Senior Software Engineer

Deep End Talent Strategies

38d•$160,000 - $200,000•Remote

About The Position

Incisive is a dental lab network built for restorative and surgical practices. They provide practices with access to nine curated specialty labs, digital scanning equipment, a single software platform, and a clinical support team. Practices benefit from the quality of multiple labs with the simplicity of a single partnership. Incisive is PE-backed by Lock 8 Partners, trusted by over 600 doctors nationwide, and experiencing rapid growth with a high annual retention rate. This role involves designing and scaling the B2B SaaS portal, infrastructure, and data products. The position is for a builder on a new, modern codebase, focusing on rapid delivery of business value. The role is AI-native, with the team heavily utilizing AI in product development. The tech stack is recent, well-architected, and includes test coverage, observability, and CI/CD for fast onboarding and reduced time-to-value.

Requirements

7+ years of professional software engineering experience, with demonstrated ownership of production systems
Strong proficiency in React (hooks, state management, component architecture) and Python (e.g., FastAPI, Django, or Flask)
Solid experience with PostgreSQL, including schema design, query optimization, and migrations
Hands-on experience with AWS cloud services and cloud architecture best practices
Proven experience with Infrastructure as Code tools (Terraform, CDK, CloudFormation, or similar)
Experience building and maintaining CI/CD pipelines
Demonstrated experience building and maintaining applications that securely handle PHI and/or PII, with working knowledge of HIPAA, SOC 2, or similar compliance frameworks and how they shape architecture, data storage, and access decisions
Strong understanding of and commitment to Test-Driven Development and automated testing practices
Experience using AI coding tools within a spec-driven workflow, with an ability to write precise, unambiguous technical specifications
Excellent written communication skills — critical for a remote, distributed team
Comfortable working independently and asynchronously in a fully remote environment
Bachelor's degree in Computer Science or equivalent practical experience

Nice To Haves

Experience with containerization (Docker) and orchestration (Kubernetes)
Familiarity with security best practices for cloud-native applications
Experience with observability/monitoring stacks (Datadog, CloudWatch, Grafana)
Prior experience in a fully remote, async-first engineering culture

Responsibilities

Design, build, and maintain full-stack applications using React on the frontend and Python on the backend, with PostgreSQL as the primary data store
Architect and deploy scalable, secure cloud infrastructure on AWS, leveraging services such as ECS/EKS, Lambda, RDS, S3, and CloudFront as appropriate
Define and maintain Infrastructure as Code (IaC) using tools like Terraform to ensure reproducible, version-controlled environments across dev, staging, and production
Build and maintain CI/CD pipelines with GitHub Actions to automate testing, builds, and deployments
Practice Test-Driven Development (TDD), writing unit, integration, and end-to-end tests before or alongside implementation to ensure high code quality and confidence in releases
Apply Spec-Driven AI Development practices — writing clear, structured specifications that guide AI coding assistants (e.g., Claude Code) to accelerate implementation while maintaining code quality and architectural consistency
Collaborate with product managers, designers, and other engineers to translate business requirements into well-scoped technical specs
Conduct code reviews, mentor junior and mid-level engineers, and help establish engineering best practices
Monitor application performance and reliability in production, using observability tools to proactively identify and resolve issues
Participate in architectural decisions, balancing scalability, maintainability, and delivery speed
Design and implement systems that handle Protected Health Information (PHI) and Personally Identifiable Information (PII) in full compliance with HIPAA and other applicable data privacy regulations, incorporating encryption at rest and in transit, access controls, and audit logging by default