Full-stack Engineer

Build the APIs, integrations, and builder backend that power HIPAA-minded funnels—from submission pipelines to CRM and billing hooks.

PathwAI sits between sensitive health data , third-party tools , and operator workflows . You’ll own services and integrations that ingest submissions, route leads, enforce guardrails, and keep observability honest—so our customers can trust the pipe as much as the UI.

What you’ll do

• Design and implement HTTP APIs and background work (queues, webhooks, retries) for the builder and runtime.


• Build and maintain integrations (CRMs, scheduling, analytics, payments-adjacent flows) with clear failure modes and idempotency.


• Collaborate with frontend engineers on contract shape , pagination, and real-time or near-real-time updates where needed.


• Improve observability : structured logs, tracing hooks, and alerts that help us catch issues before customers do.


• Participate in security-minded design reviews—least privilege, secret handling, and safe handling of PHI-adjacent payloads.

What we’re looking for

• 5+ years building production backend or full-stack systems; comfortable owning a feature end-to-end.


• Strong TypeScript or Node ecosystem experience, plus a solid database mental model (transactions, migrations, indexing basics).


• Experience with REST and/or RPC APIs, auth patterns, and integration testing against external vendors.


• Pragmatism about reliability : retries, backoff, deduplication, and clear operator-facing errors.

Nice to have

• PostgreSQL (or similar) at scale; familiarity with migration tooling.


• Cloudflare Workers , Durable Objects , or edge-style runtimes.


• Prior work in health tech , HIPAA , or other regulated environments.


• Exposure to event-driven architectures and workflow or job systems.

How we work

Engineers work closely with product and design; we prefer thin vertical slices over long-lived branches. You’ll have room to propose architecture, but we value simple systems that the next person can operate.