Full Stack Software Engineer

At Commence, we’re the start of a new age of data‑centric transformation, elevating health outcomes and powering better, more efficient processes for program and patient health. We combine quality data‑driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.

With human‑centered, healthcare‑relevant, and value‑based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

As a Full‑Stack Engineer at Commence, you will play a key role in designing, developing, and maintaining both front‑end and back‑end components of our applications. You will work closely with cross‑functional teams to deliver high‑quality software solutions that are scalable, secure, and efficient. This role is ideal for someone who thrives on complex technical challenges; the harder the problem, the more energized you become.

• Develop, and maintain scalable web applications using modern technologies including .NET, React, Bootstrap, Python, PHP (Laravel), and C#.
• Build and integrate RESTful APIs to enable seamless interaction between frontend and backend systems.
• Collaborate with product managers, designers, and other engineers to translate business requirements into technical specifications.
• Design, configure, and deploy serverless applications and cloud‑based solutions using AWS services.
• Work with mission‑critical applications at scale, ensuring high availability and performance.
• Provide technical guidance and mentorship to other engineers.
• Contribute to architectural decisions and long‑term technical strategy.
• Process and optimize applications working with large data sets.
• Optimize application performance for maximum speed and scalability.
• Ensure the security and compliance of applications, particularly regarding data handling and storage.
• Continuously improve and maintain existing systems by identifying areas of enhancement.
• Create reusable components and frameworks to drive consistency and efficiency.
• Apply secure coding practices in compliance with HIPAA, NIST, and other relevant healthcare standards.
• Optimize application performance to ensure high speed, responsiveness, and scalability.
• Participate in code reviews, testing, and debugging to uphold high‑quality engineering standards.
• Enhance and maintain existing systems by identifying and addressing areas for improvement.
• Ability to work effectively both independently and as part of a team.
• Stay current with industry trends and best practices in full‑stack development.

• 5+ years of experience in full‑stack development.
• Exceptional problem‑solving abilities—demonstrated track record of tackling complex technical challenges with enthusiasm and creativity.
• Experience with multiple programming languages and frameworks, particularly React and Node.js.
• Hands‑on experience deploying and managing serverless applications in AWS.
• Experience configuring and deploying various AWS services such as Amplify, EC2, S3, Lambda, SNS, RDS, and others.
• Experience building and maintaining mission‑critical applications at scale.
• Experience working with large data sets and optimizing for performance.
• Software application development skills, including web services, web‑based deployment, and database integration.
• Best practices with code development including unit testing and improving through static code analysis and security findings.
• Experience with CI/CD pipelines.
• Experience with database technologies (relational and/or No
  
  SQL).
• Experience with version control systems (Git‑based).
• Strong attention to detail and commitment to code quality.
• Ability to work independently and as part of a collaborative team.

• Experience with document management systems.
• Experience with OCR (Optical Character Recognition) technologies.
• Experience in healthcare technology or regulated industries.
• AWS Certifications.
• Familiarity…