Staff Software Engineer

You’re an experienced engineer with exceptional skill, judgment and leadership ability, capable of making an impact across our product ecosystem. We’re EngagedMD and we have a patient journey application used by more than 3 million users nationwide and internationally since its launch. We continue to see enormous growth and adoption from medical clinics across multiple markets. This is an exciting opportunity to join us in our mission to help carers carry on caring.

At EngagedMD, Staff Engineers play a key role not only in building software, but also in shaping how technical solutions are defined and executed. Our Product team defines priorities, customer needs, and desired outcomes and engineers partner closely in shaping the implementation approach and execution strategy needed to deliver those outcomes effectively.

You will have the opportunity to architect backend infrastructure, develop new features for our customers, and collaborate closely with our Platform, Product, Design, and Customer Success teams to turn complex business and user needs into scalable, maintainable product capabilities.

This fully remote role reports to our Director of Engineering and candidates are required to reside in the United States. This role requires legal authorization to work in the United States. EngagedMD is unable to sponsor current H1B visa holders for this role.

What You’ll Do

Design, build, and maintain backend services and APIs using TypeScript and modern Node.js frameworks

Lead system design efforts for new and existing platforms, including data modeling, scalability, reliability, and long-term maintainability considerations

Own complex backend domains end-to-end, from initial solution design through implementation, deployment, and long-term operation

Collaborate closely with Product, Design, frontend, infrastructure, and Customer Success teams to translate product goals and customer needs into clear technical execution plans

Propose and refine implementation approaches, including technical tradeoffs, sequencing, scope definition, and operational considerations

Break down ambiguous initiatives into actionable engineering work with clear assumptions, risks, and dependencies

Drive technical direction and standards across the backend stack, including coding practices, observability, error handling, maintainability, and performance

Make pragmatic technical decisions that balance delivery speed, system quality, maintainability, and user impact

Identify and proactively address technical debt, scalability bottlenecks, security concerns, and operational risks

Use modern tooling, automation, and AI-assisted development workflows to improve engineering efficiency and execution velocity

Mentor and support engineers through code reviews, design discussions, technical guidance, and collaborative problem-solving

Contribute to incident response, root-cause analysis, and improvements to system resiliency and operational maturity

Technical Focus Areas

TypeScript and Node.js backend development

React frontend workflows

API design (REST,, or equivalent)

Scalable application architecture and backend systems design

Databases, schema design and data consistency

Cloud-based deployments and production operations

System reliability, observability, and operational excellence

Technical planning, solution decomposition and execution strategy

What You’ll Bring

8+ years of professional software engineering experience, with significant backend focus

Deep expertise in TypeScript and building production backend services

Strong system design skills, with experience designing and evolving large-scale or business-critical systems

Proven ability to operate autonomously and make sound technical decisions in ambiguous environments

Ability to translate high-level product goals into pragmatic, executable engineering solutions

Strong problem decomposition and technical planning skills

Excellent written and verbal communication skills; able to clearly explain technical concepts, tradeoffs, and implementation decisions to engineers and non-engineers alike

Experience balancing long-term architectural quality with short-term delivery needs

Strong collaboration skills and comfort working cross-functionally with Product, Design, and customer-facing teams

Ability to understand customer workflows and evaluate technical decisions in the context of user impact

Comfort working in a fast-paced, AI-assisted engineering environment with high expectations around ownership and execution

A mission-driven orientation to all you do

Ability to thrive in a small, fast-paced organization

Bachelor’s degree or equivalent career experience

It’s Also Nice If You…

Have at least a passing familiarity with the fertility industry and/or experience in healthtech with a focus on patient journey software

Have successfully worked remotely with distributed teams in the past

What We Offer

Competitive compensation and equity

Medical, dental, and vision coverage heavily subsidized by the company

Open Paid Time Off

Paid family and medical leave

Generous paid holidays

401(k) retirement savings plan

EngagedMD is an equal opportunity employer. We’re committed to diversity, equity, and inclusion. We believe our company and products are made better by the varied perspectives of our employees, each of whom we seek to empower and support in their individuality. We hire our team members on the basis of merit, qualifications, and the needs of our business in order to best achieve our mission to help carers carry on caring. Pursuant to this commitment, EngagedMD will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact peopleops@engagedmd.com .

About EngagedMD

At EngagedMD, we embrace a mission-driven culture where committed individuals come together to make a real impact in healthcare. Our core values of integrity, collaboration, impact, recognition and growth inform how we work together. They also make possible our culture of belonging and excellence where our team members can be themselves, grow professionally, do their best work, and be rewarded for it. Join us today in our mission to help carers carry on caring.