Senior Full-Stack Engineer

Senior Full-Stack EngineerAs a Senior Full-Stack Engineer at Amigo, you'll build the applications that clinical teams, researchers, and customers use every day: real-time oversight of live agent conversations, natural language research over healthcare data, and tools for designing agent behavior without code. You'll own features end to end, from the database to the UI, in systems that handle sensitive patient data. The bar for correctness and reliability is high.You might work on:Building real-time interfaces for clinical oversight of live agent conversationsOwning a feature end to end, from schema to API to UIDesigning tools that let non-engineers shape agent behavior safelyMaking healthcare data explorable through natural languageHardening the reliability and performance of applications clinicians depend onWorking with designers, clinicians, and customers to get the details rightYou may be a fit if:You've shipped production full-stack features end to end and owned the outcomeYou're strong across the stack, from data modeling and APIs to modern front-end workYou sweat correctness and reliability, especially where sensitive data is involvedYou have good product instincts and care how things feel to useYou're low ego, direct, and hold yourself to a high barYou can work on site in San FranciscoNice to have:Experience in a regulated or high-reliability domain (healthcare, finance, legal)Experience with real-time or streaming interfacesBackground with design systems or complex UI stateExperience with production AI or ML productsHealth & 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 Win If 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 Care We 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 Urgency We 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 Measured We 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.