Lead Software Engineer – Full Stack Architecture & AI Workflow Platforms

New York, United States | Posted on 10/07/2026

• Job Type Permanent
• City New York
• State/Province New York
• Country United States

Axiom Path is an AI-first recruiting and staffing firm delivering RPO, MSP, and direct-hire solutions to enterprise clients across the U.S. Our team of experienced recruiters, supported by purpose-built automation, moves faster and communicates better so clients get qualified talent sooner and candidates get a clear, responsive process from first contact to start date.

Join a mission-driven technology organization building digital platforms that directly support healthcare and care-delivery professionals. This engineering team is developing a modern assessment platform used by approximately 1,500 nurses for both in-person and virtual assessments, including offline functionality that synchronizes securely with backend systems.

The team is also advancing workflow orchestration and AI-agent capabilities designed to automate and improve clinician workflows. Engineers work in a modern, product-focused environment where technical leaders have significant influence over architecture, design decisions, engineering quality, and how new capabilities are delivered.

• Work on high-impact, public-facing and enterprise-scale digital products.
• Lead architecture and technical design while remaining hands-on with modern full-stack technologies.
• Build applications using technologies including React, Type Script, Node.js, GraphQL, MongoDB, SQL, AWS, Docker, and modern CMS platforms.
• Help develop AI-powered workflow automation and agent capabilities supporting clinical users.
• Operate in a two-week sprint environment with close partnership across Product and Engineering.
• Work alongside senior technical leaders, with New York City preferred and Richmond, VA as a secondary location.

• Partner with Product Owners to translate business and product requirements into technically achievable solutions and architecture.
• Own technical design decisions for complex features and systems, balancing scalability, performance, maintainability, and user experience.
• Design architecture and data models using modern cloud-native technologies and engineering practices.
• Break down technical initiatives, delegate development work across engineers, and maintain accountability for successful delivery.
• Review engineering output for code quality, architectural consistency, performance, and production readiness.
• Help build an assessment platform supporting approximately 1,500 nurses, including offline-first capabilities and synchronization with backend services.
• Contribute to workflow orchestration systems and AI-agent capabilities designed to automate clinician workflows.
• Champion performance and scalability for high-traffic, public-facing web applications.

• Significant software engineering experience with the technical depth expected of a Lead, Principal, Senior Staff, or equivalent hands-on engineering leader.
• Proven experience designing and delivering enterprise-scale, public-facing, high-traffic, or performance-sensitive web applications.
• Strong hands-on expertise with Node.js and Type Script .
• Experience designing APIs and application services using GraphQL
  .
• Strong data modeling experience with MongoDB and/or SQL
  -based systems.
• Experience designing cloud-native solutions using AWS and modern containerization technologies such as Docker
  .
• Demonstrated architecture and system-design capabilities, including the ability to turn product requirements into practical technical solutions.
• Experience providing technical direction, delegating development responsibilities, and reviewing engineering output without stepping away from hands-on engineering.
• CMS experience is valuable, with Storyblok particularly relevant.
• Ability to communicate technical decisions clearly and directly with Product Owners, engineers, and other stakeholders.
• Experience balancing technical tradeoffs involving scalability, performance, user experience, maintainability, and delivery timelines.