{"id":4173000,"url":"https://alion.io/job/people-in-ai-senior-fullstack-engineer","title":"Senior Fullstack Engineer","company":{"id":3862080,"name":"People In AI","domain":"peopleinai.com","url":"https://alion.io/company/people-in-ai","size_band":null,"is_staffing_agency":true,"employer_type":"agency","is_intermediary":false,"listed_via":null,"ats_vendor":"Schema","truth_index":{"grade":"A","score":95,"open_postings":14,"ghost_share":0,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":180,"computed_at":"2026-11-12T10:38:37Z"}},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":170000,"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":"Machine Learning","optional":false},{"name":"Node JS","optional":false},{"name":"PostgreSQL","optional":false},{"name":"React.js","optional":false},{"name":"TypeScript","optional":false},{"name":"GCP","optional":true},{"name":"JavaScript","optional":true},{"name":"LLM","optional":true}],"status":"live","first_seen_at":"2026-11-12T15:16:34Z","employer_posted_date":"2026-11-12","last_verified_at":"2026-11-12T15:16:34Z","board_verified":true,"closed_at":null,"days_open":0,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":0},"description":"Senior / Staff Software Engineer\n(Full-Stack Product Engineering | AI-Enabled Healthcare Technology)\nCompensation:\nSenior: $170,000-$200,000 + early-stage equity\n\nStaff: $200,000-$240,000 + early-stage equity\n\nLocation: San Francisco, SoMa - office-first, 4-5 days per week with flexibility\nThe Company\nWe're partnering with a venture-backed healthcare technology startup building AI-enabled software for the emergency medical services industry.\nIts platform helps ambulance providers recover revenue, improve clinical documentation, and connect fragmented operational workflows. With products already serving real customers, the company is now expanding its engineering team to support the next stage of product development and growth.\nThe Opportunity\nThis is an opportunity to join a small engineering team where you'll have genuine ownership over what gets built and how it works.\nThe company is hiring at Senior and Staff level, with scope determined by experience and independence. You'll work directly with the founder, technical leadership, and customers to build new products addressing significant operational problems in emergency healthcare.\nThe Role\nWe're looking for a product-minded full-stack engineer who can move comfortably between frontend, backend, databases, and infrastructure.\nYou'll help build and scale the company's core platform while developing new products for an industry still reliant on fragmented, disconnected systems. This is a hands-on engineering role with substantial autonomy, direct customer interaction, and responsibility for taking products from concept to production.\nWhat You'll Do\nBuild end-to-end products: Design, develop, and deploy full-stack applications using TypeScript, React, Node.js, and PostgreSQL.\n\nOwn the complete development lifecycle: Take ambiguous problems from requirements gathering and architecture through implementation, testing, deployment, and iteration.\n\nWork directly with customers: Understand how ambulance operators and billing teams work, identify underlying problems, and translate their needs into effective product decisions.\n\nDevelop new product capabilities: Build financial, documentation, and operational software that streamlines workflows and connects previously disconnected data.\n\nImprove existing systems: Design scalable APIs, robust data models, and maintainable services that support customer growth and new product launches.\n\nShape technical decisions: Balance delivery speed, engineering quality, security, and long-term maintainability while contributing to the team's technical direction.\n\nWhat You'll Bring\nStrong full-stack engineering experience: A track record of building and scaling production applications, ideally with TypeScript across frontend and backend.\n\nEarly-stage startup experience: You've worked in environments where engineers own outcomes, work across multiple areas, and deliver without extensive supporting teams.\n\nEnd-to-end project ownership: You've independently taken meaningful products or features from initial requirements through production and subsequent improvements.\n\nExcellent product instincts: You ask why a feature is needed, understand how customers actually work, and challenge assumptions when there's a better solution.\n\nClear communication and collaboration: You're comfortable engaging with nontechnical stakeholders, explaining complex decisions, and working closely with colleagues and customers.\n\nSound engineering judgment: You write maintainable code, understand system design, can debug independently, and use AI development tools thoughtfully rather than relying on them blindly.\n\nExperience in healthcare, regulated software, security, privacy, or public safety is valuable but not essential.\nWhat This Role Requires\nSenior: Approximately 4+ years of relevant production software engineering experience, including substantial independent project ownership.\n\nStaff: Typically 6+ years of experience, with demonstrated ability to architect and deliver complex projects and drive broader technical decisions.\n\nTypeScript and full-stack capability: Recent TypeScript experience with the ability to contribute meaningfully across frontend, backend, and databases.\n\nStartup ownership and customer communication: Experience delivering production software end to end, navigating ambiguity, and communicating effectively with product stakeholders or customers.\n\nSan Francisco presence: Willingness to work primarily from the SoMa office, typically four to five days per week.\n\nTech Stack\nLanguages: TypeScript, JavaScript\n\nFrontend: React\n\nBackend: Node.js\n\nDatabase: PostgreSQL\n\nCloud: Google Cloud Platform (GCP)\n\nAI: LLM API integrations, AI-enabled workflows, AI-assisted software development\n\nThe focus is on excellent product engineering rather than deep machine learning research or specialist agent development.\nWhy Join\nBuild products with genuine impact: Your work helps emergency medical providers operate more efficiently, recover revenue, and continue serving their communities. You'll have opportunities to experience frontline workflows through ambulance ride-alongs and sponsored EMT training.\n\nOwn meaningful technical and product decisions: Join early enough to influence architecture, engineering standards, customer solutions, and future product direction, with a substantial pipeline of greenfield development ahead.\n\nCompetitive package and distinctive culture: Strong base compensation, early-stage equity, health, dental and vision coverage, a wellness stipend, and one week per quarter to work from anywhere. The company prioritizes in-person collaboration without an enforced 996 working culture.\n\nAbout People in AI\nPeople in AI is a specialist recruitment partner connecting exceptional AI, machine learning, data, and engineering talent with some of the most ambitious technology companies in the world. We work closely with founders, technical leaders, and hiring teams to represent opportunities accurately and help candidates assess genuine fit.","description_format":"text","description_chars":6015,"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"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":[],"lifecycle":[{"event":"open","at":"2026-11-12T15:16:34Z"}],"visa":[],"liveness":{"score":52,"band":"ok","label":"Likely open","p_open":1,"p_active":0.516,"p_room":1,"age_days":0,"expected_fill_days":180,"reasons":["conf:0","agency","win:early"],"computed_at":"2026-11-12T16:09:01Z"},"pay":{"stated_usd_annual":200000,"is_top_pay":true},"html_url":"https://alion.io/job/people-in-ai-senior-fullstack-engineer","json_url":"https://alion.io/job/people-in-ai-senior-fullstack-engineer.json","meta":{"generated_at":"2026-11-12T16:09:01Z","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":33769,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-13T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"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":3862080},"rest":"https://alion.io/mcp/rest/get_company?id=3862080"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fpeople-in-ai-senior-fullstack-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":2,"usd":0.2},"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%2Fpeople-in-ai-senior-fullstack-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"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%2Fpeople-in-ai-senior-fullstack-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/people-in-ai-senior-fullstack-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fpeople-in-ai-senior-fullstack-engineer"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4173000}},{"tool":"search_jobs","arguments":{"company":"peopleinai.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4173000},"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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