiences that clinicians use every day. You’ll work on everything from application logic and asynchronous processing to user-facing features, collaborating closely with the rest of the engineering team to ship complete product capabilities. We care deeply about reliability, correctness, and building software that behaves predictably under real-world conditions. Many of our most interesting engineering problems involve workflow design, state management, integrations, and ensuring complex systems remain understandable as they grow. You do not need prior healthcare or FHIR experience. We care more about strong engineering fundamentals, sound technical judgment, and the ability to ramp quickly on a complex domain. You’ll work closely with the CTO on system design while maintaining ownership of implementation, production quality, and the long-term health of the systems you build. HOW WE WORK We use AI coding tools such as Claude Code, GitHub Copilot, and Codex every day. We expect every engineer to be comfortable incorporating AI into their development workflow. AI accelerates implementation, but engineers remain responsible for system design, debugging, code review, and everything that reaches production. WHAT YOU’LL DO - Build and own product features across the stack using Python, Django, React, and Next.js - Design and implement the systems behind clinical and operational workflows, including scheduling, messaging, and practice operations - Build APIs, application logic, and integrations with clinical and third-party systems - Collaborate with engineers, designers, and clinical stakeholders to turn complex workflows into intuitive software - Debug and resolve production issues across the frontend, backend, and infrastructure - Design systems that remain reliable, maintainable, and predictable as the product grows - Contribute to system design, technical planning, architecture discussions, and code reviews OUR STACK Python (Django, async-first with django-ninja and Channels), Next.js, PostgreSQL (with pgvector), Redis, WebSockets, asynchronous background jobs, workflow state machines, and clinical integrations using Medplum and FHIR. Our services run on AWS and Kubernetes, and we rely on Terraform for IaC and Datadog for APM and infrastructure monitoring. We maintain automated testing and deployment pipelines using Github Actions and integrate with AI providers including Google (Vertex AI), Anthropic (AWS Bedrock), and OpenAI. WHAT SUCCESS LOOKS LIKE - You independently scope, build, and ship production features across the stack - Clinical and operational workflows feel intuitive to users while remaining reliable in production - The systems you build remain understandable, maintainable, and easy to extend as the product grows - You make sound engineering decisions that balance product velocity with long-term quality - You understand how frontend behavior, backend services, and infrastructure work together as a complete s