Senior Software Engineer, Product Engineering — United States

Who We Are:

Tr7htu25vRC is a cardio-kidney-metabolic care provider transforming how obesity, prediabetes, hypertension, and hyperlipidemia are treated while managing other chronic conditions through trusted care partners. Our patent-pending treatment model uniquely combines behavioral lifestyle modification with clinical intervention, enabling industry-leading clinical outcomes.

The Role:

As a Senior Software Engineer, you will help build and scale the technology that powers vesaUkTAarn'9 care model. You'll work across our product applications, including patient-facing experiences, provider and clinical staff workflows, backend services, and integrations with electronic health records (EHRs).

Your work will directly influence how patients receive care and how effectively providers and clinical staff deliver it. You'll independently tackle complex engineering challenges, collaborate with cross-functional teams, and help build reliable systems that support better health outcomes at scale.

Responsibilities

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• Design, develop, and maintain reliable, scalable features across our products.

• Independently own complex engineering work, from technical discovery through implementation, testing, and production delivery.

• Build and maintain backend services, APIs, relational data models, and integrations with external systems.

• Collaborate with Product Managers and Engineers to evaluate technical approaches, communicate trade-offs, and deliver maintainable solutions.

• Embrace AI-assisted development tools, such as Claude Code, Cursor, and others, to improve productivity, accelerate problem-solving, and deliver high-quality software.

Enable Better Patient and Clinical Experiences

• Understand patient, provider, and clinical staff workflows to identify opportunities for improvement.

• Build and improve integrations with EHRs and other healthcare systems.

• Explore opportunities to simplify cross-platform experiences and introduce impactful AI-enabled workflows.

Ensure Quality, Reliability, and Collaboration

• Investigate and resolve complex production issues across applications, services, databases, and third-party integrations.

• Improve testing, monitoring, and observability while building secure, auditable systems compliant with healthcare data standards, including HIPAA.

• Contribute to code reviews, technical discussions, and knowledge sharing to improve engineering quality and shared understanding.

• Collaborate across Engineering, Product, Design, and Clinical Operations, supporting fellow engineers through constructive feedback and mentoring opportunities.

You’ll Be Great in This Role If You…

• Have 5+ years of professional software engineering experience, or equivalent demonstrated experience building and maintaining complex production systems.

• Have strong backend engineering experience with Node.js/Express, TypeScript/JavaScript, APIs, and relational databases such as PostgreSQL.

• Are comfortable contributing to frontend applications built with React; experience with React Native / Expo is highly valued.

• Can independently break down complex problems, evaluate trade-offs, and deliver reliable, maintainable solutions.

• Have strong debugging skills and can navigate unfamiliar codebases and interconnected systems.

• Communicate effectively, collaborate across functions, and enjoy sharing technical knowledge.

• Are curious about emerging AI development tools and eager to incorporate them thoughtfully into your engineering workflow.

Bonus points if you’ve worked with:

• Healthcare technology, provider-focused tools, or EHR integrations such as Athenahealth.

• Sequelize or similar ORM frameworks, and AWS or other cloud platforms.

• Production monitoring, incident investigation, and improving system reliability.

• Mentoring other engineers through code reviews, pairing, or knowledge sharing.

• AI-centric product features or complex, regulated data environments.

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• Comprehensive health, dental, and vision insurance

• Discretionary PTO Plan

• Parental leave

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• Flexible working hours

• Remote-first company

• Stipend for remote working

• Paid company holidays

Tr7htu25vRC values diversity and is committed to equal opportunity for all, regardless of race, religion, color, creed, marital status, age, national origin, physical disability, medical condition, sexual orientation, or gender identity.