Lead Full Stack Engineer - Healthcare Domain
First seen by Alion on Oct 21, 2026.
Role Overview :
HEALTHCARE DOMAIN ONLY
We are looking for a Lead Full Stack Engineer who combines strong technical depth with leadership.
You will be responsible for guiding technical direction, mentoring engineers, and ensuring successful delivery of complex initiatives.
This is a hands-on leadership role, not a people-manager-only position.
Key Responsibilities :
Technical Leadership :
- Own and drive technical design decisions across frontend and backend systems.
- Review and approve architecture and design proposals.
- Ensure systems are scalable, maintainable, and secure.
- Set and uphold engineering standards and best practices.
- Evaluate, guide, and set guardrails for the responsible use of AI-assisted development tools to improve team productivity and code quality.
Delivery & Execution :
- Lead the delivery of complex, cross-cutting features and initiatives.
- Break down ambiguous product requirements into executable technical plans.
- Identify technical risks early and proactively mitigate them.
- Balance short-term delivery needs with long-term platform health.
Team & Mentorship :
- Mentor Senior and Associate engineers through code reviews, design discussions, and guidance.
- Raise the overall engineering capability of the team.
- Foster a culture of ownership, accountability, and continuous improvement.
- Partner closely with Product, QA, and Clinical stakeholders.
Required Skills & Experience :
- 7 - 10+ years of professional software engineering experience.
- Proven experience leading technical initiatives or teams.
- Strong expertise in :
1. React.js and frontend architecture
2. Node.js backend systems and API design
3. AWS cloud services (EC2 / ECS / EKS, S3, RDS, IAM, CloudWatch)
- Deep understanding of :
1. System design and scalability
2. Data modeling and performance
3. Security and privacy considerations
- Hands-on experience with :
1. CI/CD pipelines
2. Production monitoring and incident response
- Strong decision-making and communication skills.
- Ability to mentor and influence without micromanaging.
- Drive automation and tooling improvements that reduce cognitive load, improve developer experience, and maintain system correctness.
Nice-to-Have :
- Experience in healthcare, fintech, or other regulated domains.
- Experience working with Kubernetes or distributed systems.
- Prior experience working closely with compliance or regulatory requirements
Skills
Full Stack, System Design, System Architecture, React.js, Node.js, AWS, Distributed Systems