{"id":930982,"url":"https://alion.io/job/clinicalnotes-full-stack-engineer","title":"Full-Stack Engineer","company":{"id":698450,"name":"Clinical Notes AI","domain":"clinicalnotes.ai","url":"https://alion.io/company/clinicalnotes","size_band":"201-500","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"middle","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Diego, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":110000,"max":140000,"currency":"USD","period":"year","gross":null,"usd_annual":140000},"salary_estimate":null,"experience_years_min":4,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[{"name":"CI/CD","optional":false},{"name":"GitHub Actions","optional":false},{"name":"JavaScript","optional":false},{"name":"Node JS","optional":false},{"name":"React.js","optional":false},{"name":"Rest API","optional":false},{"name":"TypeScript","optional":false},{"name":"GCP","optional":true},{"name":"Helm","optional":true},{"name":"HIPAA","optional":true},{"name":"Kubernetes","optional":true},{"name":"SOC 2","optional":true},{"name":"Terraform","optional":true}],"status":"live","first_seen_at":"2026-09-14T20:56:20Z","employer_posted_date":"2026-09-14","last_verified_at":"2026-11-06T17:03:54Z","board_verified":true,"closed_at":null,"days_open":52,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":52},"description":"About Clinically AI\nClinically AI is a rapidly scaling healthcare AI company transforming how behavioral health and healthcare organizations manage clinical documentation, compliance workflows, chart auditing, and operational efficiency through artificial intelligence.\nOur platform helps clinicians, compliance teams, administrators, and healthcare organizations reduce administrative burden, improve documentation quality, strengthen audit readiness, and operate more efficiently. We operate at the intersection of AI, healthcare operations, workflow design, and real-world clinical execution, where adoption, trust, usability, and measurable outcomes matter.\nThe Opportunity\nThis opportunity places you at the center of a rapidly scaling engineering organization tackling some of the most ambitious challenges in healthcare technology.\nWe are seeking a Full-Stack Engineer to help build and scale the full technology ecosystem behind our platform - React front-ends, Node services, mobile apps, browser extensions, and high-performance AI systems - with state-of-the-art developer-focused AI tools that dramatically increase your velocity and technical reach.\nThis is a critical role for someone who can ship across the full stack, partner directly with clinicians and administrators to see firsthand how their work improves care, and take on ownership quickly as the team scales. You will work closely with product, design, AI/ML, and customer-facing teams to translate real clinician needs into high-impact solutions.\nThis is not a narrowly-scoped, single-stack engineering role. You should be comfortable moving across front-end, back-end, mobile, and AI-driven systems, leveraging modern AI developer tools to move fast, and operating with real autonomy in a fast-growing, high-velocity environment.\nWe believe successful engineers here are defined not by narrow specialization, but by ownership, technical judgment, and the real-world impact of what they ship - whether that's leading a single feature or, over time, owning an entire product area. Whether your path leads toward principal engineering, staff IC, or future team leadership, you'll have the autonomy, resources, and AI-enabled leverage to get there faster.\nWhat You'll Own\nShip across the stack. Architect, develop, and ship new features across our full technology ecosystem - React front-ends, Node services, mobile apps (iOS/Android), browser extensions, and AI-driven infrastructure - owning major components from design through deployment with a focus on scalability, maintainability, and user experience.\n\nPartner cross-functionally. Collaborate directly with product, design, AI/ML, and customer-facing teams to translate real clinician needs into high-impact solutions.\n\nAccelerate with AI. Leverage advanced developer-focused AI tools to speed up development, improve code quality, and strengthen system reliability.\n\nDrive innovation. Contribute to internal hackathons, rapid prototyping, and stay ahead of industry trends to identify technologies and opportunities that set the standard.\n\nShape technical strategy. Lead technical decisions, contribute to architectural strategy, and help define engineering patterns as we grow the platform.\n\nMentor and elevate the team. Mentor other engineers, raise the bar on best practices, and help build a strong, supportive engineering culture.\n\nOwn end-to-end. Drive end-to-end ownership of key product areas and help build and scale new teams as the company grows.\n\nWhat We're Looking For\nFull-Stack Range. You move comfortably across front-end, back-end, mobile, and browser-extension code, and you don't need to be told which layer a problem lives in.\n\nSharp Technical Judgment. You design clean, scalable architecture, anticipate problems before they get expensive, and make pragmatic tradeoffs under real constraints.\n\nAI-Accelerated Execution. You use modern AI developer tools as real leverage to build faster and better, not as a crutch.\n\nOwnership & Autonomy. You drive your own work forward in a fast-growing, high-velocity environment without waiting to be told what's next.\n\nCross-Functional Fluency. You partner naturally with product, design, and customer-facing teams, translating real clinician needs into shipped solutions.\n\nMentorship & Craft. You raise the technical bar for the people around you, whether that's one engineer or an entire team.\n\nRequired Qualifications\n4+ years of full-stack development experience, with a strong history of delivering production-grade systems from concept to launch.\n\nProficiency in our core stack - TypeScript, React, Node.js, MongoDB - with deep front-end fundamentals (HTML, CSS, JavaScript, DOM manipulation, Fetch/XHR) and expertise in browser extensions or similar browser-integrated technologies.\n\nExpertise designing, building, and consuming RESTful APIs, with strong familiarity across NoSQL data models.\n\nSharp problem-solving skills with the ability to design clean, scalable architecture and anticipate technical challenges.\n\nExcellent communication, collaboration, and product intuition - comfortable partnering with both technical and non-technical teams.\n\nFamiliarity with CI/CD (GitHub Actions), version control best practices, and modern DevOps workflows.\n\nA strong sense of ownership and the ability to drive work with autonomy in a fast-growing, high-velocity environment.\n\nPreferred Qualifications\nExperience working with AI/ML pipelines, LLMs, model evaluation, or data processing workflows.\n\nKnowledge of Kubernetes, container orchestration, GCP, Helm, Terraform, and distributed systems.\n\nBackground developing mobile applications (iOS/Android) or integrating with cross-platform frameworks.\n\nExperience in fast-paced startup environments, especially where engineers hold significant ownership.\n\nHistory of building projects independently - open source, side projects, research, or entrepreneurial work.\n\nFamiliarity with healthcare, clinical documentation workflows, or regulated environments (HIPAA, SOC2, NIST, ISO frameworks, etc.).\n\nExperience designing systems that balance usability, accuracy, and performance at scale.\n\nCompensation & Benefits\nBase salary: $110,000-$140,000 (based on experience) + equity\nActual compensation will depend on experience, scope, and overall alignment with the role. Equity participation is an important component of our compensation philosophy.\nWe offer competitive compensation, stock options, unlimited PTO, medical, dental, and vision coverage, and a 401(k) with company match and Roth option.\nEqual Employment Opportunity\nClinically AI provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetics, or any other characteristic protected by applicable law.","description_format":"text","description_chars":6834,"description_truncated":false,"requirements":{"experience_years_min":4,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Equity","Stock options","Unlimited PTO"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Medical AI","EHR & Clinical Software"],"lifecycle":[{"event":"open","at":"2026-09-15T11:31:24Z"}],"visa":[],"liveness":{"score":26,"band":"fade","label":"Fading","p_open":1,"p_active":0.585,"p_room":0.45,"age_days":52,"expected_fill_days":30,"reasons":["conf:1","win:tail"],"computed_at":"2026-11-06T05:58:05Z"},"pay":{"stated_usd_annual":140000,"is_top_pay":false},"html_url":"https://alion.io/job/clinicalnotes-full-stack-engineer","json_url":"https://alion.io/job/clinicalnotes-full-stack-engineer.json","meta":{"generated_at":"2026-11-06T20:52:30Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":488,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-07T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":698450},"rest":"https://alion.io/mcp/rest/get_company?id=698450"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fclinicalnotes-full-stack-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fclinicalnotes-full-stack-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fclinicalnotes-full-stack-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/clinicalnotes-full-stack-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fclinicalnotes-full-stack-engineer"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":930982}},{"tool":"search_jobs","arguments":{"company":"clinicalnotes.ai","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":930982},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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