{"id":719688,"url":"https://alion.io/job/generalmedicine-full-stack-engineer-sf","title":"Full-Stack Engineer (SF)","company":{"id":673511,"name":"General Medicine","domain":"generalmedicine.co","url":"https://alion.io/company/generalmedicine","size_band":"11-50","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"C","score":66,"open_postings":14,"ghost_share":0.571,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":null,"computed_at":"2026-10-29T05:49:05Z"}},"role":"Backend","role_family":"Backend","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Francisco, United States","Boston, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":125000,"max_usd":245000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":1539},"experience_years_min":4,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[{"name":"AWS","optional":false},{"name":"Next.js","optional":false},{"name":"Ruby on Rails","optional":false},{"name":"SQL","optional":false},{"name":"JavaScript","optional":true},{"name":"React.js","optional":true},{"name":"Ruby","optional":true}],"status":"live","first_seen_at":"2026-06-15T13:47:25Z","employer_posted_date":"2026-10-07","last_verified_at":"2026-10-30T01:59:05Z","board_verified":true,"closed_at":null,"days_open":136,"trust":{"level":"ghost","repost_count":0,"flags":["stale","company_stale"],"days_open":135},"description":"General Medicine has raised $120M in Series B funding to build the healthcare store.\nThe round was led by Vineeta Agarwala, MD, PhD, of Andreessen Horowitz (a16z), and is the largest investment to date from a16z's bio + health team. Read the announcement.\nHealthcare needs a store. People should be able to see prices, understand their options, and get advice from clinicians as easily as they shop for anything else. That's what we're building, and this Series B will help us expand the store and reach more customers across the United States.\nTo learn more, read CEO TJ Parker's post on LinkedIn and the a16z team's post on Substack.\nIf this sounds interesting, we're hiring. Help us build the store.\nAbout General Medicine\nGeneral Medicine is building a healthcare store that makes it radically simpler - and more transparent - for people to access care. We provide upfront cash and insurance prices for visits, prescriptions, labs, imaging, and more.\nBehind that simplicity is complex infrastructure: payer integrations, pricing logic, eligibility systems, reconciliation workflows, and financial rails.\nWe’re building the systems that make transparent healthcare possible.\nWhat we’re looking for\nWe’re looking for strong engineers to help us build a seamless and beautiful consumer healthcare product. We’re looking for folks who will obsess over every detail of our patient experience, and also tackle the complex operational challenges of delivering care at scale. We are looking for engineers who care deeply about technical excellence but are also comfortable moving quickly - we are constantly navigating tradeoffs between engineering velocity and quality.\nOur ideal candidate is hungry, high-agency, and aspires to be a generalist. Our engineers frequently write product requirements documents, write SQL to understand how features are performing, and own QA - no task is beneath us or outside of the scope of the role if it helps us to deliver a great product. We're looking for someone who can operate in an environment of significant ambiguity, and who is comfortable working closely with design, operations, and clinical stakeholders.\nWe don’t expect you to have a healthcare background (though it’s great if you do!). However, you should be excited by the prospect of digging into the messy complexities of the American healthcare system (integrating with EHRs, revenue cycle management, etc).\nQualifications\n4+ years of experience building web apps as a full-stack engineer\n\nExperience with modern infra tooling and programming languages. We currently use AWS, Ruby on Rails, and NextJS, and would expect you to have proficiency in a modern tech stack even if it isn’t the one we are using.\n\nPlease note that this role is based in our SF office (Spear St). We are hybrid 3x a week.\nCompensation: Base is between 150-225k annually + equity options.\nWhy join us\nWe’re an experienced team that has built a company in this space before, our product has clear product-market fit, and we’ve raised money from top investors.\nWe have an ambitious and distinctive vision for what can be built in consumer healthcare. We believe LLMs and price transparency legislation have opened up several massive opportunities.\nIf you’re an ambitious and entrepreneurial software engineer and this resonates, please apply.","description_format":"text","description_chars":3316,"description_truncated":false,"requirements":{"experience_years_min":4,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"phd","optional":false},"security_clearance":false,"languages":[]},"benefits":["Equity"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Telemedicine & Virtual Care"],"lifecycle":[{"event":"open","at":"2026-09-11T06:57:08Z"}],"visa":[],"liveness":{"score":5,"band":"cold","label":"Long shot","p_open":1,"p_active":0.173,"p_room":0.28,"age_days":135,"expected_fill_days":29,"reasons":["conf:2","stale_co","ghost","win:tail","crowd:"],"computed_at":"2026-10-29T05:49:05Z"},"pay":null,"html_url":"https://alion.io/job/generalmedicine-full-stack-engineer-sf","json_url":"https://alion.io/job/generalmedicine-full-stack-engineer-sf.json","meta":{"generated_at":"2026-10-30T05:00:44Z","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":7054,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-31T00:00:00Z"}},"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":673511},"rest":"https://alion.io/mcp/rest/get_company?id=673511"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fgeneralmedicine-full-stack-engineer-sf"},{"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%2Fgeneralmedicine-full-stack-engineer-sf"},{"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%2Fgeneralmedicine-full-stack-engineer-sf"},{"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/generalmedicine-full-stack-engineer-sf\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fgeneralmedicine-full-stack-engineer-sf"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":719688}},{"tool":"search_jobs","arguments":{"company":"generalmedicine.co","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":719688},"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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