[Remote] Full Stack Engineer

Note: The job is a remote job and is open to candidates in USA. MaxiCare is an AI-native EMR platform for skilled nursing and assisted living facilities. The Full Stack Engineer will ship end-to-end product features across the frontend, backend, database, and infrastructure, while contributing to AI-assisted development, code quality, production operations, and HIPAA compliance.

Responsibilities

• Take user stories from ready to shipped: backend handlers, database queries, React components, and the integration tests that prove it works
• Own the whole feature rather than one side of the API boundary
• Stay close enough to the deploy to know when something you shipped misbehaves
• Use Claude and Cursor every day, with prompts that produce code you actually trust
• Know when to keep what the model gives you and when to throw it out and write it yourself
• Share what works so the whole team gets faster
• Learn the codebase patterns in your first two weeks and write code that fits them
• Flag a pattern that's wrong before adding another layer on top of it
• Review teammates' code with specific feedback, and pair on hard problems when that's the fastest path
• Write the tests, read the logs, and take your turn on call
• Handle PHI carefully in logs, non production environments, and support workflows
• Read the security ADRs and ask when you're not sure where the line is

Skills

• A four year college degree from an accredited institution, or engineering depth that makes one unnecessary. Show the work
• Five or more years building production web applications end to end, with real products shipped to real users
• Two or more years of daily AI assisted development with Claude or an equivalent coding assistant
• Production TypeScript and Node.js, including type design and how Node behaves under load
• Modern React in production, and comfort with React 19 and Vite within your first week
• Real PostgreSQL work: debugging slow queries and running schema migrations without breaking things
• Working knowledge of Lambda, API Gateway, RDS or Aurora, S3, and CloudWatch
• REST and FHIR style API design, including resource modeling, idempotency, versioning, and authentication
• HIPAA experience, or the willingness to come up to speed quickly
• As requested and needed, including occasional on site team meetings where we work through product design and architecture strategy together. Integration testing may call for an occasional trip too
• Fully remote within the United States
• With a few hours of overlap with US Central time on most working days
• You'll join the on call rotation, because the system runs in real facilities
• Clear written and spoken English for a team that works mostly asynchronously
• Visible open source work in the TypeScript ecosystem
• EMR or EHR work, especially in post acute, skilled nursing, or assisted living
• FHIR R4 resources, bundles, and search parameters, ideally in a FHIR native system
• Hono, tRPC, Drizzle ORM, or comparable modern TypeScript tooling
• AWS CDK in TypeScript, or production Terraform or Pulumi
• Multi tenant PostgreSQL with row level security
• Vitest, Playwright, Testcontainers, OpenTelemetry, and Sentry

Benefits

• Unlimited vacation: We don't count days. Take the time you need to rest and come back sharp, coordinated with your team so the work keeps moving.
• Career growth: MaxiCare is an AI first company, and this seat puts your hands on how one gets built. You'll work every day inside sophisticated product design where AI is part of the architecture, the workflow, and the product itself, and you'll build the skills the next decade of software will run on.
• Holiday gathering: Once a year the whole team comes together in person to celebrate the year and spend time together away from the screen.
• We cover 50 percent of a monthly fitness and health club membership. Details are discussed during the interview process.
• Performance based annual bonus participation.
• Fully remote within the United States, with a few hours of overlap with US Central time on most working days.

Company Overview