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Senior Full Stack Engineer

San Francisco, CA · Remote$170k–$230k/yrDirect HirePosted Sep 18, 2026

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Screening questions

Share specific examples from your own work. The recruiting team will review your answers alongside your resume.

Our mission is to improve healthcare. What interests you about working in the healthcare AI space, and do you have any personal or professional experience that draws you to this industry?

Describe a production backend service you built with Python. What did you own, and how did you handle scale, reliability, and observability?

Walk through a zero-to-one project you owned with minimal oversight. What did you ship, and what changed after launch?

What is your current U.S. work authorization status, and will you require employer visa sponsorship now or in the future?

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You're applying for

Senior Full Stack Engineer

San Francisco, CA · Remote

$170k–$230k/yr

Direct Hire

About the Company

This early-stage healthcare technology company builds AI tools for home-health clinicians. Its documentation product is in use at more than 300 home-health agencies. The team is now building a broader platform to reduce administrative work in home care.

About the Role

As a Senior Full Stack Engineer with a backend focus, you will build core services and product workflows for clinicians. You will own projects from prototype through production, work closely with a small engineering team, and help strengthen the architecture as adoption grows. The work is roughly 60% backend.

What You Will Do

Build and ship Python backend services, APIs, and data-heavy workflows that support AI-assisted documentation.

Own zero-to-one projects from prototype to secure, reliable production systems.

Improve system scalability, observability, and code quality as the product expands.

Contribute across the TypeScript and React-based product when needed.

Work directly with engineers and technical leaders to make product and architecture decisions.

What We Are Looking For

At least 5 years of backend-leaning full-stack software engineering experience.

Strong hands-on Python backend development and experience building production APIs, distributed systems, or data-heavy services.

Evidence that you independently owned and shipped substantial projects with limited oversight.

Experience at an early-stage startup or comparable zero-to-one building within a larger organization.

Clear communication, high ownership, and comfort working on a small team.

What We're Looking For

Experience with TypeScript, React, React Native, MongoDB, PostgreSQL, FastAPI, AWS, or Docker.

Experience with production LLM or generative AI workflows.

Interest or experience in healthcare or health technology.

Key Skills

Python backend developmentProduction APIs and distributed systemsBackend-leaning full-stack engineeringIndependent zero-to-one ownership

Role Logistics

Role Title: Senior Full Stack Engineer
Work Authorization: Applicants must be authorized to work in the United States without employer visa sponsorship.
Location: San Francisco, CA. A hybrid schedule is preferred, and fully remote candidates are considered.
Remote Policy: Remote
Compensation: $170k–$230k/yr

Recruiter review

The Crosscheck team reviews every application and follows up when there is a potential fit.