Senior Full Stack Engineer-NodeJS-React

Overview

Our client is hiring a full stack Engineer to help build a multi-tenant case‑management platform that orchestrates complex clinical, payment, and communication workflows.

Senior Software Engineer

Remote US

• Design, build, and operate backend features on our Node.js + Type Script platform using Express + Apollo GraphQL in a modular‑monolith architecture.
• Model and evolve a large, multi‑tenant data layer with Prisma 7 on PostgreSQL, focusing on performance and data integrity.
• Build and harden third‑party integrations – payments (Stripe, NMI), communications (Send Grid, Twilio), CRM (Hub Spot), scheduling (Calendly), and healthcare systems (Dosespot, pharmacy/consult‑provider APIs).
• Design event‑driven and asynchronous workflows using Google Cloud Pub/Sub, App Engine Cron jobs, and Cloud Functions for payment retries, follow‑ups, escalations, and batch processing.
• Implement secure authentication and RBAC (Firebase Admin, JWT, OTP flows, granular permissions) in a multi‑tenant, compliance‑sensitive context.
• Work with GCP services – App Engine, Cloud Storage, Big Query, Document AI, Secret Manager – and contribute to CI/CD via Git Hub Actions and Prisma migration pipelines.
• Write robust tests with Vitest and Supertest and Firebase emulators; ensure reliability, observability (Winston/Cloud Logging), and safe rollouts.

• 5 years of backend or full‑stack engineering experience.
• Expertise in Node.js + Type Script, API design, deep relational database experience (schema design, query optimization, migrations), preferably with Prisma/PostgreSQL or comparable ORMs.
• Experience with Pub/Sub, Big Query, Document AI, or other GCP‑native services.
• Background in healthcare, fintech, or regulated domains (HIPAA awareness a plus).
• Familiarity with AI/LLM integrations (Claude, OpenAI, vector DBs like Pinecone).
• Experience scaling systems with rate limiting, observability, and performance tuning.

• $150,000 – 195,000
• Bonus
• Equity

To apply please contact