[Remote] Senior Full Stack Engineer

Note: The job is a remote job and is open to candidates in USA. Ellipsis Health is creating cutting-edge AI/ML products that solve healthcare staffing challenges and administrative burdens using conversational AI and patented voice biomarker technology. We are seeking a Senior Full-Stack Engineer to help design, build, and scale the core systems powering our conversational AI platform, collaborating closely with various teams to deliver secure and user-friendly solutions for the healthcare industry.

Responsibilities

• Design, develop, and maintain end-to-end features across TypeScript-based backend services and modern frontend applications
• Architect and implement scalable APIs and microservices using TypeScript to support conversational AI workflows and healthcare integrations
• Build and evolve frontend user interfaces using React and Redux, focusing on usability, performance, and reliability
• Own services in production end-to-end, including deployment, monitoring, incident response, and continuous improvement of reliability and performance
• Lead the design and implementation of database schemas and data pipelines for structured and unstructured healthcare data
• Design and maintain secure integrations with healthcare systems, scheduling systems, and external platforms
• Implement and manage authentication and authorization across systems
• Integrate and manage identity and access management solutions such as Zitadel
• Ensure security, privacy, and compliance (HIPAA, FHIR, and related standards) across the full stack
• Optimize systems for performance, reliability, and scalability, supporting high-volume, real-time workloads
• Build and maintain CI/CD pipelines, infrastructure automation, and observability for production services
• Troubleshoot and resolve complex production issues; participate in on-call or production support rotations as needed
• Mentor junior engineers and contribute to engineering best practices, code quality, and architectural standards
• Stay current with emerging technologies and frameworks, applying them thoughtfully to improve product velocity and quality

Skills

• Bachelor's or Master's degree in Computer Science or equivalent practical experience
• 5+ years of professional experience building full-stack applications with strong TypeScript/JavaScript expertise
• Strong proficiency in TypeScript/JavaScript for backend and API development
• Experience building frontend applications using React and state management libraries such as Redux
• Expertise in designing and consuming RESTful APIs and/or GraphQL
• Solid understanding of microservices architectures, distributed systems, and system design
• Hands-on experience with cloud platforms (AWS, GCP, or Azure) and containerized deployments (Docker, Kubernetes)
• Strong database skills with SQL and NoSQL systems (e.g., PostgreSQL, MongoDB, DynamoDB)
• Deep understanding of security best practices, authentication/authorization, and secure data handling
• Experience building and maintaining CI/CD pipelines and production monitoring/alerting systems
• Excellent collaboration and communication skills in cross-functional teams
• Experience implementing role-based access control (RBAC) and fine-grained permission systems
• Familiarity with identity providers and access management platforms such as Zitadel, Auth0, or similar
• Familiarity with healthcare data standards such as FHIR and HL7
• Experience with conversational AI, voice systems, or real-time systems
• Prior experience working in health tech or other regulated industries
• Experience building or operating large-scale distributed systems
• Exposure to DevOps practices, infrastructure-as-code, or site reliability engineering concepts

Benefits

• 401(k) matching
• Health, vision, and dental insurance
• Very flexible paid time off

Company Overview