Senior Fullstack Engineer

Midi Health•San Francisco, CA

21h•$170,000 - $210,000•Hybrid

About The Position

Midi Health is the largest virtual care clinic for women in midlife navigating perimenopause, menopause, and other hormonal transitions. We combine expert clinicians, evidence-based protocols, and a modern technology platform to deliver care that has historically been underserved by the healthcare system. We're a fast-growing, mission-driven company building the infrastructure and products that define this new category of care. How We Work: Hybrid by design. Two days a week in-office (Monday and Thursday) in Palo Alto or San Francisco. We believe high-trust teams are built in person and scaled remotely. AI-native engineering. We expect every engineer to be fluent with modern AI coding tools (Claude Code, Cursor, Copilot, and similar) and to actively push the frontier of how we build software. Low-ego, high-curiosity. We approach disagreement with humility and technical rigor, not politics. We invest in each other's growth. Outcome-oriented. We move fast, own our work end-to-end, and balance speed with the durability that healthcare demands. The Difference You Will Make You'll join a team building the products that power Midi's care — spanning the patient journey (discovery, booking, ongoing care) and the clinician and operational surfaces that deliver that care at scale. You'll drive significant projects from early brainstorming through architecture, execution, rollout, and iteration, shipping user-facing software that meaningfully changes how women experience healthcare.

Requirements

6+ years of experience building and shipping full-stack web applications at production scale
Strong hands-on coding skills in a modern web stack — we use Django/DRF and React/Next.js, but equivalent experience is fine
Seasoned at system design: you can take an ambiguous product problem and produce a clean, pragmatic architecture
Solid command of AI coding tools; comfortable adopting and applying the workflows the team converges on
Good mentorship instincts — you share context generously and help peers grow through code review and pairing
Strong written and verbal communicator; collaborates well with non-engineering stakeholders
Proactive ownership mindset; advocate for automated testing, CI, and high code quality
Low-ego, curious, humble

Nice To Haves

Experience in healthcare, EHR integrations, or other regulated domains
Prior consumer-facing startup experience

Responsibilities

Design, build, and own full-stack features end-to-end across our patient, clinician, and operational products
Partner closely with product, design, marketing, clinical, and operations stakeholders to turn ambiguous problems into shipped software
Write thoughtful, scalable code that balances speed of execution with long-term maintainability
Contribute to architecture decisions and raise the bar for code quality, testing, and CI/CD practices
Review code, participate in technical discussions, and help teammates level up
Use AI coding tools every day to multiply your output and help the team adopt better workflows