Senior Software Engineer (Fullstack)

Counsel’s mission is to multiply the world's healthcare capacity. We believe in a future in which every person has a personalized, AI-enabled doctor always in their pocket. To accomplish this, we’re building the first fully-vertical, AI-native medical group from the ground up. We’ve redesigned the entire clinical stack with custom AI tools that make our in-house physicians 10x faster and smarter. [learn more on our blog]
Since our founding in 2023, we have formed partnerships with leading healthcare organizations and are on track to serve hundreds of thousands of patients on our platform within the next year. We have raised over $35M from a16z, Google Ventures, Pear VC and other top-tier VC firms.
Our team combines deep expertise in medicine (Harvard, Mt. Sinai, Mass General, UCSF) and technology (MIT, Google, DeepMind, NVIDIA, Stripe, Meta) — and we’re looking for exceptional people to join us as we scale.

Join us as we build the future of AI in healthcare!

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We are seeking a talented, driven, and experienced Senior Software Engineer to join us in defining the future of AI + human healthcare. This role can be remote, but will be hybrid for those located in NY/Boston or able to move to our in-person office.

You will have significant responsibility and ownership over our product, along with the opportunity to shape the future of our engineering organization. You will work cross-functionally with product, clinical, and commercial teams while interfacing with prominent healthcare organizations nationwide as we lead the future of AI in clinical care.

Our engineering work spans a range of disciplines, including full-stack web development, data infrastructure, mobile development, and AI/MLOps. Our culture is fast-paced and ambitious, and we aim for every team member to be exceptional.

• Leading initiatives with our Product and Design teams to ship and iterate on unique product experiences in AI-enabled care that improve patient engagement and outcomes

• Working closely with our ML research team to bring cutting-edge AI/LLM techniques into clinical care and implement these features into our agentic framework

• Improving our physician-facing care platform and integrating AI tooling to increase physician efficiency and clinical capabilities

• Architecting scalable backend systems, such as health data ingestion pipelines and enterprise client integrations

• 5+ years of building production software, ideally with 2+ years at startups or growth companies

• Proficiency in our tech stack: React, NextJs, Node.js (Typescript), React Native, Postgres, AWS, Terraform, Redis

• Experience building at scale, serving hundreds of thousands of end-users and large enterprise clients

• Opinionated about up-leveling your own engineering skills and the team around you

• Familiarity with AI/ML concepts and recent AI developments.

• You are a self-motivated, creative doer who takes ownership of broad initiatives and drives them to completion, navigating ambiguity with ease

• You have hands-on experience building consumer-facing products from the ground up in a high-growth, startup environment

• You thrive on working alongside exceptional teammates and derive energy from fast-moving collaborative environments

• You are excited about working on the frontier of medical AI

NYC - hybrid, Boston - hybrid, East Coast - remote

• Impact: Be at the forefront of AI-augmented care delivery, tackling some of the most ambitious challenges in healthcare.

• Growth: Professional development and leadership opportunities within a rapidly expanding tech-enabled care delivery organization.

• Exposure: Gain hands-on experience in scaling a fast-growing healthcare technology company and directly interface with executives at the world’s leading healthcare organizations.

• Compensation: Competitive salary and equity options.

• Benefits: Competitive healthcare, vision, and dental, 401K, Unlimited PTO, snacks and free lunch at the office.

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• Patients come first.
  We are clinicians 1st, technologists 2nd. We act with patient trust/safety at the center of every decision.

• Innovate with optimism.
  We are optimistic as we build the future of care delivery from first principles. Challenge the status quo when needed, no sacred cows.

• Right answer wins.
  Debate openly and pick the strongest path. We optimize for the company, not functions. We win and lose as a team.

• Simplicity over complexity.
  We choose clear, elegant solutions and avoid adding complexity that does not serve patients or the team.

• Do fewer things, well.
  We focus, and hold ourselves to the highest bar and pursue excellence in those areas.

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Healthcare was built for in-person encounters. 100 million people don't have a primary care doctor. A billion medical questions get searched on Google every day. We're building something better.

You'd be joining a small team doing real clinical scale — backed by a16z and GV, powering AI experiences for some of the biggest names in healthcare, and operating with the urgency of a company that knows exactly what it's building.

This is the kind of role where your work shows up in the product the same week you ship it.

Counsel is an equal opportunity employer. We believe diverse teams build better products and deliver better care. We welcome applicants of all backgrounds, identities, and experiences.

#LI-PINJOB

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