Senior Full-Stack Engineer

DuetNew York, NY
19h$160,000 - $185,000Hybrid

About The Position

Duet is on a mission to transform primary care by empowering nurse practitioners (NPs) to own and operate their practices. By providing NPs with tailored products and services within a supportive setting, Duet is building the nation’s largest network of NP-owned practices, driving better outcomes for patients and communities. We’re a well-funded seed-stage company led by experienced entrepreneurs and Nurse Practitioners, backed by Kairos HQ, Lerer Hippeau, and others. Duet is building a vertically integrated enablement platform for NP-led practices: software that reduces administrative overhead, improves cash flow, and gives clinicians leverage to operate sustainable businesses without corporate consolidation. We’ve already built the data foundation that connects to outpatient EHR and practice management systems and supports these workflows through services today. This role is about turning that foundation into scalable, self-serve products—automating work away and putting control directly in the hands of practices. As a Senior Full-Stack Engineer, you’ll design, build, and maintain the systems that power Duet’s customer-facing products. This is an IC-heavy role focused on backend architecture and workflow logic, with enough frontend exposure to ensure excellent end-user experiences. You’ll report directly to the founding team. You’ll work on the systems that enable rule-driven and customer-configured automation, web-based experiences for clinic staff, and operational workflows that replace manual, error-prone processes. This role sits at the intersection of product, data, and systems engineering, and is ideal for someone who enjoys building flexible primitives that multiple products can be composed from

Requirements

  • 6+ years of experience building production web-based software.
  • Strong background in backend or full-stack engineering, with experience working on systems that support complex business logic or workflows.
  • Proficiency in Python, Javascript, and experience building and consuming RESTful APIs.
  • Comfort working across the stack, with backend as your strength.
  • You’re comfortable with rule-based and user-configured systems.

Nice To Haves

  • These aren’t required, but healthcare or billing experience will meaningfully accelerate your impact.
  • Similarly, experience turning internal tools or services into customer-facing products, or building data-heavy admin tooling, maps directly to what we’re doing.

Responsibilities

  • Build Product-Enabling Systems.
  • Turn Services Into Software.
  • Own Quality & Reliability.
  • Set the Software Foundation.

Benefits

  • High ownership: Build foundational systems as an early engineer, reporting directly to founders.
  • Real users: Clinics use what you ship every day.
  • Product-led: You’ll work on features customers actually see and feel.
  • Mission-driven: Support independent primary care at a critical moment.
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