Full-stack Engineer

• Build features end to end: design the data model, build the API, build the interface, ship it, and iterate based on feedback from real users and clinical requirements.
• Design and build Prysm’s core clinical APIs and backend services in TypeScript on AWS in Nest.js/Node.js and the React + Typescript interfaces that sit on top of them.
• Turn complex clinical workflows into clear, intuitive, responsive experiences: clinical dashboards, documentation workflows, staffing views, census management, and real-time alerts.
• Contribute to the onboarding/migration flow for facilities moving onto Prysm, the MDS billing architecture, and related reimbursement workflows so documentation is reimbursement-ready.
• Design robust data models and appropriate FHIR extensions (where valuable), and define API contracts and synchronization strategies across the stack.
• Implementations with external systems and vendors.
• Set the standard for code quality, testing, CI/CD, monitoring, and security practices (HIPAA & SOC2 readiness is important).
• Partner regularly with the CNO and facility operators: visit facilities to observe workflows, incorporate nurse feedback, and iterate quickly.
• Collaborate closely with product and design to ensure engineering solutions are operator-centric and deliver value fast.
• Mentor and help hire engineers as the team grows; set the bar for code quality, reviews, and onboarding., * Technical conversation: walk through an existing engineering project you built or a live coding/architecture exercise.
• Interview with CTO (technical system design), and meetings with the core leadership team
• Final conversation with CEO/CTO.

• 5+ years of backend production engineering experience, with a track record of owning systems in production.

• Strong TypeScript experience (or similar language) or the ability to pick it up from another strongly typed language and production experience on AWS or similar Cloud Platform Solutions. Experience designing APIs, database schemas and backend services for complex domains and building production frontends with solid frontend architecture, state management, and performance instincts.

• Strong product orientation: you write code to define requirements, scope projects and development, and iteratively deliver.
• Excellent communicator who can work with clinical stakeholders and non-technical operators.
• Willingness to travel to facilities periodically to understand product usage in the real world., * Experience with healthcare standards such as FHIR, MDS, or HL7, previous work integrating with EHRs, or previous experience working with industry standardized data formats.
• Experience with HIPAA, SOC2 readiness, and security/compliance engineering.
• Experience with OCR, medication mapping, or rules-based AI/automation.
• Prior experience building from scratch in a startup or working closely with operator / clinical teams in the field.

8 Hours Ago In-Office or Remote 81K-92K Annually Mid level 81K-92K Annually Mid level Aerospace * Information Technology * Software * Cybersecurity * Design * Defense * Manufacturing Design, build, test, and maintain web-based enterprise applications across the full stack. Gather requirements, translate to technical solutions, enhance existing software and integrations, troubleshoot issues, participate in Agile ceremonies, write documentation, contribute to code reviews and architecture, and mentor junior team members. Top Skills: ColdfusionCSSHTMLJavaScriptJquerySQLSQL Server Clerkie, 90K-150K Annually Mid level 90K-150K Annually Mid level Artificial Intelligence * Fintech * Software Build and own end-to-end full-stack features across backend services and user-facing applications. Contribute to system design, reliability, performance, observability, and engineering practices while collaborating with product and design. Top Skills: JavaScriptNode.jsNoSQLTypescript, CrowdStrike, 5 Days Ago Remote or Hybrid 100K-145K Annually Mid level 100K-145K Annually Mid level Cloud * Computer Vision * Information Technology * Sales * Security * Cybersecurity Design and build tools and automations to deploy and manage CrowdStrike’s cloud infrastructure. Collaborate with cross-functional partners to deliver reliable full-stack solutions using React and Go, integrate REST/GraphQL APIs, implement CI/CD and automated tests, emphasize security and documentation, and leverage AI to improve workflows and decision-making. Top Skills: Ai TechnologiesCi/CdCSSGitGoGraphQLHTMLJavaScriptReactRest

What you need to know about the Colorado Tech Scene

With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.

Key Facts About Colorado Tech

• Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
• Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
• Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
• Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
• Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
• Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute

In a skilled nursing facility (SNF), a nurse can spend more of their shift documenting care than delivering it. Their software records what already happened ,asks for the same information over and over, and tells no one anything. If a resident’s health declines, it can take days for someone to notice.

We’re fixing that. In Prysm, data entry flows across the system. Problems escalate to the right person while there’s still time to act. And operators get real-time visibility into census, staffing, documentation, and compliance in a single command center, with the foresight to manage quality at scale.

We’re a founding team of healthcare operators, clinicians, and engineers, backed by investors and operators deeply embedded in the industry. We have a distribution network that most startups spend years trying to build. Long-term care is a huge slice of American healthcare, and it runs on software nobody would choose today. We’re placing it, and we’re looking for the engineers who want to build that.