Senior Software Engineer, Full-Stack

care access is working to make the future of health better for all.
with hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly to communities that often face barriers to care.we are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need,
and contribute to the medical breakthroughs of tomorrow.

with programs like future of medicine, which makes advanced health screenings and research opportunities accessible to communities worldwide, and difference makers, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all.

as a senior software engineer
, you will be responsible for developing and maintaining modern software products that streamline operations at care access, unlock massive efficiencies, and accelerate the future of clinical research. You will work within an experienced and motivated cross‑functional team using full‑stack typescript to deliver experiences that empower and delight our users.

• develop full-stack web applications using modern typescript in a functional-first style.
• implement clean, modern, and intuitive uis that bring figma mockups to life, collaborating closely with product designers.
• build efficient, scalable, and secure backend apis in node and postgresql.
• collaborate with other engineers on the team through code reviews, mentorship, and pairing to maintain a high standard for technical excellence and feature delivery.
• proactively improve and maintain our codebases to keep technical debt low and data models aligned with real‑world domains.
• support our systems in production by executing deployments, playing an active role in incident responses, and working with devops on operational and infrastructure improvements.
• write and review design documents and lead technical discussions on system architecture.
• work with qa engineers to ensure that features are well‑documented and fully testable.
• participate in agile development methodologies, including sprint planning, stand‑ups, and retrospectives.

• strong proficiency in modern typescript, react, and node.js
• experience with functional programming techniques
• experience with relational databases, such as postgresql
• experience with cloud platforms, such as aws or azure
• ability to work independently and in a remote‑first team environment
• excellent communication and collaboration skills

• bachelor's or master's degree in computer science or equivalent experience
• at least 6 years of experience in both front‑end and back‑end web development

• location
  : remote within the united states. This role requires 100% of work to be performed in a remote office environment.
• travel
  :this is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role.
• physical demands associated with this position include
  : the ability to use keyboards and other computer equipment.

the expected pay range for this role is $140,000 - $180,000 usd per year for full time team members.

• paid time off (pto) and company paid holidays
• 100% employer paid medical, dental, and vision insurance plan options
• health savings account and flexible spending accounts
• bi-weekly hsa employer contribution
• company paid short-term disability and long-term disability
• 401(k)…