Staff Full-Stack Software Engineer

Midi Health•San Francisco, CA

1d•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. 2 days/week in-office (Monday and Thursday) in Palo Alto or San Francisco, 3 days remote. 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 We are looking for a Staff Fullstack Engineer to serve as a technical pillar within our Engineering Org. As we scale, you will be a hands-on technical driver, distilling complex understanding from across Midi into cohesive technical roadmaps and products that help us revolutionize women's healthcare.

Requirements

10+ years of experience building and scaling complex engineering solutions, with a proven track record of leading large-scale architectural migrations in a startup environment.
Proven production experience in Django/DRF and React/Next.js or similar technologies.
Comfortable operating at a high level of abstraction, translating vague product and growth goals into concrete technical roadmaps.
Versatile background in building consumer-facing products alongside deep expertise in architecting complex operational and workflow management systems.
Power-user of agentic coding tools and LLM’s (e.g., Claude Code, GitHub Copilot) to accelerate development and mentor the team on high-leverage prompting and code-auditing strategies.
Help create a respectful, low-ego team environment, approaching discussions with curiosity and humility.
Authorized to work in the U.S. without current or future visa sponsorship.

Responsibilities

Analyze complex technical problems and lead architectural reviews across multiple teams to prevent technical debt, establish cross-service patterns, and ensure the long-term sustainability of Midi’s healthcare ecosystem.
Act as a 'part-time product manager for technology,' advocating for critical infrastructure upgrades that enable future business velocity.
Craft exceptional, thoughtful, scalable and flexible products and code, balancing for speed of execution and scalability
Actively shape engineering culture by establishing best practices for automated testing, CI/CD, and high-quality code across the entire stack.
Analyze high-level technical and business problems and architect elegant, flexible solutions that account for long-term scalability and business growth.
Partner with Executive Leadership, Product, Marketing, and Clinical Stakeholders to identify unmet customer and operational needs, translating business goals into technical strategies that deliver outcomes for our patients and clinicians
Formally and informally mentor senior and junior engineers, fostering a culture of curiosity, humility, and technical excellence.