Senior Fullstack Engineer

Plenful•Chicago, IL

14h•Hybrid

About The Position

We're hiring senior fullstack engineers across all three of our product teams: 340B, Intake, and the newest pod opening up a new area of pharmacy operations. You'll build features that pharmacy and health system teams use every day to run compliance-critical work, not internal tools that only other engineers will ever see. This is a senior-level role with real scope. You'll be trusted to take a problem from a rough product idea to something live in production, and to make sound technical calls along the way without needing every decision reviewed. Why This Role? Real ownership, fast. We're past the earliest startup stage but still small enough that one engineer can define how a whole workflow works for hundreds of health systems. Problems that matter. Pharmacy and Health System teams are drowning in manual, compliance-critical work. What you ship directly changes how much of that work a human still has to do. AI as a daily tool, not a slogan. We expect you to use AI deliberately in how you build, and we're building AI into the product itself. Backing to build for the long term. Series B funding from investors including Bessemer Venture Partners, Notable Capital, and Danaher co-founder Mitchell Rales gives us the runway to invest in the engineering foundation, not just ship quick fixes.

Requirements

7+ years of professional software engineering experience, working across the stack
Proficiency in JavaScript and TypeScript, with working proficiency in Python
A track record building customer-facing products, not primarily internal tooling or developer platforms
Comfort moving across layers of the stack instead of staying in one
Experience working in a fast-moving, high-growth environment where priorities shift as the product and customer base scale
Strong instincts for what "production-ready" means in a compliance-critical, enterprise healthcare context
Clear communication with product, design, and non-technical stakeholders
Based in, or willing to relocate to, San Francisco, and able and willing to work hybrid in-office on Mondays and Wednesdays

Nice To Haves

Experience with Java or Ruby (if you don't have Python experience)
Healthcare, pharmacy, or other regulated-industry experience
Experience at a startup that scaled from 0 to 1 and another company that scaled from 1 to 2+

Responsibilities

Build and ship fullstack features end to end, from the database to the UI, for workflows like 340B compliance, intake, rebate management, and claims reconciliation
Partner directly with product managers and pharmacy operations experts to understand what pharmacy teams actually need, not just what's in the ticket
Own what you ship: design it, build it, test it, deploy it, and support it in production
Make sound tradeoffs between speed and durability as Plenful scales its platform to serve more health systems
Contribute to the technical foundation of the platform, including how AI is embedded into product workflows
Use AI tools deliberately as part of how you work, not just how you demo
Review code, weigh in on design docs, and help raise the technical bar across the team