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Backend Fullstack
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Backend Fullstack
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Backend Fullstack

at CareValidate

Agency job
via Recro
4 - 7 yrs
Best in industry
Remote only
Skills
skill iconNodeJS (Node.js)
GraphQL
skill iconReact.js
TypeScript
Fullstack Developer

Senior Full-Stack Engineer — Backend-Focused

Remote · Platform Engineering · Full-time · 4–5 years experience


About the Role

We're a healthcare technology company building a multi-tenant case-management platform that orchestrates

complex clinical, payment, and communication workflows. You'll build backend services that power the product

— a TypeScript GraphQL API on Node.js, backed by PostgreSQL/Prisma and deployed on Google Cloud,

integrating a broad ecosystem of third-party healthcare, payment, and communication providers.

This is a senior, high-ownership role on a remote-first team. You'll design systems, lead complex integrations,

mentor engineers, and influence our architecture as we scale.


What You'll Do

• Design, build, and operate backend features on our Node.js + TypeScript platform using Express + Apollo

GraphQL in a modular-monolith architecture.

• Model and evolve a large, multi-tenant data layer with Prisma 7 on PostgreSQL (including read replicas),

with attention to performance, indexing, and data integrity.

• Build and harden third-party integrations — payments (Stripe, NMI), communications (SendGrid, Twilio),

CRM (HubSpot), scheduling (Calendly), and healthcare systems (Dosespot, pharmacy/consult-provider

APIs).

• Design event-driven and asynchronous workflows using Google Cloud Pub/Sub, scheduled jobs (App

Engine Cron), and Cloud Functions — for payment retries, follow-ups, escalations, and batch processing.

• Implement secure authentication and RBAC (Firebase Admin, JWT, OTP flows, granular permissions) in a

multi-tenant, compliance-sensitive context.

• Work with GCP services — App Engine, Cloud Storage, BigQuery, Document AI, Secret Manager — and

contribute to CI/CD via GitHub Actions and Prisma migration pipelines.

• Make full-stack changes when needed — wiring up the Vue 3 / Apollo frontend to ship a feature completely.

• Write robust tests with Vitest + Supertest and Firebase emulators; ensure reliability, observability

(Winston/Cloud Logging), and safe rollouts.

• Mentor engineers, lead design discussions, and own systems end-to-end in production.


What We're Looking For

• 4–5 years of professional backend or full-stack engineering experience, with a track record on

medium-to-large-scale production systems.

• Strong Node.js + TypeScript expertise and solid API design skills (GraphQL strongly preferred; strong

REST background welcome).

• Deep relational database experience — schema design, query optimization, migrations — ideally with

Prisma/PostgreSQL or comparable ORMs.

• Experience building and maintaining complex third-party integrations and webhook-driven systems,

including payments.

• Familiarity with cloud infrastructure (GCP preferred; AWS/Azure transferable), async messaging/queues,

caching (Redis), and CI/CD.

• Solid grasp of authentication, authorization (RBAC), and security best practices.

• Enough frontend competence to contribute to a Vue/React + GraphQL client when a feature demands it.

• Demonstrated ability to own systems independently, take responsibility for reliability and on-call quality,

and reason about scale and trade-offs.

• Excellent written and verbal communication — essential for our remote, async culture.

• Leadership qualities: you mentor others, drive technical design, and raise engineering standards.


Nice to Have

• Experience with Pub/Sub, BigQuery, Document AI, or other GCP-native services.

• Background in healthcare, fintech, or regulated/compliance-sensitive domains (HIPAA awareness a plus).

• Experience with multi-tenant SaaS architecture and data isolation.

• Familiarity with AI/LLM integrations (Claude, OpenAI, vector DBs like Pinecone).

• Experience scaling systems with rate limiting, observability, and performance tuning.

Read more
Users love Cutshort
Read about what our users have to say about finding their next opportunity on Cutshort.
Shubham Vishwakarma's profile image

Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
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Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
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