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Sr. Software Engineer (San Diego)

Company:
Carlsmed
Location:
Carlsbad, CA, 92008
Posted:
April 07, 2026
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Description:

About Carlsmed

Our mission is to improve outcomes and decrease the cost of healthcare for spine surgery and beyond. The Carlsmed aprevo® personalized surgery platform is designed to improve the standard of care for spine surgery one patient at a time.

Position Description

As Senior Software Engineer, you will work on projects related to proprietary implants, instrumentation, and design automation systems to enable personalized surgery. You'll be working on our full-stack applications, focusing on building robust backend services and creating engaging user experiences. This role offers the opportunity to work with modern technologies and shape the technical direction of our products.

Responsibilities

Design and implement scalable backend services using Node.js, GraphQL, and Java/Kotlin (Spring Boot)

Build and maintain responsive, performant frontend applications using React

Optimize PostgreSQL databases for performance and reliability

Lead technical design discussions, architecture reviews, and code reviews

Mentor junior engineers and champion engineering best practices

Partner with product managers to define requirements and delivery timelines

Troubleshoot and debug complex issues across the full stack

Qualifications

Education: Bachelor's degree in Computer Science

Experience: 5 - 10 years of front end / back end and database experience required

Experience with spine or orthopedics highly desired

Skills

Proficiency in Node.js and server-side JavaScript

Backend experience with Java and/or Kotlin, including Spring Boot

Expert knowledge of GraphQL, including schema design and performance optimization

Advanced React experience, including state management and performance tuning

Deep understanding of PostgreSQL, including query optimization and schema design

Strong grasp of software design patterns and engineering principles

Strong communication, problem-solving, and debugging skills

Prisma ORM, JPA, and database migrations - preferred

DevOps and cloud platforms (AWS/GCP/Azure) - preferred

CI/CD pipelines and testing frameworks - preferred

Equal Opportunity Employer

Carlsmed is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Carlsmed is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know.

Compensation

We are pleased to provide a competitive salary and benefits. Our benefits reflect our investment in the overall health and well-being of our employees and their families, including paying 100% of monthly healthcare, dental & vision insurance premiums, a 401(k) plan with employer matching and unlimited PTO. The expected salary range is $125,000 to $145,000 annually. Compensation may vary based on related skills, experience, and relevant key attributes.

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