Senior Full-Stack Engineer

Posted 7 Days Ago
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85020, Phoenix, AZ, USA
In-Office
Senior level
Healthtech • Insurance
The Role
Build end-to-end features on a multi-tenant SaaS platform: Postgres schema and Prisma models, Fastify APIs, and React UI. Design multi-tenant isolation and access controls, increase test coverage and CI/CD quality gates, own production deployments on Google Cloud Run, mentor teammates, and improve observability and developer productivity.
Summary Generated by Built In

Senior Full-Stack Engineer

Early-stage startup · Hybrid — Phoenix · Full-time ·

About us

We're an early-stage startup building a multi-tenant SaaS platform for regulated and public-sector customers.

The role

We're building a multi-tenant platform on Google Cloud, and we need a senior full-stack engineer who can own features end-to-end—from the React UI, through tenant-aware Fastify APIs, down to the Postgres data model—and who helps harden the foundations as we grow: tenant isolation, test coverage, and our CI/CD safety net. You'll join a small, high-ownership team where your architectural decisions stick. Compliance is part of the landscape here (audit trails, access controls, regulated customers), so you'll build with that in mind—but this is a broad full-stack role, not a single-domain specialty.

What you'll do

  • Build features end to end—Postgres schema and Prisma models, Fastify APIs, and the React UI that consumes them.
  • Design and evolve our multi-tenant data model and access controls (Postgres RLS, role-based permissions) with isolation we won't regret in two years.
  • Use Zod and strong typing throughout to keep API contracts and runtime validation honest.
  • Own features through to production on Google Cloud Run, including observability and debugging in a live environment.
  • Raise the quality bar: grow automated test coverage (Vitest, Playwright) and wire quality gates into CI/CD.
  • Review PRs, mentor, and help set technical direction as the team grows.
  • Bring a modern approach to end-to-end testing.
  • Be comfortable with AI-assisted development and help build out agents to increase team productivity.

What you bring

  • 6+ years building production web applications full-stack, with meaningful time as a senior or staff engineer.
  • Strong TypeScript across both front end and back end—equally at home in a React component and a backend service.
  • Solid React (hooks, modern patterns) with a fast build toolchain (Vite or equivalent).
  • Server-side Node.js with Fastify, Express, NestJS, or similar—API design and architecture.
  • Strong PostgreSQL and data-modeling instincts, plus an ORM (Prisma ideal) and migrations at scale.
  • A feel for multi-tenant data isolation—row-level security, tenant-scoped access, the common footguns.
  • Good judgment on trade-offs: schema-per-tenant vs. row-level isolation, build vs. buy, where to draw the line on abstractions.
  • Comfort with Docker for local development.
  • Clear communicator who writes things down.

Nice to have

  • FedRAMP or equivalent regulated experience (FedRAMP Moderate/High, DoD IL4+, NIST 800-53)—and a working sense of what those controls mean for how you write code.
  • PostgreSQL depth—RLS and multi-tenant patterns.
  • Multi-tenant identity depth—OIDC, SAML, SSO, MFA, session handling (helpful, not the focus of the role).
  • Tailwind CSSTanStack Query / React QueryFirebase / Google Identity Platform auth.
  • Google Cloud (Cloud Run, Cloud Storage) and GitLab CI/CD.
  • Background in compliance, GovCon, or other regulated/document-heavy domains.

Our stack

Backend: TypeScript · Node.js 22 · Fastify · Prisma · PostgreSQL · Zod · Pino

Frontend: React 18 · TypeScript · Vite · React Router · React Query · Tailwind CSS · Axios

Infra: Docker · GitLab CI · Google Cloud Run · Google Cloud Storage · Nginx · pnpm monorepo

Auth: Firebase / Google Identity Platform · session-based RBAC

Testing: Vitest · React Testing Library · Playwright

What we offer

  • Competitive salary
  • Health, dental, and vision insurance
  • PTO and 401(k)
  • A small team, real ownership, fast decisions
  • Hybrid role based out of our Phoenix office

Benefits:


  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Parental leave
  • Retirement plan
  • Vision insurance

Security clearance:


  • Confidential (Required)

Work Location: Hybrid remote in Phoenix, AZ 85020

Qualifications

Nice to have

  • FedRAMP or equivalent regulated experience (FedRAMP Moderate/High, DoD IL4+, NIST 800-53)—and a working sense of what those controls mean for how you write code.
  • PostgreSQL depth—RLS and multi-tenant patterns.
  • Multi-tenant identity depth—OIDC, SAML, SSO, MFA, session handling (helpful, not the focus of the role).
  • Tailwind CSSTanStack Query / React QueryFirebase / Google Identity Platform auth.
  • Google Cloud (Cloud Run, Cloud Storage) and GitLab CI/CD.
  • Background in compliance, GovCon, or other regulated/document-heavy domains.

Our stack

Backend: TypeScript · Node.js 22 · Fastify · Prisma · PostgreSQL · Zod · Pino

Frontend: React 18 · TypeScript · Vite · React Router · React Query · Tailwind CSS · Axios

Infra: Docker · GitLab CI · Google Cloud Run · Google Cloud Storage · Nginx · pnpm monorepo

Auth: Firebase / Google Identity Platform · session-based RBAC

Testing: Vitest · React Testing Library · Playwright

What we offer

  • Competitive salary
  • Health, dental, and vision insurance
  • PTO and 401(k)
  • A small team, real ownership, fast decisions
  • Hybrid role based out of our Phoenix office

Benefits:


  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Parental leave
  • Retirement plan
  • Vision insurance

Security clearance:


  • Confidential (Required)

Work Location: Hybrid remote in Phoenix, AZ 85020

Skills Required

  • 6+ years building production full-stack web applications with significant senior-level experience
  • Strong TypeScript across front-end and back-end
  • Solid React (hooks, modern patterns) and experience with Vite or equivalent build toolchain
  • Server-side Node.js experience (Fastify, Express, NestJS or similar) and API design
  • Strong PostgreSQL and data-modeling instincts; experience with ORMs (Prisma ideal) and migrations
  • Experience designing multi-tenant data isolation and access controls (row-level security, tenant-scoped access)
  • Experience with Zod and strong typing for runtime validation and API contracts
  • Familiarity with Docker for local development
  • Proven ability to own features to production, including observability and debugging
  • Clear written and verbal communication; documents decisions and designs
  • FedRAMP or other regulated experience (FedRAMP Moderate/High, DoD IL4+, NIST 800-53)
  • Deeper PostgreSQL/RLS and multi-tenant pattern expertise
  • Multi-tenant identity experience (OIDC, SAML, SSO, MFA, session handling)
  • Experience with Tailwind CSS, TanStack Query / React Query, Firebase / Google Identity Platform
  • Google Cloud experience (Cloud Run, Cloud Storage) and GitLab CI/CD
  • Background in compliance, GovCon, or other regulated/document-heavy domains
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The Company
HQ: West Lake Hills, TX
Year Founded: 1984

What We Do

USA Managed Care Organization (USA MCO) is the largest, most comprehensive, privately-held Preferred Provider Organization in America, specializing in workers' compensation medical care and rehabilitation, and offering innovative alternatives to traditional group health and workers’ compensation medical benefits.

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