CovalentCreative is a technology and healthcare information company shaping the future of eyecare . Through leading brands like Eyes On Eyecare , Glance , and npiQ , we deliver innovative web applications, accredited education, and data-driven insights to tens of thousands of eyecare professionals. Our mission is simple; To empower the people who care for vision with the tools, knowledge, and connections they need to excel. Role Summary We're building npiQ , a healthcare data platform that helps pharmaceutical and medical device companies identify and engage Key Opinion Leaders (KOLs) in the healthcare space. We're looking for a Senior Full-Stack Engineer to own critical parts of our data-intensive platform - from our multi-dimensional scoring algorithms processing millions of provider records to the real-time search interface that makes it all accessible. You'll work on complex technical challenges: orchestrating ETL workflows that integrate clinical and non-clinical data; optimizing database queries across millions of records; and building features that turn massive datasets into actionable insights. This is a role where you'll balance sophisticated backend data processing with polished, modern frontend user experiences. Key Responsibilities Build full-stack features across our Next.js application, tRPC API layer, and Temporal workflow orchestration system Design and optimize data-intensive pipelines that process healthcare provider data from dozens of different sources Implement complex algorithms backed by rigorous mathematical and statistical reasoning Optimize database performance and query patterns across millions of records Collaborate with stakeholders to translate complex healthcare data problems into elegant technical solutions Own features end-to-end: from database schema design through API implementation to UI polish Review code, mentor other engineers, and establish patterns that scale as the team grows Preferred Qualifications Experience with our stack: Next.js, TypeScript, React, tRPC, Prisma ORM, MySQL, Temporal workflows Background in healthcare technology, data platforms, or analytics products Experience designing and implementing scoring/ranking algorithms or recommendation systems Familiarity with workflow orchestration tools (Temporal, Airflow, Dagster) Compensation and Benefits Competitive salary: ~$140,000-$160,000 annually (commensurate with experience). Flexible, fully remote work environment (Pacific Time core hours required). Health benefits, PTO, and professional development opportunities. Engineering-first culture where you’ll shape both product and technical direction. Opportunity to grow quickly in a small, ambitious team building trusted industry platforms.