Senior Software Engineer, Full Stack

What You'll Do: Build and own product features across the stack using Python, Django, React, and Next.js

Design and implement the systems behind clinical and operational workflows, including scheduling, messaging, and practice operations

Build APIs, application logic, and integrations with clinical and third-party systems

Collaborate with engineers, designers, and clinical stakeholders to turn complex workflows into intuitive software

Debug and resolve production issues across the frontend, backend, and infrastructure

Design systems that remain reliable, maintainable, and predictable as the product grows

Contribute to system design, technical planning, architecture discussions, and code reviews

Requirements: 5+ years building production web applications

Strong backend engineering experience with a modern server-side language or framework (Python, Go, Kotlin, TypeScript, Java, C#, or similar)

Comfortable building product features across the stack, including React/Next.js

Strong engineering judgment and debugging skills

Comfortable owning features from design through production

Comfortable using AI development tools while maintaining ownership of the systems you build

Ability to commute to Kinstead’s Columbus Circle office 3x week

Nice to have: Experience building workflow-driven or stateful systems

Experience with React and Next.js

Experience with Kubernetes or distributed systems

Experience with healthcare, FHIR, or other regulated software

Experience working at an early-stage startup

Tech Stack: Python (Django, async-first with django-ninja and Channels), Next.js, PostgreSQL (with pgvector), Redis, WebSockets, asynchronous background jobs, workflow state machines, and clinical integrations using Medplum and FHIR.

Our services run on AWS and Kubernetes, and we rely on Terraform for IaC and Datadog for APM and infrastructure monitoring.

We maintain automated testing and deployment pipelines using Github Actions and integrate with AI providers including Google (Vertex AI), Anthropic (AWS Bedrock), and OpenAI.