Senior Product Engineer

NxT Level•San Francisco, CA

53d•Hybrid

About The Position

Our client is hiring a Senior Product Engineer, Full Stack to build and ship features across the entire product. This is not a frontend-only or backend-only role. Product engineers are expected to own complete features across the stack. A project may include a patient workflow in Next.js, a FastAPI endpoint, a new data model, and changes to how a service runs in production. The team works AI-natively. Coding agents are part of daily delivery, not an occasional assistant. Engineers use agents to explore code, plan changes, implement, test, review, debug, and automate repeated work — while remaining responsible for product decisions, system design, and correctness.

Requirements

Experience shipping user-facing products across frontend and backend systems
Strong skills in at least one part of the stack, with the ability to work effectively across the rest
Good product judgment and strong attention to interface quality
Ability to define and deliver solutions when requirements are incomplete
Daily experience directing coding agents
Ability to provide context to agents, split work effectively, verify outputs, and know when to work directly
Habit of turning manual engineering work into scripts, tools, or reusable agent workflows
Sound judgment around privacy, security, accessibility, reliability, and maintainability
Clear communication across clinical, product, design, AI, and operations teams
Strong ownership and comfort operating in a high-autonomy engineering environment

Nice To Haves

Experience in healthcare, fintech, AI products, or another regulated industry
Experience building patient-facing, clinician-facing, or partner-facing healthcare software
Experience with telehealth systems, healthcare APIs, FHIR workflows, or clinical operations
Experience improving coding-agent workflows, automation, or AI-assisted engineering systems
Experience working in small, senior engineering teams with high ownership

Responsibilities

Build patient experiences across onboarding, AI consultations, health records, prescriptions, physician visits, and follow-up care
Connect AI consultations with clinical workflows so patients can move from guidance to treatment
Turn new clinical and AI capabilities into clear product features with appropriate safeguards
Build tools and integrations for clinicians and healthcare partners
Work across frontend, backend, data models, APIs, and production infrastructure
Improve performance, accessibility, privacy, and reliability across web and mobile experiences
Use coding agents to run parallel investigations, shorten the path from idea to production, and automate repeated engineering work
Review product usage and customer feedback after launch, then improve the feature
Partner closely with clinical, product, design, AI, operations, and engineering teams
Own projects from initial definition through launch and production support