{"id":635753,"url":"https://alion.io/job/outlive-senior-full-stack-engineer-future-openings","title":"Senior Full Stack Engineer - Future Openings","company":{"id":684580,"name":"Outlive","domain":"outlive.com","url":"https://alion.io/company/outlive","size_band":"1-10","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Greenhouse","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"inferred_payroll_markers","remote_working_hours":null,"hiring_geo_confidence":"inferred","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":125000,"max":200000,"currency":"USD","period":"year","gross":null,"usd_annual":200000},"salary_estimate":null,"experience_years_min":6,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"class-validator","optional":false},{"name":"Detox","optional":false},{"name":"Expo","optional":false},{"name":"Firebase","optional":false},{"name":"GCP","optional":false},{"name":"HIPAA","optional":false},{"name":"Jest","optional":false},{"name":"Nest.JS","optional":false},{"name":"Next.js","optional":false},{"name":"Node JS","optional":false},{"name":"OCR","optional":false},{"name":"Playwright","optional":false},{"name":"PostgreSQL","optional":false},{"name":"Prisma","optional":false},{"name":"React Native","optional":false},{"name":"Rest API","optional":false},{"name":"Sentry","optional":false},{"name":"SQL","optional":false},{"name":"Stripe","optional":false},{"name":"TypeScript","optional":false},{"name":"Vitest","optional":false},{"name":"JavaScript","optional":true},{"name":"Offline-First","optional":true},{"name":"React.js","optional":true}],"status":"live","first_seen_at":"2026-01-21T16:50:41Z","employer_posted_date":"2026-09-10","last_verified_at":"2026-10-29T03:58:58Z","board_verified":true,"closed_at":null,"days_open":280,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":280},"description":"Join Outlive\nHelp Build the Operating System for Better Long-Term Health\nOutlive is translating the principles of Medicine 3.0 into a practical, evidence-based product that helps people change the trajectory of their health. We focus on what matters most. Setting meaningful long-term goals, understanding the risks that can get in the way, and selecting the tactics that move the needle. Our approach is grounded in the ideas Peter Attia has spent his career developing. A deliberate practice with clear metrics and truly personalized plans that extend healthspan, not just lifespan. \nWe’re building a system that takes the essential pillars of long-term health and makes them actionable. Our goal is simple. Give people a structured way to understand where they are today, what levers truly matter, and how to make durable progress over time.\nWhy Outlive\nYou will shape the foundation, not optimize at the margins\nWe’re in the earliest stages of building something that doesn’t exist anywhere else. There are no templates. No inherited systems. The work requires people who want to solve first-principles problems and create frameworks built to last.\nScience and design sit at the center of everything\nWe aim to convey complex ideas with clarity and precision. That means pairing rigorous scientific thinking with thoughtful, intuitive design; so users can understand why something matters and how to act on it.\nAI is part of how we work \nThe product itself is grounded in science and behavior change. But as a team, we use AI to think, test, draft, explore, and accelerate our work. It’s a tool that enhances judgment and craftsmanship, not a replacement for either.\nWe care about rigor, honesty, and high standards\nThe team is small, driven, and aligned around a shared goal: build something that meaningfully improves long-term health. We challenge ideas respectfully, expect clear reasoning, and operate with a bias toward action. Precision matters. So does integrity.\nJoin our candidate pool to be considered for future openings on our team! Note: We are not actively hiring for this role at this time. We are collecting candidate interest for future openings once we move forward with this position.\n Role Overview\nOutlive is building a mobile-first digital health platform focused on long-term risk reduction, personalized health intelligence, and sustainable behavior change. As a Senior Full Stack Engineer, you’ll play a critical role in shaping and delivering product experiences across mobile, web, and backend services.\nThis role is ideal for a senior engineer who is strongest in one area (frontend or backend) but highly capable and opinionated across the stack. You’ll own features end-to-end-from user experience and data modeling to API design and deployment-while helping establish high engineering standards in a HIPAA-aware environment.\nResponsibilities\nProduct & Feature Development\nOwn end-to-end implementation of product features spanning mobile (React Native / Expo), web (Next.js App Router), and backend services (NestJS / Node.js)\nCollaborate closely with product and design to translate complex health concepts into clear, usable experiences\nDrive technical decisions that balance speed, quality, and long-term maintainability\nFrontend (Mobile & Web)\nBuild and maintain shared UI and interaction patterns using Tamagui across mobile and web\nImplement mobile experiences using React Native (Expo), expo-router, TanStack Query, and offline/background sync patterns\nBuild web experiences using Next.js (App Router) and React\nIntegrate payments using Stripe.js and react-stripe-js\nIntegrate frontend applications with custom authentication hooks backed by Firebase and backend identity services\nConsume and evolve REST APIs\nImplement analytics (PostHog), error tracking (Sentry), and accessibility best practices\nWrite and maintain frontend tests using Jest, Vitest, React Testing Library, Playwright, and Detox as appropriate\nBackend & APIs\nDesign and implement backend services using NestJS (v11) and TypeScript\nBuild secure, well-validated REST APIs using zod, class-validator, and OpenAPI\nImplement authentication and authorization using Google Identity JWT validation and role-based access control\nModel relational data using Prisma and Postgres (Cloud SQL)\nImplement async and background workflows using Google Cloud Tasks\nIntegrate with external services such as OCR, scheduling APIs, and third-party data sources\nEnsure observability through structured logging, metrics, and Sentry\nWrite unit and integration tests using Jest\nCollaboration & Technical Leadership\nAct as a senior individual contributor, setting quality bars through code, reviews, and architectural decisions\nPartner closely with infrastructure and DevOps engineers to ensure reliable deployments\nIdentify opportunities to simplify systems and reduce operational overhead\nContribute to evolving engineering standards, patterns, and best practices\nMentor mid-level engineers as the team grows\nRequired Qualifications\n6+ years of professional software engineering experience\nStrong experience across frontend and backend development\nProduction experience with React (web and/or React Native)\nStrong experience with Node.js and TypeScript\nExperience designing and consuming REST APIs\nSolid understanding of relational data modeling and ORMs\nStrong grasp of authentication, authorization, and security fundamentals\nComfort working in small teams with high ownership and autonomy\nAbility to lead or follow as the moment calls for\nFamiliarity with design patterns of distributed systems\nPreferred / Nice-to-Have\nHands-on experience with React Native (Expo)\nProduction experience with NestJS\nFamiliarity with Google Cloud Platform\nExperience in healthcare, wellness, or other regulated domains\nExperience implementing offline-first or background processing features\nStrong accessibility and UX quality sensibilities\nWhat Success Looks Like (First 6-12 Months)\nShips meaningful product features end-to-end across mobile, web, and backend\nImproves consistency and quality across shared frontend patterns\nStrengthens API design, validation, and error handling\nReduces friction between frontend and backend integration\nRaise the overall engineering bar through thoughtful execution and mentorship\nMeasure and utilize product metrics to drive real customer value\n\nExpected Pay Range\n$125,000—$200,000 USD\nWhat We Offer\n100% employer-paid medical, vision, and dental insurance (multiple plans available).\n100% employer-paid life insurance, short-term, and long-term disability insurance.\nEmployer-sponsored HSA contributions for HDHP medical plans\nAdditional HSA and FSA spending account plans for employees\n401(k) with a 5% company match.\nGenerous PTO and holiday schedule.\nCompany-issued technology and work-from-home stipend.\nA chance to shape a product, and a company, from the ground up.\nThe opportunity to work at the forefront of health and longevity science with a team of world-class professionals dedicated to precision, mastery, and excellence.","description_format":"text","description_chars":7044,"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":["Dental insurance","Life insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Wellness Programs","Consumer Health 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