Sr. Full Stack Software Engineer

Position Overview The Senior Full Stack Software Engineer will design, build, and maintain high-performance web applications and services that support Carlsmed’s surgical planning and imaging technologies. This role involves full-stack development across UI, backend services, cloud infrastructure, data management, and 3D visualization. The engineer will collaborate closely with product, operations, software, and imaging/AI teams to deliver robust, scalable, and clinically impactful solutions. The ideal candidate has deep technical expertise across modern web stacks, cloud platforms, and 3D rendering technologies, with a passion for building reliable software in a regulated medical environment. Key Responsibilities Full-Stack Development Design, develop, and maintain web applications using TypeScript, React, Node.js, and modern frameworks. Implement scalable backend APIs and microservices using Node.js, Java, and/or C#. Build 2D/3D medical visualization components using Babylon.js, VTK.js, ITK.js, and WebGL. Design data models and interact with relational databases using PostgreSQL and Prisma (ORM). Cloud & Infrastructure Develop and deploy applications in AWS environments (Lambda, S3, EC2, API Gateway). Integrate CI/CD pipelines using TeamCity, Git, Bitbucket, and automated build/test workflows. Medical Imaging & Data Work with DICOM, 3D volumes, segmentation files, and imaging toolkits. Implement interactive features for 3D reconstruction, rendering, and manipulation of CT/MRI/X-ray datasets. Software Quality & Architecture Apply best practices using Dependency Injection, Inversion of Control (IoC), SOLID principles, and modular design. Write clean, maintainable code using unit testing, integration testing, and TDD. Participate in architecture discussions, code reviews, and technical design sessions. Agile Collaboration Participate in Agile/Scrum ceremonies, sprint planning, and backlog refinement. Collaborate with cross-functional teams including Imaging/AI, Operations, Product, UX, and V&V. Use Jira and Confluence for planning, tracking, and documentation. Regulated Environment Contribute to design and documentation practices aligned with medical device software standards (IEC 62304, ISO 13485). Support traceability, risk assessment, and validation documentation when needed. Qualifications Required Bachelor’s or Master’s degree in Computer Science, Software Engineering, or related field. 5+ years of full-stack software development experience. Strong proficiency in: TypeScript, Node.js, React Java or C# PostgreSQL and Prisma (ORM) RESTful APIs and backend services Experience with AWS and/or Azure cloud platforms. Experience with unit testing, TDD, and CI/CD. Strong command of Git, Bitbucket, and modern DevOps tooling. Experience with Agile/Scrum environments. Preferred Experience with Babylon.js, VTK, ITK, WebGL, 3D rendering. Experience with DICOM and imaging workflows. Background in regulated industries, particularly medical devices. Knowledge of 3D geometry, computational graphics, or CAD-like systems.