Full Stack Engineer

Location: Remote Onshore, US Citizen | Type: Full-Time | Experience: 4–6+ years | Stack: Python/Django · React · AWS/GCP Compensation: $100k-$120k base, 10% bonus, + equity

Grapefruit Health is a healthcare tech-enabled services company that is addressing the massive staffing shortage in healthcare. We do this by training and managing clinical students to perform remote, telephonic interactions with patients using our web application. By doing this, we can close gaps in care at half the cost and twice the speed. Patients get the care they need, healthcare organizations can do much more, and you get to learn while you earn. It is a win-win-win!

We are looking for a Full Stack Engineer who thrives on ownership and loves building products that work in the real world. You will be hands-on across the entire stack — from architecting backend systems to shipping polished frontend features — and will play a key role in shaping how our platform evolves. This is a high-trust, high-autonomy role on a lean engineering team where your decisions matter and your work ships.

You will work closely with clinical, product, and operations teams to build tools that directly impact patients and the clinicians who care for them. If you want to write code that means something, this is the place.

Core Engineering

• Design, build, and maintain full stack features across our platform

• Own backend architecture and API design using Python/Django and JavaScript

• Develop performant frontend applications using React and modern JavaScript

• Architect and integrate microservices and third-party systems (e.g. Twilio, messaging, analytics tools)

• Debug complex production issues across distributed systems — frontend, backend, and infrastructure

• Improve system reliability, observability, and performance

• Contribute to infrastructure and DevOps (AWS/GCP, CI/CD, IaC)

• Write clean, testable, and scalable code; enforce best practices through code reviews

Technical Leadership & Growth

• Drive technical decision-making and influence architecture

• Stay current with modern tools, frameworks, and best practices

• Identify inefficiencies and proactively improve systems and processes

• Take ownership of ambiguous problems and deliver solutions

Experience — Required

• 4–6+ years of professional software development experience

• Proven experience owning features or systems end-to-end in production

• Strong backend development with Python/Django and JavaScript

• Advanced API design and integration — REST, async workflows, webhooks

• Frontend development with React and modern JavaScript

• Cloud platforms: AWS and/or GCP (compute, networking, storage, monitoring)

• Experience integrating and managing external services and microservices (e.g. Twilio, third-party APIs)

• Strong debugging and troubleshooting skills across the full stack

Infrastructure & Data

• PostgreSQL and data modeling

• Infrastructure as Code (Terraform, CloudFormation, or similar)

• CI/CD pipelines and DevOps workflows

• Experience with logging, monitoring, and observability tools

Development Practices

• Unit and integration testing

• Git-based workflows (GitHub)

• Agile/project management tools (e.g. Jira)

Nice to Have

• Healthcare or health-tech experience

• Familiarity with HIPAA, SOC 2, or HITRUST environments

You thrive when you…

• Debug issues others get stuck on

• Work across the stack and into infrastructure

• Own problems from discovery to production

• Balance speed with long-term scalability

• Stay curious and keep learning

• Communicate clearly across technical and non-technical teams

• Bring positive energy and show up reliably

This probably isn't for you if…

• You need a large team and heavy process to ship

• You prefer being handed fully-defined specs

• You avoid production incidents or on-call responsibility

• You want to specialize narrowly in one layer of the stack

Base Salary $100,000 – $120,000 depending on experience

Bonus up to 10% annually

Equity Details discussed during process

Benefits Health, dental, vision, 401k — details provided during interviews