Senior Full-Stack Engineer - AI​/ML Health Tech; Hybrid

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Full time

Hybrid

• $160K – $210K

We are seeking a Senior Full Stack Engineer to help design, build, and scale the core systems powering our conversational AI platform. In this role, you will work across backend services and frontend applications, collaborating closely with AI/ML engineers, product managers, designers, and other engineers to deliver secure, reliable, and user-friendly solutions for the healthcare industry.

Ellipsis Health is located in the San Francisco Bay Area, but we are open to remote candidates within the United States.

Responsibilities:

Design, develop, and maintain end-to-end features across Type Script-based backend services and modern frontend applications

Architect and implement scalable APIs and microservices using Type Script to support conversational AI workflows and healthcare integrations

Build and evolve frontend user interfaces using React and Redux, focusing on usability, performance, and reliability

Own services in production end-to-end, including deployment, monitoring, incident response, and continuous improvement of reliability and performance

Lead the design and implementation of database schemas and data pipelines for structured and unstructured healthcare data

Design and maintain secure integrations with healthcare systems, scheduling systems, and external platforms

Implement and manage authentication and authorization across systems

Integrate and manage identity and access management solutions such as Zitadel

Ensure security, privacy, and compliance (HIPAA, FHIR, and related standards) across the full stack

Optimize systems for performance, reliability, and scalability, supporting high-volume, real-time workloads

Build and maintain CI/CD pipelines, infrastructure automation, and observability for production services

Troubleshoot and resolve complex production issues; participate in on-call or production support rotations as needed

Mentor junior engineers and contribute to engineering best practices, code quality, and architectural standards

Stay current with emerging technologies and frameworks, applying them thoughtfully to improve product velocity and quality

Qualifications:

Bachelor’s or Master’s degree in Computer Science or equivalent practical experience

Experience building frontend applications using React and state management libraries such as Redux

Expertise in designing and consuming RESTful APIs and/or GraphQL

Solid understanding of microservices architectures, distributed systems, and system design

Hands-on experience with cloud platforms (AWS, GCP, or Azure) and containerized deployments (Docker, Kubernetes)

Strong database skills with SQL and No

SQL systems (e.g., PostgreSQL, MongoDB, DynamoDB)

Deep understanding of security best practices, authentication/authorization, and secure data handling

Experience building and maintaining CI/CD pipelines and production monitoring/alerting systems

Excellent collaboration and communication skills in cross-functional teams

Nice to Have:

Experience implementing role-based access control (RBAC) and fine-grained permission systems

Familiarity with identity providers and access management platforms such as Zitadel, Auth0, or similar

Familiarity with healthcare data standards such as FHIR and…