Thoughtful AI

Compensation

Full Description

Note: The job is a remote job and is open to candidates in USA. Thoughtful AI is pioneering a new approach to automation for healthcare providers through its AI-powered Revenue Cycle Automation platform. They are seeking a Senior Full Stack Engineer to lead the development of scalable backend services and intuitive frontends, ensuring well-architected, production-ready solutions. Responsibilities • Lead End-to-End Builds Own projects across the full development lifecycle - from greenfield prototypes to scaling out mature systems. You’ll take loosely defined problems and return well-architected, production-ready solutions. • Design for Clarity and Change Build backend services and user interfaces that are modular, testable, and ready to evolve. You prioritize simplicity, knowing where abstraction helps - and where it just adds noise. • Drive Pragmatic Scalability Design for growth without overengineering. You’ll apply best practices in schema design, API modeling, and state management with a clear sense of tradeoffs and long-term maintainability. • Collaborate Closely Partner with product, design, and other stakeholders to understand real-world needs and shape the right technical solutions. You'll operate autonomously but never in isolation. • Continuously Level Up Bring curiosity and humility. We’re a senior team that shares learnings freely and pushes each other to do our best work. Skills • Deep experience building complex, interactive UIs using React, Vue, or Angular. • Strong grasp of state management patterns and reactive paradigms (e.g. refs, signals, RxJS, or similar). • Proficiency in TypeScript and JavaScript, with clean, maintainable component architecture. • Familiarity with frontend performance profiling, accessibility, and design system integration. • Comfortable working with designers and PMs to turn wireframes and mockups into polished interfaces. • Proficiency in Python and TypeScript, with experience across modern backend frameworks (e.g. FastAPI, Next.js, Express). • Skilled in API design, including versioning, pagination, and error modeling. • Solid understanding of authentication and authorization protocols (OAuth, JWT, etc.). • Experience with relational (PostgreSQL, MySQL) and NoSQL (MongoDB, DynamoDB) databases, including schema design, indexing strategies, and performance tuning. • Familiarity with AWS and infrastructure concepts like CI/CD pipelines, containerization, and cloud deployments. • Invested in setting up logging, monitoring, and alerting from day one. • Builds with testability in mind - unit tests, integration tests, and end-to-end test frameworks. • You know how to ship fast without creating tech debt landmines. • You balance product intuition with a strong technical foundation. • You default to clarity and modularity, especially when designing for unknowns. • You’ve worked at early-stage startups or launched new systems from scratch. • You value peer collaboration and open sharing of technical learnings. • You care just as much about why you're building something as how you build it. Benefits • Equity participation: Employee Stock Options. • Health benefits: Comprehensive medical, dental, and vision insurance. • Time off: Generous leave policies and paid company holidays. Company Overview • Thoughtful AI provides an AI operating system designed specifically for healthcare revenue cycle management teams. It was founded in 2020, and is headquartered in Austin, Texas, USA, with a workforce of 51-200 employees. Its website is http://www.thoughtful.ai. Company H1B Sponsorship • Thoughtful AI has a track record of offering H1B sponsorships, with 1 in 2023. Please note that this does not guarantee sponsorship for this specific role.