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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Full-stack Engineer - **Company:** Prysm, Inc. - **Location:** United States (Remote available) - **Experience:** Expert - **Salary:** $170,000.0 - $230,000.0 - **Contract:** Permanent contract - **Skills:** Application Programming Interfaces (APIs), Agile Methodology, Artificial Intelligence, Amazon Web Services, Software Quality, Continuous Integration, Database Schema, TypeScript, Enterprise Software Applications, Cloud Platform System, Fast Healthcare Interoperability Resources, Backend, Health Level Seven International, Api Management - **Published:** July 22, 2026 - **Apply:** https://www.builtincolorado.com/job/fullstack-engineer/10201475 ## About the Role * 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. ## Description * 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. ## Related Videos - [Developing the Backend with Stefan Lingler, CTO at Shpock](https://www.wearedevelopers.com/videos/100360-developing-the-backend-with-stefan-lingler-cto-at-shpock) - [Do TypeScript without TypeScript](https://www.wearedevelopers.com/videos/327-do-typescript-without-typescript) - [From APIs to MCP: Enterprise Governance, Registry, and Controls](https://www.wearedevelopers.com/videos/100336-from-apis-to-mcp-enterprise-governance-registry-and-controls) - [Build and Deploy a Fullstack App with Open Source Tooling](https://www.wearedevelopers.com/videos/775-build-and-deploy-a-fullstack-app-with-open-source-tooling) - [Meet Your New BFF: Backend to Frontend without the Duct Tape](https://www.wearedevelopers.com/videos/682-meet-your-new-bff-backend-to-frontend-without-the-duct-tape) - [Contract-First Frontend: Scaling Reliable UIs with OpenAPI and AI](https://www.wearedevelopers.com/videos/1995-contract-first-frontend-scaling-reliable-uis-with-openapi-and-ai) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [Why Upskilling And Reskilling is Important For Developers](https://www.wearedevelopers.com/magazine/428-why-upskilling-and-reskilling-is-important-for-developers) - [Navigating the AI Shift](https://www.wearedevelopers.com/magazine/629-navigating-the-ai-shift) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [The Best X (Twitter) Accounts for Developers](https://www.wearedevelopers.com/magazine/294-the-best-x-twitter-accounts-for-developers)