Senior Full Stack Engineer (TypeScript/Node.js)-Immediate Joiner

METRIC LABS LLC

United States

15 days ago

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Role details

Contract type

Permanent contract

Employment type

Full-time (> 32 hours)

Experience level

Expert

Experience required

5 years minimum

Working hours

Regular working hours

Job source

arc.dev

Tech stack

Artificial Intelligence Amazon Web Services Cursor Software Debugging Medical Software Node.Js Next.js SQL Databases Systems Integration TypeScript Web Applications ReactJS

+7 more

Fast Healthcare Interoperability Resources Large Language Models Electronic Medical Records Backend Health Level Seven International Data Pipelines Docker

Requirements

5-6 years building production web applications, with clear examples of features or services you personally owned
Strong TypeScript/Node.js backend skills; hands-on React and Next.js
Solid SQL and data modeling; experience with async processing, queues, or data pipelines
Practical AWS and Docker deployment and debugging experience
AI-native engineer - daily use of AI coding tools (Claude Code, Copilot, Cursor) with the judgment to ship AI-assisted code at production quality

Strong pluses

Healthcare software experience - EHR/EMR systems, clinical records, or FHIR/SMART/HL7 integrations
Experience handling PHI within HIPAA or SOC 2 environments
LLM APIs in production - structured outputs, retrieval, evaluation, cost/latency management

Details: Full-time, dedicated engagement through Metric Tree Labs

Remote (India) · 3-4 hours daily overlap with US Eastern Time

About the company

Metric Tree Labs is hiring for our client - a US-based healthcare AI startup founded by Harvard Business School & UC Berkeley alumni. Their platform helps hospitals and clinical research teams find and engage patients for clinical trials: it connects to EHR systems, screens patient records against trial criteria using AI, and powers patient outreach through AI-driven SMS and voice calls.

This is a live product on AWS with real customers. You’ll work directly with the founder and a small engineering team, owning features end to end - from customer requirements through deployment and production support.

What you’ll build

Product workflows for trial setup, patient screening, and eligibility review
EHR integrations (Epic, eClinicalWorks, athenahealth, OncoEMR) - authentication, bulk exports, recurring sync
Reliable data pipelines - queues, workers, retries, and failure recovery at scale
AI workflows - document parsing, patient matching, LLM-powered SMS and voice screening

The stack: TypeScript, Node.js (NestJS), Next.js/React, PostgreSQL (+pgvector), AWS (SQS, ECS Fargate, CDK), FHIR R4/HL7, OpenAI APIs, Twilio, ElevenLabs