Full-Stack Software Development Lead

What You Will Do

— Lead an AI-enabled development process: Own and continuously improve how the team builds software with AI coding tools and agents integrated across the lifecycle — from spec to review to deploy. Set the standards and workflows that enable a small team to deliver well beyond its size.

— Design the development process: Define and evolve our SDLC — version control, code review, CI/CD, automated testing, and observability — so the team ships quickly and reliably.

— Lead and grow a small team: Manage, mentor, and set technical direction for a small team of engineers. Balance hands-on coding with unblocking others, reviewing work, and raising the team's standards.

— Design and ship distributed systems: Own the architecture and implementation of backend services and full-stack features that scale across our platforms, from data ingestion pipelines to user-facing applications.

— Collaborate across the stack and the org: Partner with clinical, sales, finance, and operations teams to turn complex requirements into reliable, well-designed software.

— Support data, operational, and financial reporting: Build and maintain complex datasets and data pipelines that power operational and financial reporting across the business.

— Own the full lifecycle: Take features from design through implementation, testing, deployment, and observability in production.

Minimum Qualifications

— Experience: 5+ years building production software as a full-stack engineer, including experience leading projects or a small team.

— AI-enabled development: Hands-on experience integrating AI coding tools and agents into a real development workflow, and managing an AI-augmented software development process end to end.

— Process design: Demonstrated track record designing and running SDLC practices — version control, code review, CI/CD, and automated testing — that help a team ship faster, not slower.

— Team leadership: Experience managing or mentoring a small team of engineers.

— Distributed systems depth: Demonstrated history of designing, deploying, and scaling distributed systems on AWS (or GCP/Azure). Strong grasp of the fundamentals.

— Full-stack range: Comfortable owning both backend services and front-end experiences.

— Data and reporting: Experience building complex datasets and supporting operational and/or financial reporting.

— Communication: Ability to articulate technical trade-offs to engineers while clearly explaining product decisions to clinical, finance, and sales stakeholders.

— Evidence of exceptional skill: A portfolio, open-source contributions, or shipped products that demonstrate exceptional ability.

How We Work

— Bias for action: We expect you to prototype quickly and iterate in tight loops.

— Extreme ownership: You're responsible for products end-to-end: design → implementation → testing → observability.

Compensation and Benefits

— Stock options, and meaningful equity in a company solving a problem that matters.