Palermo Advisors

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Staff Back-End Engineer

Backend EngineerSoftware EngineerFull TimeRemoteTeam 1-10H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

10 days ago

Salary

Not specified

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

We are searching for a Senior Fullstack Engineer to join a fast-growing Series A health technology startup focused on an innovative at-home monthly blood testing and health insights platform.

The main product is an easy, painless at-home kit for collecting your own blood sample. Your results appear in a private, HIPAA-compliant dashboard where you can track your biomarker changes over time and understand their implications for your health.

The Tech Stack:

  • TypeScript end-to-end
  • Express
  • React
  • Router 7 (web)
  • tRPC
  • React Native (mobile)
  • React Query
  • Postgres + Redis

What You’ll Do:

  • Own features end-to-end — from design discussion to production rollout and monitoring.
  • Ship TypeScript on the web app, Node/Express backend, and/or mobile app.
  • Design and build fault-tolerant, HIPAA-compliant services with a strong focus on privacy, security, and stability.
  • Document your work so others can move fast.
  • Use the latest AI tools and SDKs to build AI-enriched features.

Qualifications

  • 6+ years of hands-on software experience, with advanced TypeScript skills.
  • Comfortable working in a fast-paced startup where procedures aren't clearly defined.
  • Ability to manage your own time, break down ambiguous problems, and deliver.
  • Experience using AI tools as an accelerator—never as the decision-maker.
  • Understanding of backend design and data modeling in SQL/Postgres.
  • Experience writing reliable tests with Vitest, Cypress, Jest, etc.

Requirements

  • Experience with AI SDKs (AI SDK, OpenAI, Anthropic, etc.) with production software.
  • Experience building or maintaining HIPAA-compliant or other regulated healthcare software.
  • Comfortable with internal tooling (e.g., Retool) and thorough documentation habits.
  • Deeper expertise in React Native or sophisticated systems architecture.
  • Comfortable with monorepos.

Benefits

  • Salary: $160k – $210k
  • Equity: 0.05% – 0.25%
  • Benefits: Health, Dental, Vision
  • Time Off: Flexible PTO
  • Work Setup: Fully remote

Job Requirements

  • 6+ years of hands-on software experience, with advanced TypeScript skills.
  • Comfortable working in a fast-paced startup where procedures aren't clearly defined.
  • Ability to manage your own time, break down ambiguous problems, and deliver.
  • Experience using AI tools as an accelerator—never as the decision-maker.
  • Understanding of backend design and data modeling in SQL/Postgres.
  • Experience writing reliable tests with Vitest, Cypress, Jest, etc.
  • Experience with AI SDKs (AI SDK, OpenAI, Anthropic, etc.) with production software.
  • Experience building or maintaining HIPAA-compliant or other regulated healthcare software.
  • Comfortable with internal tooling (e.g., Retool) and thorough documentation habits.
  • Deeper expertise in React Native or sophisticated systems architecture.
  • Comfortable with monorepos.

Benefits

  • Salary: $160k – $210k
  • Equity: 0.05% – 0.25%
  • Benefits: Health, Dental, Vision
  • Time Off: Flexible PTO
  • Work Setup: Fully remote

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