Senior Full Stack Engineer - Azure, JavaScript
TSV is partnering with a high growth Health Tech company specializing in AI‑powered prior authorization automation for health plans and PBMs to hire a remote, Senior Full Stack Engineer.The ideal candidate will set the technical standards for the organization, bring strong product partnership experience, and confidently take ownership of core features. This role requires hands‑on expertise in JavaScript, Azure SQL, and Azure Cloud, with a strong preference for candidates who have worked in Healthcare, Health Tech, or PBM environments.Responsibilities:Identify, investigate, and resolve software issues across front-end (Kendo UI, JavaScript) and database-layer (stored procedures, query optimization) components.Conduct root cause analysis, writing advanced SQL queries to troubleshoot data inconsistencies, performance bottlenecks, and application slowdowns.Optimize database stored procedures and cache mechanisms to enhance execution speed and system efficiency.Monitor, debug, and maintain applications running in Azure Cloud, ensuring reliability and scalability.Develop query performance tuning strategies, including indexing and partitioning optimization.Implement and manage cache-clearing strategies to prevent stale data and optimize system responsiveness.Collaborate with developers, data engineers, and QA teams to maintain a stable and responsive system.Conduct thorough code reviews, recommending improvements to enhance efficiency and prevent future issues.Work in a fast-paced startup environment, adapting to evolving business needs and infrastructure changes.Requirements:10+ years of hands-on full stack experience with design, troubleshooting, debugging, database optimization, and cache management in the Healthcare, Health Tech or PBM domain.Expertise in Azure SQL, Azure Cloud, JavaScript and Stored Procedures.Strong ability to write complex SQL queries for problem-solving at the database layer.Ability to develop systems and patterns to measure both their own work and the work of the team.Strong analytical skills to diagnose and resolve performance-related issues.Ability to work independently and collaboratively in a high-growth startup setting.Excellent problem-solving abilities and a detail-oriented mindset.Bachelor’s degree in computer science, related field, or equivalent experience.