Senior Fullstack Engineer Hybrid - San Francisco Bay Area

Location: Hybrid — San Francisco Bay Area (Palo Alto or San Francisco office, Monday/Thursday in-office)

Salary Range: $170,000 – $210,000 + equity + benefits

Job Type: Full-time, W2

Midi Health is the largest virtual care clinic for women in midlife navigating perimenopause, menopause, and other hormonal transitions. We combine expert clinicians, evidence-based protocols, and a modern technology platform to deliver care that has historically been underserved by the healthcare system. We're a fast-growing, mission-driven company building the infrastructure and products that define this new category of care.

• Hybrid by design. Two days a week in-office (Monday and Thursday) in Palo Alto or San Francisco. We believe high-trust teams are built in person and scaled remotely.
• AI-native engineering. We expect every engineer to be fluent with modern AI coding tools (Claude Code, Cursor, Copilot, and similar) and to actively push the frontier of how we build software.
• Low-ego, high-curiosity. We approach disagreement with humility and technical rigor, not politics. We invest in each other's growth.
• Outcome-oriented. We move fast, own our work end-to-end, and balance speed with the durability that healthcare demands.

You’ll join a team building the products that power Midi's care — spanning the patient journey (discovery, booking, ongoing care) and the clinician and operational surfaces that deliver that care 'll drive significant projects from early brainstorming through architecture, execution, rollout, and iteration, shipping user-facing software that meaningfully changes how women experience healthcare.

• Design, build, and own full-stack features end-to-end across our patient, clinician, and operational products
• Partner closely with product, design, marketing, clinical, and operations stakeholders to turn ambiguous problems into shipped software
• Write thoughtful, scalable code that balances speed of execution with long-term maintainability
• Contribute to architecture decisions and raise the bar for code quality, testing, and CI/CD practices
• Review code, participate in technical discussions, and help teammates level up
• Use AI coding tools every day to multiply your output and help the team adopt better workflows

• 6+ years of experience building and shipping full-stack web applications at production scale
• Strong hands‑on coding skills in a modern web stack — we use Django/DRF and React/Next.js
  , but equivalent experience is fine
• Seasoned at system design: you can take an ambiguous product problem and produce a clean, pragmatic architecture
• Solid command of AI coding tools; comfortable adopting and applying the workflows the team converges on
• Good mentorship instincts — you share context generously and help peers grow through code review and pairing
• Strong written and verbal communicator; collaborates well with non-engineering stakeholders
• Proactive ownership mindset; advocate for automated testing, CI, and high code quality

• Experience in healthcare, EHR integrations, or other regulated domains
• Prior consumer-facing startup experience

• Hiring Manager Screen (45 min)
• Live Technical Assessment (2 sessions: 2 hours)
• On-Site Interview and Lunch (4 sessions: 3 hours)

At Midi Health, we are committed to pay transparency and equity. The estimated salary range for this role is $170,000–$210,000 per year, based on factors such as experience and skills. In addition to base salary, employees are eligible for a wide range of benefits and equity in the company. We believe in fair and competitive compensation practices that align with our values of equity and inclusion.

If you have any questions about how we determine pay, we’re happy to discuss further in the hiring process.

At this time, Midi is unable to provide visa sponsorship. All candidates must be authorized to work in the United States without current or future sponsorship needs.

Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history.

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