Staff Software Engineer
New York City, NY - USA
Job Summary
Staff Software Engineer (Full Stack Backend-Leaning)
The Opportunity
Our client is hiring a Staff Software Engineer to join their early engineering team. This is a full-stack role with a backend lean ideal for someone who can own larger technical systems end-to-end set engineering direction and help define how AI should be used responsibly in clinical environments.
This role is not just about shipping featuresits about building the foundation: architecture patterns reliability and the teams approach to execution.
What Youll Do
- Lead end-to-end delivery of impactful features across React TypeScript Postgres and AWS Lambda improving real workflows for staff and patients
- Set technical direction for core systems: API design data modeling scalability reliability and deployment patterns
- Design robust extensible systems built for the realities of clinical environments (edge cases safety change management uptime)
- Shape how AI is applied across the platformboth to improve engineering velocity and to safely automate high-value workflows
- Partner closely with product and clinical teams to navigate tradeoffs across safety usability compliance and automation
- Own the full project arc: clarify goals shape architecture manage risk coordinate execution and improve after launch
- Raise the bar across engineering by improving standards code review quality observability incident readiness and release confidence
- Mentor teammates and help build an engineering culture where concerns surface early and releases get smoother over time
What Our Client Is Looking For
Must-Haves
- Strong full-stack engineering background with a backend focus; proven track record shipping end-to-end systems
- Expertise with modern web and backend development (React TypeScript; Postgres; strong API fundamentals)
- Experience building and operating production systems in the cloud (AWS preferred; serverless/Lambda experience is a plus)
- Strong architectural instincts: systems thinking clean abstractions maintainability performance and reliability
- Product-minded engineering: you care about UX quality workflow clarity and adoptionnot just code
- Comfortable operating in ambiguity making decisions with imperfect information and driving alignment across stakeholders
- Strong communication skills and the ability to lead through influence (not org chart)
Ideal Signals
- Youve built systems in high-trust domains (healthcare finance security) where correctness matters
- Youve shipped AI-assisted or AI-powered features with real guardrails (evaluation monitoring fallback paths)
- Youve implemented practices that increase delivery confidence: testing strategy observability incident response patterns safer rollout processes
Why This Role
- Early-team ownership with meaningful influence over architecture product direction and engineering culture
- Mission-driven work that directly improves how hospitals operate and how patients experience care
- AI applied practically and responsiblyautomation where it helps safeguards where it matters
- A rare chance to build the foundation and standards that the company scales on
Required Experience:
Staff IC
About Company
Nxt Level is a recruiting agency specializing in high-level technical recruiting in engineering, video games, and executive search.