{"schemaVersion":"jobsearcher.job.v1","id":"c5eb024d1efdb0e9000b2bed","url":"https://jobsearcher.com/jobs/c5eb024d1efdb0e9000b2bed","canonicalUrl":"https://jobsearcher.com/jobs/c5eb024d1efdb0e9000b2bed","title":"Full Stack Engineer","description":"About the OpportunityOur client is a fast-growing healthcare technology company building a platform that manages patient care from first contact through treatment. They're hiring Senior Full Stack Engineers to own their core product end to end, working across the frontend, the backend and the shared code in between.The hardest problems here aren't algorithmic. They're about real-world data: patient records that don't match across systems, dates that mean different things in different places, and patients who reschedule or don't answer. The team wants engineers who enjoy modeling that complexity instead of ignoring it.The Tech StackFrontend: Vue 3 (Composition API), TypeScript, internal component libraryBackend: Node.js, Express, MongoDB/MongooseArchitecture: a single monorepo with shared TypeScript packages and contract-first APIs. API schemas are defined once and type-checked on both frontend and backend, so a broken endpoint fails the build instead of reaching production.What You'll DoBuild user-facing screens in Vue 3 with the internal component libraryDesign and build contract-first API routes with schemas shared across the stackModel clinical and patient data in MongoDB and keep it fast as the data growsContribute to shared TypeScript packages that every app in the monorepo depends onTake features from spec to production, and support them after launchWhat You Bring5+ years building and shipping production web applicationsStrong TypeScript on both frontend and backendHands-on Vue 3 experience (required; this role works in Vue every day)Backend experience with Node.js, Express and MongoDB/MongooseA solid understanding of query performance, indexing and schema design at scaleThe ability to weigh the tradeoffs and weaknesses of your tools, not just their featuresExperience designing systems for growth you couldn't fully predict, and lessons learned from doing itA track record of improving large existing codebases without rewriting themNice to HaveHealthcare domain knowledge: clinical workflows, care pathways, patient journeysHealth data integration: HL7, FHIR, EHR connectivityTwilio, LiveKit or the OpenAI APIMonorepo tools such as Turborepo or NxReal-time or streaming applicationsWorkflow orchestration tools such as Temporal, Cadence or AWS Step FunctionsCloud experience: AWS, Azure or GCPWork EnvironmentA distributed team with hybrid offices in NYC and Canada with regular on-site presence requiredCollaborative culture with weekly team syncs and pair programming (camera on during meetings)","company":"Biztech Staffing","rawCompany":"biztech staffing","city":"None","isRemote":false,"isActive":false,"createdAt":"2026-10-17T01:59:44.942Z","occupations":[{"code":"15-1252.00","title":"Software Developers","slug":"software-developers"},{"code":"15-1254.00","title":"Web Developers","slug":"web-developers"},{"code":"15-1299.08","title":"Computer Systems Engineers/Architects","slug":"computer-systems-engineers-architects"}],"industries":[{"code":"541511","title":"Custom Computer Programming Services","slug":"custom-computer-programming-services"},{"code":"541512","title":"Computer Systems Design Services","slug":"computer-systems-design-services"},{"code":"513210","title":"Software Publishers","slug":"software-publishers"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Full Stack Engineer","description":"About the OpportunityOur client is a fast-growing healthcare technology company building a platform that manages patient care from first contact through treatment. They're hiring Senior Full Stack Engineers to own their core product end to end, working across the frontend, the backend and the shared code in between.The hardest problems here aren't algorithmic. They're about real-world data: patient records that don't match across systems, dates that mean different things in different places, and patients who reschedule or don't answer. The team wants engineers who enjoy modeling that complexity instead of ignoring it.The Tech StackFrontend: Vue 3 (Composition API), TypeScript, internal component libraryBackend: Node.js, Express, MongoDB/MongooseArchitecture: a single monorepo with shared TypeScript packages and contract-first APIs. API schemas are defined once and type-checked on both frontend and backend, so a broken endpoint fails the build instead of reaching production.What You'll DoBuild user-facing screens in Vue 3 with the internal component libraryDesign and build contract-first API routes with schemas shared across the stackModel clinical and patient data in MongoDB and keep it fast as the data growsContribute to shared TypeScript packages that every app in the monorepo depends onTake features from spec to production, and support them after launchWhat You Bring5+ years building and shipping production web applicationsStrong TypeScript on both frontend and backendHands-on Vue 3 experience (required; this role works in Vue every day)Backend experience with Node.js, Express and MongoDB/MongooseA solid understanding of query performance, indexing and schema design at scaleThe ability to weigh the tradeoffs and weaknesses of your tools, not just their featuresExperience designing systems for growth you couldn't fully predict, and lessons learned from doing itA track record of improving large existing codebases without rewriting themNice to HaveHealthcare domain knowledge: clinical workflows, care pathways, patient journeysHealth data integration: HL7, FHIR, EHR connectivityTwilio, LiveKit or the OpenAI APIMonorepo tools such as Turborepo or NxReal-time or streaming applicationsWorkflow orchestration tools such as Temporal, Cadence or AWS Step FunctionsCloud experience: AWS, Azure or GCPWork EnvironmentA distributed team with hybrid offices in NYC and Canada with regular on-site presence requiredCollaborative culture with weekly team syncs and pair programming (camera on during meetings)","datePosted":"2026-10-17T01:59:44.942Z","dateModified":"2026-10-17T01:59:44.942Z","hiringOrganization":{"@type":"Organization","name":"Biztech Staffing","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"None","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"c5eb024d1efdb0e9000b2bed"},"url":"https://jobsearcher.com/jobs/c5eb024d1efdb0e9000b2bed"}}