Software Developer - Full Stack Developer (Entrepreneurial + Earned Equity Opportunity)

Ascendent Health PartnersElm Grove, WI
22h$90,000Remote

About The Position

Acrew Dental builds software that helps dental practices organize, engage, and succeed—streamlining scheduling, patient communications, intake, billing, and portal experiences so teams can spend less time on admin work and more time delivering exceptional care. (acrewdental.com ) We’re building like owners—because we are owners. This role is designed for a builder who wants more than a paycheck: you’ll have the opportunity to earn equity in the business through impact, execution, and sustained contribution. That means you’ll help shape the product, the roadmap, and the company—and you’ll share in the upside you create. The Opportunity: Build, Lead, Earn Equity This is not a “ticket-taker” engineering role. It’s an entrepreneurial seat for someone who wants to: Own outcomes, not just code Build core capabilities that drive growth and retention for practices Help define what we build next (and why) Be accountable for quality, speed, and business impact Earn equity as your impact compounds You’ll build and ship features end-to-end—from data model to UI—creating secure, reliable workflows that improve the patient experience and reduce friction for busy practices.

Requirements

  • 3+ years building and shipping production web applications as a full stack engineer.
  • Experience building in JavaScript backends and modern web UIs; comfortable working across front end + back end.
  • Experience with relational databases and ORMs (MySQL + Sequelize or similar).
  • Experience integrating third-party APIs (payments, messaging, email) and handling edge cases reliably.
  • Familiarity with secure development practices for systems handling sensitive customer/patient data.
  • Proven ability to own features end-to-end and collaborate cross-functionally.

Nice To Haves

  • Experience working with practice management systems (especially Open Dental) or healthcare-adjacent systems.
  • Experience with payments flows (especially Authorize.Net), messaging deliverability (Twilio, Mailgun), and email templating tools (Unlayer).
  • Comfort modernizing and evolving a mature codebase (Vue2 → future improvements, Node upgrades, performance refactors).

Responsibilities

  • Build full-stack features across patient-facing and practice-facing experiences (online scheduling, patient portal, intake forms, billing/payments, automated reminders, 2-way texting). (acrewdental.com )
  • Design and maintain robust APIs/services that support workflow automation, scheduling logic, payments, communications, and account management.
  • Deliver clean, intuitive interfaces that are easy for front-desk teams and patients to use.
  • Integrate and maintain external systems/APIs that are core to the platform’s value (see “Tech Stack & Integrations” below).
  • Collaborate closely with product, support, and dental operations to understand real clinic workflows and translate them into dependable software.
  • Raise the bar on quality: testing, monitoring/observability, performance, and reliability.
  • Participate in architecture decisions with a bias toward maintainability, clarity, and shipping.
  • Build with security and privacy as defaults: protect patient data, follow least-privilege access patterns, and treat compliance as a product feature. (acrewdental.com )
  • Implement safeguards appropriate for patient-facing workflows (secure auth, role-based access, auditing/logging, incident readiness).

Benefits

  • Compensation includes competitive pay plus a meaningful earned-equity path tied to contribution and business outcomes.
  • We’re looking for someone who wants to build with an owner’s mindset—and be rewarded like an owner.
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