Thoughtful is looking for a Full Stack Engineer to help revolutionize healthcare by automating core business operations with their AI-powered Revenue Cycle Automation platform.
Requirements
Deep experience building complex, interactive UIs using React, Vue, or Angular.
Strong grasp of state management patterns and reactive paradigms (e.g. refs, signals, RxJS, or similar).
Proficiency in TypeScript and JavaScript, with clean, maintainable component architecture.
Familiarity with frontend performance profiling, accessibility, and design system integration.
Proficiency in Python and TypeScript, with experience across modern backend frameworks (e.g. FastAPI, Next.js, Express).
Skilled in API design, including versioning, pagination, and error modeling.
Experience with relational (PostgreSQL, MySQL) and NoSQL (MongoDB, DynamoDB) databases, including schema design, indexing strategies, and performance tuning.
Responsibilities
Lead End-to-End Builds: Own projects across the full development lifecycle - from greenfield prototypes to scaling out mature systems.
Design for Clarity and Change: Build backend services and user interfaces that are modular, testable, and ready to evolve.
Drive Pragmatic Scalability: Design for growth without overengineering.
Apply best practices in schema design, API modeling, and state management with a clear sense of tradeoffs and long-term maintainability.
Build backend services and user interfaces that are modular, testable, and ready to evolve.
Partner with product, design, and other stakeholders to understand real-world needs and shape the right technical solutions.
Bring curiosity and humility to a senior team that shares learnings freely and pushes each other to do their best work.
Other
Join Our Mission to Revolutionize Healthcare
We're looking for an Exceptional Full Stack Engineer for our Core Platform Engineering team.
As a Sr. Engineer, you’ll be a technical anchor across the stack - shaping everything from scalable backend services to responsive, intuitive frontends.
You’ll lead by example, building systems that are reliable, maintainable, and thoughtfully engineered for scale - avoiding premature complexity while leaving room for growth.
Your work will directly support both internal teams and customer-facing products.
Learn more about our Warrior culture.
Join us to transform how leading healthcare companies operate.
Collaborate Closely: Partner with product, design, and other stakeholders to understand real-world needs and shape the right technical solutions.
You'll operate autonomously but never in isolation.
Continuously Level Up: Bring curiosity and humility.
We’re a senior team that shares learnings freely and pushes each other to do our best work.
Comfortable working with designers and PMs to turn wireframes and mockups into polished interfaces.
Solid understanding of authentication and authorization protocols (OAuth, JWT, etc.).
Familiarity with AWS and infrastructure concepts like CI/CD pipelines, containerization, and cloud deployments.
Invested in setting up logging, monitoring, and alerting from day one.
Builds with testability in mind - unit tests, integration tests, and end-to-end test frameworks.
You know how to ship fast without creating tech debt landmines.
You balance product intuition with a strong technical foundation.
You default to clarity and modularity, especially when designing for unknowns.
You’ve worked at at early-stage startups or launched new systems from scratch.
You value peer collaboration and open sharing of technical learnings.
You care just as much about why you're building something as how you build it.
Competitive compensation
Equity participation: Employee Stock Options.
Health benefits: Comprehensive medical, dental, and vision insurance.
Time off: Generous leave policies and paid company holidays.
Required Technical Exercise - submissions without this component will not be considered:
Please spend no more than 20 minutes completing a quick coding exercise by following the instructions here.
