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Senior Full-Stack Engineer | New York

Optico.team

HybridNew York City, NYsenior$115k+Posted 3h ago

Job description

Our client is a fast-growing healthcare technology company building AI-powered software that helps medical practices automate operations, improve patient engagement and run more efficiently.

We’re looking for a Senior Full-Stack Engineer with strong hands-on AI experience to join the team in New York. This is a product engineering role for someone who can build across the stack while also designing and integrating AI capabilities into real production applications.

What You’ll Do

  • Build and ship full-stack product features end to end.

  • Develop scalable backend services using Node.js and JavaScript/TypeScript.

  • Build modern frontend applications with React.

  • Design and implement AI-powered features and workflows.

  • Integrate LLMs and AI models into production applications.

  • Build APIs and integrations with internal and external systems.

  • Work closely with product and engineering teams to turn customer problems into working solutions.

  • Make technical decisions around architecture, performance, reliability and scalability.

  • Own features from initial design through deployment and iteration.

What We’re Looking For

  • 7+ years of professional software engineering experience.

  • Strong hands-on experience building AI/LLM-powered applications — this is a must.

  • Production experience integrating LLMs, AI models or AI APIs into software products.

  • Strong JavaScript / TypeScript skills.

  • Strong backend development experience with Node.js.

  • Strong frontend development experience with React.

  • Experience building and scaling production web applications.

  • Solid understanding of APIs, databases and modern application architecture.

  • Strong product mindset and ability to turn AI capabilities into practical customer-facing features.

  • Comfortable working independently, making technical decisions and taking ownership of delivery.

  • Strong problem-solving and communication skills.

  • Experience in a fast-paced startup or product environment.

Experience with healthcare technology, AI agents, workflow automation or other AI-intensive products is a strong plus.

Pay: From $115,000.00 per year

Work Location: Hybrid remote in New York, NY 10040