Senior Full-Stack Engineer

About AmigoAmigo partners with healthcare organizations to deploy robust AI infrastructure that directly serves patients and providers. Our agents handle clinical workflows and patient engagement across the entire journey: pre-visit intake, care navigation, post-visit care plans, patient monitoring, and more.We're fresh off our Series A backed by Tier 1 investors like Madrona, General Catalyst, and Optum Ventures. Our work is validated with leading academic medical institutions. Our agents have reached 3M+ patient encounters and are on track to 10x this year.About This RoleAs a Senior Full-Stack Engineer at Amigo, you'll build the foundational applications that power clinical operations. Three products: Control Center for real-time oversight of agent conversations, Research Platform for natural language queries over healthcare data, and Agent Forge for designing agent behavior without code.You'll own significant features end-to-end—from database schema to API to UI—across systems that handle sensitive patient data at scale. These applications are how clinical teams, researchers, and customers interact with our platform daily. High standards for correctness and reliability are expected.What You'll DoBuild and ship features across Control Center, Research Platform, and Agent ForgeDesign and implement real-time interfaces for clinical oversight—streaming conversations, escalation workflows, audit trailsCreate natural language query interfaces over healthcare data with appropriate certainty and feasibility indicatorsBuild no-code tools that enable non-engineers to design and configure agent behaviorsImplement responsive, accessible UIs that work across desktop and mobile for clinical usersDesign APIs and data models that support real-time streaming, voice, and multi-channel communicationBuild authentication, authorization, and audit logging for healthcare complianceOptimize performance for applications handling high-volume clinical dataCollaborate with agent engineers, clinicians, and customers to understand workflow requirementsContribute to shared component libraries and design systemWhat We're Looking For4+ years of production full-stack engineering experience at high-caliber teamsStrong React/TypeScript skills with modern patterns (hooks, server components, state management)Experience building Python backend services and REST APIsDeep understanding of real-time systems (WebSockets, streaming, event-driven architectures)Experience with relational databases, data modeling, and query optimizationTrack record of owning features end-to-end from design through deploymentHigh standards for code quality, testing, and system reliabilityBoth execution-oriented and defensive-minded: you ship fast while anticipating failure modesStrong product instincts—can translate user needs into elegant technical solutionsExperience working in fast-moving environments with evolving requirementsClear communication across engineering and non-technical stakeholdersNice to haveExperience with healthcare applications or regulated industriesBackground with voice/telephony systems or real-time communicationExperience building no-code/low-code tools or configuration interfacesFamiliarity with data visualization and analytics dashboardsUnderstanding of accessibility requirements for clinical softwareExperience with mobile development (React Native, iOS, Android)Benefits (available To Full-Time Employees)Health & WellnessComprehensive health, dental, and vision insuranceDaily catered lunch and dinnerMental health support and wellness coachingFlexible wellness stipend for fitness, therapy, or personal growthGrowth & DevelopmentAnnual learning budget for courses, books, or conferencesConference attendance budget for professional developmentAnnual team offsiteAcademic collaboration opportunitiesUnlimited PTOOur Core ValuesPatients Win, We WinIf patients aren't getting better care, we haven't earned the right to scale. Every internal decision gets pressure-tested: does this make patients' lives better? If we can't draw the line, we question why we're doing it.High Standards, High CareWe hold a high bar for the team because patients are counting on us to get this right. But high standards only work with genuine investment in each other. You can take risks, admit mistakes, and challenge ideas—not despite our standards, but because of them.Thoughtful UrgencyWe move fast by default, but speed without judgment is recklessness. The discipline is knowing which decisions are reversible vs. not. In healthcare AI, the companies that win will be fast everywhere they can be and careful everywhere they must be. We build the muscle to do both.Intensely MeasuredWe instrument patient outcomes, provider ROI, system performance, and clinical accuracy. But data without action is surveillance. Every metric should have an owner, a threshold, and a response plan. If we're measuring something but never acting on it, we stop measuring it.Who Builds With UsLow ego: Politics and territory don't interest you. The best ideas win, regardless of who has them. Direct: You say the hard thing, challenge ideas openly, and commit fully once decided. High agency: You thrive on trust rather than instruction. When you see something is broken, you fix it. You don’t file tickets and wait for someone else. Bar of excellence: You hold yourself to a bar most people wouldn't, and you want teammates who do the same. Skeptical: You push back on rules that don’t make sense and question assumptions that haven’t earned their place. Compensation Range: $210K - $240K