Senior Fullstack Engineer

The role

Senior Fullstack Engineers own the main product surface end to end. You will build screens in Vue 3, design API routes, and model clinical and patient data in MongoDB.

What you will do

• Build screens in Vue 3 Composition API against our internal component library
• Design and implement API routes contract-first, with schemas shared across frontend and backend
• Model clinical and patient data in MongoDB, and keep it queryable as collections grow
• Work inside shared TypeScript packages every app in the repo depends on
• Take features from spec to production and support them once they're live

Required qualifications

• 5+ years building and shipping production web applications
• Strong TypeScript across the stack
• Hands-on Vue 3
• Backend experience with Node, Express, and MongoDB/Mongoose
• Knowledge of query costs and scaling
• Ability to name the shortcomings of the tools you use
• Experience designing for growth
• Experience working in and improving a large codebase you did not write

Nice to have

• Understanding of how care is delivered: clinical workflow, care pathways, how a patient moves through the system
• Experience moving health data between systems: HL7, FHIR, EHR connectivity
• Familiarity with Twilio, LiveKit, or the OpenAI API
• Monorepo experience (e.g., Turborepo, Nx)
• Realtime or streaming applications
• Durable workflow orchestration (e.g., Temporal, Cadence, AWS Step Functions)
• Experience with cloud platforms such as AWS, Azure, or GCP

Before you apply

• Camera is required to be on during meetings

About the company

Flagler Health is building the clinical operating system for modern musculoskeletal care. They partner with MSK provider groups and specialty clinics to help them grow and deliver longitudinal care.