Underdog.io

Compensation

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Job Title: Senior Full Stack Engineer, Healthcare Technology (Remote) Location: Remote (United States) Team: Engineering Partner: A mission-driven enterprise health technology company rebuilding trust and infrastructure in U.S. healthcare. About Our Hiring Partner Our hiring partner is on a critical mission to rebuild trust in American healthcare by deploying the infrastructure needed for the care we deserve. As a leading enterprise health technology company, they provide a comprehensive suite of solutions, including full-service pharmacy benefit management (PBM) and health benefit administration, all powered by a proprietary, scalable Enterprise Health Platform (EHP). This platform consolidates complex claim administration and healthcare navigation workflows into one secure, unified system. This is more than a tech role; it's an opportunity to build software that directly impacts patient access, cost transparency, and the efficiency of the healthcare system itself. They are a public benefit corporation at their core, meaning their mission is woven into their business model. For engineers seeking remote startup jobs with profound purpose, this represents a chance to apply technical skills to one of society's most important challenges. Why This Role Matters Mission-Driven Impact: Write code that directly improves pharmacy benefit management and healthcare navigation for millions of Americans. Ownership & Scope: Own features end-to-end in a complex, meaningful domain, from user-facing interfaces to backend-for-frontend (BFF) logic and integrations. Modern Stack, Modern Practices: Work with contemporary technologies (React, Next.js, TypeScript, Node.js) while championing performance, accessibility, and rigorous engineering standards. Remote-First Culture: Join a distributed team committed to excellence and collaboration, offering one of the most impactful remote startup jobs in the health tech sector. About the Role We are seeking a Senior Full Stack Engineer with a strong frontend focus to join our mission to transform pharmacy benefits and healthcare navigation. You will be responsible for building and shipping high-quality, secure, and accessible web experiences. You will collaborate closely with Product and Design to translate requirements into elegant, maintainable solutions, owning features from the React component layer through to API integrations. This role is for a engineer who cares deeply about the user experience, code quality, and the real-world impact of their work in a regulated, mission-critical industry. What You'll Do Architect, build, and deliver user-facing features and applications using React, Next.js, and TypeScript. Develop and maintain Backend-for-Frontend (BFF) services and API integrations using Node.js and TypeScript. Collaborate with Product Managers and Designers to clarify requirements, break down work, and ensure technical feasibility. Write reliable, maintainable code supported by comprehensive tests and documentation. Champion improvements in frontend performance, accessibility (WCAG), and user experience. Contribute to and help evolve shared component libraries and design systems. Implement observability (logging, metrics, tracing) and participate in incident response to ensure system reliability. Uphold and strengthen security best practices (OWASP, CSP) and CI/CD pipelines. Who You Are You have 5+ years of professional experience building modern, scalable web applications. You possess deep expertise in React and TypeScript, with solid experience in Next.js (App Router, SSR/SSG). You have strong backend-for-frontend (BFF) or Node.js experience, with proficiency in consuming REST and/or GraphQL APIs. You are skilled in modern state management (React Query, Zustand, Redux) and CSS architecture. You have a proven track record with testing frameworks like Jest/Vitest, React Testing Library, and end-to-end tools like Playwright or Cypress. You have a strong grasp of performance fundamentals (Core Web Vitals) and accessibility standards (WCAG). You are familiar with cloud deployment (Vercel, AWS) and modern CI/CD practices. You are security-minded; experience in healthcare, HIPAA, or other regulated environments is a significant plus. You are an excellent communicator and a collaborative team player. Compensation & Benefits Salary: $150,000 - $180,000 USD Impact: The opportunity to build technology that tangibly improves the healthcare system. Remote Work: A fully distributed, supportive team environment. Comprehensive Benefits: Expected to include health, dental, vision, and retirement plans. Apply Now If you are a senior full stack engineer looking to leverage your skills for significant societal impact and want to join a mission-driven team, we encourage you to apply. This is a premier opportunity among remote startup jobs for those who want their code to contribute to a healthier future.