About Us Pine Park Health is a value-based primary care practice that redesigns how senior living community residents get or stay healthy and lead a life they love. We're on a mission to dramatically improve healthcare for seniors by building a new model of care designed around everyone involved — patients, families, community staff members, providers, and payers. Our value-based offering has led to over 150 communities partnering with us in the last year and allowed us to achieve 10X patient growth. We're a fast-growing company backed by lead investors, including First Round Capital, Google's AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you share in our vision of helping every senior, no matter their health status, be able to lead a life they find meaningful and worthwhile, join us! Learn more at www.pineparkhealth.com/about The Opportunity We're looking for a Senior Fullstack Software Engineer who embodies the qualities that make our current team exceptional: technical excellence combined with sharp product intuition. This role goes beyond just writing code – you'll be a key player in shaping our technical strategy and product decisions. What Sets Our Team Apart We're builders who understand the "why" behind every feature and can see the entire system holistically We know when to make pragmatic trade-offs between perfect code and shipping valuable features We maintain high standards while being practical about delivery timelines We think strategically about technical decisions and their long-term impact We're comfortable with the ambiguity and rapid iteration typical in a fast-growing startup What You'll Do Partner with product managers to shape product strategy, focusing on impactful solutions rather than just technical elegance Lead technical architecture discussions with an emphasis on practical, scalable solutions that align with business goals Design and implement systems that balance immediate needs with long-term scalability Make pragmatic decisions about technical debt, knowing when to optimize and when to ship Drive engineering excellence through mentorship, code reviews, and fostering a culture of continuous improvement Lead complex technical initiatives from conception to deployment across our full stack Proactively identify opportunities for system improvements while maintaining focus on business priorities Design and implement AI-powered features using LLMs to enhance clinical workflows and improve patient care delivery What We're Looking For Essential Experience 5+ years of hands-on engineering experience in fast-paced startup environments Proven track record of shipping complex features end-to-end Strong product intuition and ability to challenge requirements when necessary Experience making architectural decisions that stood the test of time Deep expertise in modern frontend frameworks (React preferred) and NodeJS backend development Strong understanding of database design and optimization (PostgreSQL) Experience building and shipping LLM-based features in production environments Key Qualities Bias toward action: You know when to dive deep and when to move fast Systems thinking: You can see how individual components fit into the larger architecture Product mindset: You understand user needs and business impact, not just technical requirements Pragmatic perfectionism: You know when to make trade-offs between perfect and practical Leadership potential: You raise the bar for the entire team through your work and mentorship Technical Skills Frontend: Advanced React, state management, performance optimization Backend: NodeJS ecosystem (Remix, Next.js, or similar), API design Database: PostgreSQL, query optimization, schema design DevOps: Cloud infrastructure (GCP), CI/CD pipelines Mobile: Experience with or strong interest in React Native AI/ML: Experience developing LLM-powered features and integrating AI models into production applications Experience leveraging LLMs and AI tools to enhance development productivity Why You'll Love Us We're a team of pragmatic builders focused on making real impact in healthcare We maintain high standards while staying humble We believe in sustainable pace and long-term thinking Remote-friendly culture with regular in-person team off-sites Comprehensive benefits package including equity, healthcare, and professional development Benefits Designed For You and Yours Stock Option Plan Paid Parental Leave Medical, Vision, and Dental Insurance 401K Retirement Plan Mileage and Cell Phone Reimbursement Annual Wellness Allowance Professional and Personal Development Annual Allowance FSA and Dependent Care FSA 10 Paid Holidays Paid Time Off Paid Sick days If you're energized by the challenge of building impactful healthcare technology and want to join a team that values both technical excellence and practical delivery, we'd love to talk to you.