Senior Full-Stack Engineer | New York
Optico.team
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
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Build and ship full-stack product features end to end.
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Develop scalable backend services using Node.js and JavaScript/TypeScript.
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Build modern frontend applications with React.
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Design and implement AI-powered features and workflows.
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Integrate LLMs and AI models into production applications.
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Build APIs and integrations with internal and external systems.
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Work closely with product and engineering teams to turn customer problems into working solutions.
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Make technical decisions around architecture, performance, reliability and scalability.
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Own features from initial design through deployment and iteration.
What We’re Looking For
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7+ years of professional software engineering experience.
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Strong hands-on experience building AI/LLM-powered applications — this is a must.
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Production experience integrating LLMs, AI models or AI APIs into software products.
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Strong JavaScript / TypeScript skills.
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Strong backend development experience with Node.js.
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Strong frontend development experience with React.
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Experience building and scaling production web applications.
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Solid understanding of APIs, databases and modern application architecture.
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Strong product mindset and ability to turn AI capabilities into practical customer-facing features.
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Comfortable working independently, making technical decisions and taking ownership of delivery.
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Strong problem-solving and communication skills.
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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