Sr. (Full Stack) Software Engineer

Synthesis Health•Houston, TX

2h•$150,000 - $165,000•Remote

About The Position

We are looking for an experienced Sr. Full Stack Engineer to help build the next generation of our cloud-native healthcare platform. You will be a key technical contributor, responsible for designing and building end-to-end features, from intuitive user interfaces to the robust backend services that power them. You will focus on creating sophisticated, high-performance web applications that empower radiologists and clinical staff. If you are a builder who thrives on solving complex challenges across the entire technology stack, enjoys mentoring others, and wants to make a significant impact on healthcare, this is the perfect opportunity for you.

Requirements

Experience in Full Stack Development: 5+ years of software engineering experience, with a strong track record of designing and building complex, end-to-end web applications.
Deep Frontend Expertise: 3+ years of recent, hands-on experience building applications with modern versions of Angular (v2+).
Strong Backend Expertise: Proven experience building and maintaining scalable backend services and APIs using Node.js.
Strong Architectural and Design Skills: You can independently tackle complex technical challenges across the stack, architecting robust solutions and making sound technical trade-offs with minimal guidance.
Hands-On Expertise with Modern Tech Stacks: You have practical knowledge of the principles and technologies behind our platform:
Expert-level proficiency in TypeScript, HTML5, and CSS3/SCSS.
Deep experience with reactive programming (RxJS) and state management (NGXS/NgRx).
Proficiency with both relational and NoSQL databases (e.g., PostgreSQL, MongoDB).
Experience with microservices architectures and cloud platforms (GCP preferred).
Clarity in Communication: You can clearly articulate complex technical ideas to both technical and non-technical stakeholders.
Leadership Through Influence: You have a demonstrated ability to influence your team's technical direction, driving consensus, and elevating the bar for engineering excellence.

Nice To Haves

Medical Viewer Experience: Your application will stand out if you have experience developing interactive viewers, particularly for medical imaging (e.g., DICOM viewers).
Healthcare Domain Experience: Familiarity with regulated industries and standards (e.g., HIPAA) is a significant advantage.
Advanced Full Stack Knowledge: Experience with component libraries (Angular Material), advanced browser APIs (WebSockets, Web Workers), and containerized environments (Docker, Kubernetes).
DevOps Familiarity: A solid understanding of CI/CD principles and experience with tools like GitLab CI.

Responsibilities

Design and Build End-to-End Features: Lead the design, development, and maintenance of scalable, resilient, and secure features across the full stack, using modern Angular and Node.js.
Elevate the User Experience: Collaborate closely with UI/UX designers and Product Managers to translate complex clinical workflows into intuitive and performant solutions, from the API to the UI.
Drive Full Stack Architecture & Quality: Contribute to our overall system architecture, helping to identify performance bottlenecks, improve data flows, and simplify complexity. You will set a high standard for code quality and testing across both frontend and backend.
Champion Performance: Drive application-level performance optimization for our critical workflows, ensuring our systems meet strict speed and reliability requirements for clinical decision-making.
Lead with Technical Expertise and Mentorship: Formally or informally mentor other engineers, helping to level up the team through code reviews, knowledge sharing, and hands-on guidance. You will significantly influence your team's technical direction and decisions.