Senior Full Stack Engineer

Job Description

We're looking for a Full Stack Engineer with a strong focus on backend development to help architect, build, and scale our API and data infrastructure. You’ll work closely with our product, clinical, and AI teams to design database schemas, optimize performance, and integrate with external systems. While you’ll have opportunities to contribute across the stack, your primary responsibility will be owning and evolving the backend systems that power our product.

Onsite in Boston preferred at least 3-4 days/week

Tuesday, Wednesday, Thursday

Piction Health does not provide visa sponsorships at this time

Responsibilities:

Design and build robust, secure, and scalable RESTful and GraphQL APIs

Collaborate with front-end developers to integrate user-facing elements with server-side logic

Define and maintain relational database schemas (PostgreSQL or similar)

Drive performance improvements, caching strategies, and API reliability

Integrate with 3rd-party services such as EHRs, payment processors, email/SMS platforms, and analytics tools

Collaborate with frontend engineers to align APIs with the UI and patient/clinician experience

Contribute to and maintain internal documentation and technical design specs

Participate in code reviews, mentoring, and driving engineering best practices

Write and execute unit and integration tests to ensure code quality

Ensure data security, privacy, and HIPAA-compliant design throughout

Stay up-to-date with new technologies and best practices

& Qualifications

Bachelor's degree in Computer Science, Engineering, or a related field, or equivalent practical experience.

Have 3+ years of experience building modern web application backends

Are strong in Python (Flask, FastAPI), with production experience scaling APIs

Have deep experience with PostgreSQL (or similar relational DBs), schema design, and query optimization

Are familiar with Docker, ECS, CI/CD pipelines, and modern devops practices

Experience with Javascript and React

Experience with github and version control workflows

Experience with testing frameworks (for ex - pytest, unittest)

Have integrated 3rd-party APIs in production environments

Are product-minded and comfortable balancing speed and technical excellence

Communicate clearly and thrive in a fast-paced, collaborative startup environment

Have bonus experience with healthcare systems, FHIR, or HIPAA compliance (not required)

Experience working with LLMs and AI coding tools (for ex - Cursor, Copilot, etc.).

&

Full-time