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Full Stack Engineer

IT Futurista
Remote

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Job details

Full-time
₹3,78,444.32 - ₹10,29,381.08 a year
1 day ago

Qualifications

Telephony
Node.js
Law
React
Full-stack development
AWS
JavaScript
PostgreSQL
APIs
S3
AI
TypeScript

Full job description

FULLSTACK ENGINEER What you’ll work on

You’ll help build and run a production system that already serves real patients and real trials:

A prescreen and booking platform that handles patient outreach, intake, and scheduling
An AI agent layer (on AWS Bedrock with Claude) for outreach, prescreen conversations, and trial matching
The voice and SMS layer that talks to patients in real time
A CTMS core — candidate state, trial matching, audit, and integrations with Monday and our calendar stack
HIPAA-compliant infrastructure on AWS, end to end

Real ownership from day one. You won’t be the junior on a big team — you’ll be the second engineer on a platform, with the autonomy and responsibility that goes with it.

What we’re looking for

Experience: 4–7 years building production software end-to-end. You’ve shipped, broken things, fixed them at 2am, and learned from it.

Core stack (what we work in):

Node.js / TypeScript (backend services and APIs)
React / Next.js (web frontends)
PostgreSQL (primary data store)
AWS — ECS/Fargate, S3, Bedrock, Secrets Manager, CloudWatch

Strong pluses:

Comfort with LLMs and AI tooling (Claude, OpenAI, Bedrock — building with them, not just calling them)
Voice / telephony or real-time systems experience (Vapi, Twilio, Telnyx, or similar)
Healthcare or regulated-industry experience (HIPAA, SOC 2, audit trails)
Worked solo or in very small teams before — you know what it’s like to own a thing end to end

What we care more about than checkboxes:

You can pick up a new framework or language when the job needs it
You write code that another engineer can read and extend in six months
You think about running the system, not just shipping features — observability, on-call, incident response
You ask the second question before writing code (what could break? who depends on this?)

We’re flexible on the exact stack experience if the fundamentals and instincts are there.

How we work

Remote, India hours, with overlap into the early evening to sync with the San Jose team
Small team, fast decisions — no committees, no theater, your work ships
AI tooling is part of the workflow — we use Claude and similar tools daily for code, tests, documentation, and analysis. Comfort with AI-assisted development is expected, not a side note
Diff review and explicit approval before commits. We move fast but we don’t ship sloppy
Quality over quantity — fewer features done properly beats a backlog of half-built ones

What you’ll get

Competitive compensation aligned to the Indian market for your experience
Genuine ownership and visibility — you’ll see your work used by real patients and real research staff
Direct mentorship from the Founding Engineer (International product experience)
A path that grows with the platform — as IT extends to other sites, the engineering team and roles grow with it
Equipment and tools to do the job properly

Pay: ₹378,444.32 - ₹1,029,381.08 per year

Application Question(s):

Do you have hands-on experience with Node.js/TypeScript, React/Next.js, PostgreSQL, and AWS in a production environment?
Have you worked on AI/LLM-based applications (OpenAI, Claude, Bedrock, AI agents, chatbots, or similar) in a professional project?
Have you independently owned and deployed a full-stack application from development to production?
What is your notice period?
What is your expected CTC?

Shift availability:

Day Shift (Required)
Night Shift (Required)

Work Location: Remote

Quick apply

Refine Your Search

engineering manager backend jobs in remote

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