Technical Lead Full Stack Developer at Innovxcare Solutions Pvt Ltd · Bengaluru (Bangalore) · 9 - 15 years · ₹40L - ₹55L / yr · Posted 8 Oct 2026

Lead Full-Stack Software Engineer (Node.js & React)
Location: Whitefield, Bengaluru, India (On-premise / In-office)
Experience: 10+ Years
Employment Type: Full-time, Permanent
About Us:
InnovXcare aims to play in an exciting space where advanced technologies and innovations
meet the need to provide improved access to quality care in India and beyond. We are an
early-stage startup aiming to tackle the challenges in the Imaging diagnostic reporting
industry through novel applications of Artificial Intelligence and Deep Learning. As a part of
this company, you will get a chance to work in a fast-paced environment with a team of
passionate and high-performing individuals who are looking to make an impact in the
healthcare space in India. We will look to you to own significant portions of our solution
development and be a part of solving some of the most challenging problems in healthcare
today.
The Role & Impact
As the Lead Full-Stack Software Engineer, you will be the core technical anchor of the company. You will bridge the gap between our state-of-the-art data science models and enterprise-grade production software. You will directly lead, mentor, and scale a high-performing 8-person software team team consisting of 7 software developers (in-house and full-time contractors), 6 AI/data scientists, 1 product designer, and 5 QA specialists.
This is a hands-on architecture and leadership role. You will own the system design, enforce engineering excellence, and build low-latency, highly available pipelines that handle real-time clinical workflows.
Core Responsibilities
- System Architecture & Scaling: Design and scale robust, event-driven microservices using Node.js and high-performance user interfaces using React.js to support multi-modal AI clinical tools.
- AI & Software Integration: Architect the data pipelines and APIs that wrap, serve, and orchestrate heavy AI models (voice-to-text transcription, NLP, and radiology reporting tools).
- Real-Time Data Streaming: Implement secure, low-latency, full-duplex communication protocols (WebSockets, WebRTC) to stream live audio and heavy medical data feeds seamlessly between the client and backend.
- Engineering Leadership: Manage, mentor, and inspire a hybrid team of 7 software developers and 5 QA engineers. Drive agile sprint planning, set high standards for clean code, and establish robust CI/CD pipelines.
- Production Stability: Ensure high availability, data security (HIPAA/healthcare compliance standards), and performance monitoring for a product already live and actively used in market.
- Cross-Functional Collaboration: Partner closely with the 6-member AI research team, design resources, and business stakeholders to translate complex clinical product requirements into technical roadmaps.
Required Technical Skills & Experience
- 10+ years of professional software engineering experience, with at least 3+ years in a Tech Lead or Engineering Manager capacity within a fast-paced startup or high-growth tech environment.
- Deep production-level mastery of Node.js (Express, NestJS, or similar) and React.js (including advanced state management like Redux, Context API, or Zustand).
- Proven experience building event-driven architectures and handling asynchronous workloads using message brokers like RabbitMQ, Kafka, or AWS SQS/SNS.
- Strong proficiency with real-time streaming tools, data processing, and protocol management (WebSockets, Socket.io).
- Heavy experience with cloud infrastructure (AWS, GCP, or Azure), containerization (Docker, Kubernetes), and automated testing frameworks.
- Solid understanding of database design, optimization, and scaling (SQL and NoSQL).
General Attributes
- Exceptional communication and decision making skills.
- Demonstrated ability to mentor teams and influence architecture direction.
- High ownership mindset and ability to deliver against clear plans.
- Strong adaptability and comfort operating in fast moving environments.
Preferred (Bonus) Qualifications
- Prior experience in the Health-Tech / Med-Tech domain, specifically dealing with medical imaging systems, electronic health records (EHR), or healthcare compliance.
- Familiarity with medical imaging/data standards or frontend medical web viewers (e.g., Cornerstone.js, OHIF Viewer, DICOM web protocols) is a massive plus.
What We Offer
- Competitive Compensation: Highly attractive base salary aligned with top-tier Bengaluru tech standards.
- High Autonomy: Direct influence over technical stack decisions, product architecture, and engineering culture.
- Mission-Driven Work: The opportunity to build software that directly saves lives and transforms global healthcare via artificial intelligence.

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- Own end-to-end architecture, system design, development, and production deployment of scalable, AI-powered applications.
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Preferred Candidate Profile
- 710+ years of software development experience, with substantial hands-on experience in technical architecture and production-grade application development.
- Expert-level proficiency in Node.js, NestJS, TypeScript, REST APIs, backend architecture, and microservices.
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- Hands-on experience with Flutter and Dart for Android and iOS application development.
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- Strong experience with PostgreSQL, database design, indexing, query optimization, transactions, Redis, and geospatial systems.
- Practical experience building and deploying LLM-powered applications, AI agents, RAG systems, embeddings, vector search, and AI workflow automation.
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- Exceptional system-design, analytical, debugging, and problem-solving skills.
- Strong ownership, independent execution, technical leadership, communication, and mentoring abilities.
- Experience in startups or building products from scratch is highly desirable.
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We are looking for a highly hands-on technical leader who can independently architect, design, develop, optimize, and deploy complex production systems. The ideal candidate must demonstrate genuine technical depth, strong engineering judgment, and the ability to lead end-to-end product development across backend, web, mobile, cloud, and AI technologies.
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What You'll Do
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Senior Full Stack Developer – Node.js + React.js
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