{"id":930981,"url":"https://alion.io/job/clinicalnotes-senior-full-stack-engineer","title":"Senior 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":"senior","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":175000,"max":220000,"currency":"USD","period":"year","gross":null,"usd_annual":220000},"salary_estimate":null,"experience_years_min":6,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[{"name":"CI/CD","optional":false},{"name":"GitHub","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":"Agile","optional":true},{"name":"Kubernetes","optional":true}],"status":"live","first_seen_at":"2026-09-14T20:59:27Z","employer_posted_date":"2026-09-14","last_verified_at":"2026-11-07T06:26:28Z","board_verified":true,"closed_at":null,"days_open":53,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":53},"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\nBehavioral health is at a tipping point. Funding is tightening, compliance demands are growing, and clinician burnout is rising. The work is harder than ever - and the need for smart, compassionate solutions has never been greater.\nWe are seeking a Senior Full-Stack Engineer to build and scale the platform that measurably reduces clinician burnout across behavioral health and healthcare organizations.\nThis is a critical role for someone who can own features end-to-end across our stack, architect systems that are fast and secure by design, and turn real clinical and compliance pain points into elegant, AI-driven solutions. You will work closely with our product, clinical, and engineering leadership to ship tools that cut documentation time by 60-80%, streamline compliance, and let practitioners spend more time on patient care and less on paperwork.\nThis is not a purely maintenance-oriented or ticket-taking engineering role. You should be comfortable owning ambiguous problems, working independently in modern, ephemeral development environments, mentoring other engineers, and shipping with velocity in a fast-moving startup environment.\nWe believe successful engineering at Clinically AI is defined not by lines of code shipped, but by measurable reductions in clinician burden, systems built to scale, and features that clinicians actually trust and adopt.\nWhat You'll Own\nOwn the stack. Build and scale features across our entire platform - from frontend browser extension UI to cloud-native services and infrastructure.\n\nArchitect with intention. Design systems that are fast, secure, and built for growth.\n\nSolve meaningful problems. Partner with product and clinical teams to turn real pain points into elegant, AI-driven solutions.\n\nWork in modern environments. Develop independently in ephemeral environments that eliminate merge conflicts and enable rapid iteration.\n\nMentor and lead. Share knowledge, raise the bar, and help shape our engineering culture.\n\nDrive innovation. Explore, test, and ship new ideas with velocity.\n\nWhat We're Looking For\nFull-Stack Ownership. You move fluidly between frontend, backend, and infrastructure, and you don't wait for permission to fix what's broken.\n\nPragmatic Architecture. You design systems that are fast and secure without over-engineering, and you make tradeoffs with long-term growth in mind.\n\nAI-Native Problem Solving. You look for where AI can meaningfully cut clinician busywork, not just where it's technically interesting to apply.\n\nStartup Velocity. You ship, iterate, and course-correct quickly, and you're comfortable operating with incomplete information in a fast-moving, ephemeral-environment workflow.\n\nTechnical Leadership. You raise the bar for the engineers around you through your code, your reviews, and your example - with or without a formal title.\n\nClear Communication. You translate complex technical tradeoffs into language product, clinical, and leadership stakeholders can actually act on.\n\nRequired Qualifications\n6+ years of full-stack development experience, with a proven track record of leading projects from conception to deployment.\n\nDeep proficiency in our core stack - TypeScript, React, Node.js, and MongoDB - including strong front-end fundamentals (HTML, CSS, JavaScript).\n\nExperience developing and maintaining browser extensions.\n\nDemonstrated experience with CI/CD pipelines, GitHub, and GitHub Actions.\n\nStrong background building enterprise-grade RESTful APIs and working with NoSQL databases.\n\nExceptional problem-solving ability and proactive architectural planning skills.\n\nOutstanding communication and collaboration capabilities.\n\nPreferred Qualifications\nExperience with AI/ML technologies and data analysis tools.\n\nKnowledge of Kubernetes and container orchestration.\n\nExperience with agile methodologies and fast-paced startup environments.\n\nActive participation in open-source projects or technical communities.\n\nBackground in healthcare technology or clinical documentation systems.\n\nHistory of building independent projects from start to finish.\n\nCompensation & Benefits\nBase salary: $175,000-$220,000 + 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":5431,"description_truncated":false,"requirements":{"experience_years_min":6,"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":["Health Care","Medical AI","EHR & Clinical Software"],"lifecycle":[{"event":"open","at":"2026-09-15T11:31:24Z"}],"visa":[],"liveness":{"score":38,"band":"fade","label":"Fading","p_open":1,"p_active":0.694,"p_room":0.55,"age_days":53,"expected_fill_days":36,"reasons":["conf:3","win:tail"],"computed_at":"2026-11-07T05:47:08Z"},"pay":{"stated_usd_annual":220000,"is_top_pay":true},"html_url":"https://alion.io/job/clinicalnotes-senior-full-stack-engineer","json_url":"https://alion.io/job/clinicalnotes-senior-full-stack-engineer.json","meta":{"generated_at":"2026-11-07T10:17:34Z","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":9071,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-08T00:00:00Z"}},"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-senior-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-senior-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-senior-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-senior-full-stack-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fclinicalnotes-senior-full-stack-engineer"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":930981}},{"tool":"search_jobs","arguments":{"company":"clinicalnotes.ai","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":930981},"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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