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Senior Product Engineer

Job in San Francisco, San Francisco County, California, 94199, USA
Listing for: Twill
Full Time position
Listed on 2026-07-19
Job specializations:
  • Software Development
    Backend Developer, Full Stack Developer
Salary/Wage Range or Industry Benchmark: 150000 - 230000 USD Yearly USD 150000.00 230000.00 YEAR
Job Description & How to Apply Below

About

A Series A health-tech company building the operating system for the hospital workforce. Most hospitals still run staffing, labor planning, and capacity management on spreadsheets, paper, and gut instinct, which drives up cost, burns people out, and hurts patient care. The product brings real-time decision support to clinical leaders, cuts manual work, and reduces unnecessary labor spend. Already live across multiple health systems and growing quickly

About the role

How fast this company grows depends on how fast it can deploy new customers. Right now, every new health system requires configuration work that’s manual, bespoke, and dependent on engineering. That’s the bottleneck, and this role exists to fix it. You’ll own the internal platform used to deploy new health systems. The goal is to make onboarding feel as close to self‑serve SaaS as possible: fast, repeatable, and scalable without adding headcount for every new customer.

Time‑to‑go‑live and headcount per deployment map directly to revenue capacity, so this work has real leverage.

What you’ll work
  • on:

    Building the platform that handles the full complexity and variability of enterprise health systems, so deployment and CS teams can configure, validate, and launch a customer end‑to‑end without engineering in the l
  • oop Turning a health system’s workflows and constraints into structured, validated configurat
  • ion Making integrations click‑to‑configure, with no engineer required to add a new
  • oneA self‑service portal where hospital IT teams can map their own org structures, job codes, cost centers, and scheduling ru
  • les Reducing time‑to‑go‑live by replacing manual steps and tribal knowledge with real tooling
What we’re looking
  • for:3+ years shipping production software in a product‑focused role, ideally in fast‑moving B2B
  • SaaSSaaSStrong with React, Type Script, and Postgres, comfortable across the s
  • tack

    Can scope and deliver complex features from design through production without hand‑hol
  • ding Product instinct for internal users; you’ve sat with operators and built tools that replaced how they work rather than layering on
  • top Comfortable talking to customers directly

This is the work that decides whether the company can actually scale. Every deployment you speed up and every manual step you replace lets the business take on more health systems, faster. It won’t show up as a splashy product launch, but it’s the leverage everything else runs on. If you like being the engineer other teams depend on, this is a good one.

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Position Requirements
10+ Years work experience
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