Job: Senior Full Stack Engineer
Next.js, FastAPI, NestJS, LLM agents
Remote
Full Time
About Our Client
Our client is transforming the chaotic back office of U.S. healthcare with AI and automation. Today, many clinics are overwhelmed with faxes, manual forms, long insurance calls, and administrative headaches. Our client company simplifies it all—automating intake, insurance verification, documentation, and patient calls—so clinics can focus on care, not paperwork.
What You’ll Do
- Build and maintain end-to-end features across the stack using Next.js on the frontend and FastAPI, NestJS, or similar backend frameworks.
- Develop and manage robust prompt libraries for production-grade LLM agents, with clear documentation, version control, and optimization strategies.
- Run A/B tests on prompts to improve accuracy, task completion, and agent behavior across various healthcare workflows.
- Architect scalable automations with n8n, and integrate with EHRs, VOIP systems, faxes, Gmail, and other healthcare infrastructure.
- Manage messy, real-world healthcare data pipelines with grace and resilience.
- Continuously iterate on evals, model performance, and the real-world accuracy of their AI agents.
- Ship fast and often—your work will be in the hands of real users immediately.
- Deploy the product within Clinics & Leading Healthcare providers across US.
- Collaborate directly with founders, product, and customers to design and launch mission-critical features.
- Help shape the company’s future—team, culture, and product—from the ground up.
You Might Be a Fit If You…
- Have 3+ years of experience in AI/ML engineering, full-stack engineering, or both.
- Are comfortable building full-stack products from scratch and taking ownership across frontend, backend, and AI systems.
- Have strong prompting experience—including prompt engineering, prompt management, and A/B testing of LLM behaviors in production.
- Have worked with tools like LangChain, vector DBs, n8n, OpenAI, Claude, Gemini, ElevenLabs, Deepgram, and are always exploring new ones.
- Have experience with complex system integrations (EHRs, VOIP, external APIs) and love making messy systems talk to each other.
- Thrive in ambiguity and love turning raw ideas into real-world impact.
- Are fast, scrappy, and value getting something working over chasing perfection.
- Are obsessed with speed, ownership, and building things that actually matter.