Senior Full-Stack Engineer (Node.js & Next.js, AI-Native) - Remote

📋 Description

• AI-Augmented development using LLMs, Cursor, and Copilot.
• Claude agent team orchestration to parallelize work.
• End-to-end feature ownership across Node.js and Next.js.
• AI-powered features: prompt pipelines, RAG, structured outputs.
• Production quality: API contracts, migrations, CI/CD, observability.
• HIPAA/SOC2 compliance, encryption, auditing and PII protection.

🎯 Requirements

• Backend: Node.js & TypeScript, REST/GraphQL/tRPC APIs
• Database: PostgreSQL and Redis
• Frontend: Next.js (App Router, Server Components)
• AI tooling: LLM integration (OpenAI/Anthropic), Claude agent orchestration
• Cloud & DevOps: AWS, Vercel, GitHub Actions
• 3+ years of software engineering; strong English; high ownership

🎁 Benefits

• AI as infrastructure: AI is woven into building, testing, documenting, and shipping.
• High complexity problems: real-time data, complex clinical state machines, reliability.
• Direct impact on patient outcomes and provider efficiency.