Pine Park Health is a value-based primary care practice that redesigns how senior living community residents get or stay healthy and lead a life they love. We’re on a mission to dramatically improve healthcare for seniors by building a new model of care designed around everyone involved — patients, families, community staff members, providers, and payers.
Our value-based offering has led to over 150 communities partnering with us in the last year and allowed us to achieve 10X patient growth. We're a fast-growing company backed by lead investors, including First Round Capital, Google’s AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you share in our vision of helping every senior, no matter their health status, be able to lead a life they find meaningful and worthwhile, join us! Learn more at www.pineparkhealth.com/about
The OpportunityWe're looking for a Senior Fullstack Software Engineer who embodies the qualities that make our current team exceptional: technical excellence combined with sharp product intuition. This role goes beyond just writing code – you'll be a key player in shaping our technical strategy and product decisions.
What Sets Our Team Apart- We're builders who understand the "why" behind every feature and can see the entire system holistically
- We know when to make pragmatic trade-offs between perfect code and shipping valuable features
- We maintain high standards while being practical about delivery timelines
- We think strategically about technical decisions and their long-term impact
- We're comfortable with the ambiguity and rapid iteration typical in a fast-growing startup
- Partner with product managers to shape product strategy, focusing on impactful solutions rather than just technical elegance
- Lead technical architecture discussions with an emphasis on practical, scalable solutions that align with business goals
- Design and implement systems that balance immediate needs with long-term scalability
- Make pragmatic decisions about technical debt, knowing when to optimize and when to ship
- Drive engineering excellence through mentorship, code reviews, and fostering a culture of continuous improvement
- Lead complex technical initiatives from conception to deployment across our full stack
- Proactively identify opportunities for system improvements while maintaining focus on business priorities
- Design and implement AI-powered features using LLMs to enhance clinical workflows and improve patient care delivery
- 5+ years of hands-on engineering experience in fast-paced startup environments
- Proven track record of shipping complex features end-to-end
- Strong product intuition and ability to challenge requirements when necessary
- Experience making architectural decisions that stood the test of time
- Deep expertise in modern frontend frameworks (React preferred) and NodeJS backend development
- Strong understanding of database design and optimization (PostgreSQL)
- Experience building and shipping LLM-based features in production environments
- Bias toward action: You know when to dive deep and when to move fast
- Systems thinking: You can see how individual components fit into the larger architecture
- Product mindset: You understand user needs and business impact, not just technical requirements
- Pragmatic perfectionism: You know when to make trade-offs between perfect and practical
- Leadership potential: You raise the bar for the entire team through your work and mentorship
- Frontend: Advanced React, state management, performance optimization
- Backend: NodeJS ecosystem (Remix, Next.js, or similar), API design
- Database: PostgreSQL, query optimization, schema design
- DevOps: Cloud infrastructure (GCP), CI/CD pipelines
- Mobile: Experience with or strong interest in React Native
- AI/ML: Experience developing LLM-powered features and integrating AI models into production applications
- Experience leveraging LLMs and AI tools to enhance development productivity
- We're a team of pragmatic builders focused on making real impact in healthcare
- We maintain high standards while staying humble
- We believe in sustainable pace and long-term thinking
- Remote-friendly culture with regular in-person team off-sites
- Comprehensive benefits package including equity, healthcare, and professional development
- Stock Option Plan
- Paid Parental Leave
- Medical, Vision, and Dental Insurance
- 401K Retirement Plan
- Mileage and Cell Phone Reimbursement
- Annual Wellness Allowance
- Professional and Personal Development Annual Allowance
- FSA and Dependent Care FSA
- 10 Paid Holidays
- Paid Time Off
- Paid Sick days
If you're energized by the challenge of building impactful healthcare technology and want to join a team that values both technical excellence and practical delivery, we'd love to talk to you.
Top Skills
What We Do
Our mission is to keep senior living residents healthy—by keeping them away from hospitals where exposure to health risks is high. Through our new clinical care delivery model, we bring clinical staff right into senior living communities, providing safer, more convenient urgent and primary care. Pine Park establishes a dedicated space within each senior living community and staffs each location with a team of physicians, physician assistants, and nurses. This allows us to provide comprehensive healthcare on-site, see patients more regularly, and better support their holistic health.
We are a well-funded startup backed by First Round Capital, Canvas Ventures, Google’s AI fund, and Y Combinator—and we’re growing fast. We’ve identified a rare opportunity to improve the way healthcare is delivered to millions of older adults and succeed with an economic model focused on care outcomes. We’re also developing proprietary technology to facilitate care coordination, back-end operations, and the consolidation of patient data so our physicians can track patient heath efficiently.
Now serving senior communities across the Bay Area, San Diego, and Arizona we’re ready to accelerate our growth. We’re looking to expand our small, motivated, multi-disciplinary team. If you share our passion for this mission-driven clinical care, love collaborating with others to realize a dream and scalable vision, join us!
