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Senior Software Engineer, Full Stack

Hatch IT


Job Location:

New York City, NY - USA

Yearly Salary: $ 180000 - 220000
Posted: 21 August 2026 (23 hours ago)
Application Deadline: 18 November 2026
Vacancies: 1 Vacancy

Job Summary

hatch I.T. is partnering with Kinstead to find a Senior Software Engineer Full Stack. See details below:

About The Role

Kinstead is hiring a Senior Software Engineer to build and own core product functionality across the stack.

Youll design and implement the systems that power reliable clinical and operational workflows from backend services and APIs to the frontend experiences that clinicians use every day. Youll work on everything from application logic and asynchronous processing to user-facing features collaborating closely with the rest of the engineering team to ship complete product capabilities.

We care deeply about reliability correctness and building software that behaves predictably under real-world conditions. Many of their most interesting engineering problems involve workflow design state management integrations and ensuring complex systems remain understandable as they grow.

You do not need prior healthcare or FHIR experience. We care more about strong engineering fundamentals sound technical judgment and the ability to ramp quickly on a complex domain.

Youll work closely with the CTO on system design while maintaining ownership of implementation production quality and the long-term health of the systems you build.

About the Company

Kinstead is building the AI-native operating system for independent healthcare enabling nurse practitioners to launch and run their own clinics. They replace the fragmented manual infrastructure behind healthcare with a single intelligent system so clinicians can spend their time on care not creates a new model of care one where clinicians practice on their terms and patients get consistent community-rooted care. Theyre backed by Wisdom Ventures and founders and executives from Pomelo Care Flatiron Health Roivant and PathAI on their mission to deliver better care.

What Youll Do:
  • Build and own product features across the stack using Python Django React and
  • Design and implement the systems behind clinical and operational workflows including scheduling messaging and practice operations
  • Build APIs application logic and integrations with clinical and third-party systems
  • Collaborate with engineers designers and clinical stakeholders to turn complex workflows into intuitive software
  • Debug and resolve production issues across the frontend backend and infrastructure
  • Design systems that remain reliable maintainable and predictable as the product grows
  • Contribute to system design technical planning architecture discussions and code reviews
Requirements:
  • 5 years building production web applications
  • Strong backend engineering experience with a modern server-side language or framework (Python Go Kotlin TypeScript Java C# or similar)
  • Comfortable building product features across the stack including React/
  • Strong engineering judgment and debugging skills
  • Comfortable owning features from design through production
  • Comfortable using AI development tools while maintaining ownership of the systems you build
  • Ability to commute to Kinsteads Columbus Circle office 3x week
Nice to have:
  • Experience building workflow-driven or stateful systems
  • Experience with React and
  • Experience with Kubernetes or distributed systems
  • Experience with healthcare FHIR or other regulated software
  • Experience working at an early-stage startup
Tech Stack:
  • Python (Django async-first with django-ninja and Channels) PostgreSQL (with pgvector) Redis WebSockets asynchronous background jobs workflow state machines and clinical integrations using Medplum and FHIR.
  • Our services run on AWS and Kubernetes and we rely on Terraform for IaC and Datadog for APM and infrastructure monitoring.
  • We maintain automated testing and deployment pipelines using Github Actions and integrate with AI providers including Google (Vertex AI) Anthropic (AWS Bedrock) and OpenAI.
$180000 - $220000 a year
We may use artificial intelligence (AI) tools to support parts of the hiring process such as reviewing applications analyzing resumes or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed please contact us.

Required Experience:

Senior IC


About Company

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hatch I.T. is a specialized technology recruiting firm supporting emerging tech startups that need to grow their engineering, data, and product teams.

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