Staff Full-Stack Engineer

At House Rx, we're driven by something special: making specialty medications more accessible and affordable. Our 25+ person product, design, and engineering (PDE) team, part of our broader 125+ person company, creates technology that helps patients access the life-saving drugs they need. We bring our hearts and minds to this meaningful work, fostering a caring, dedicated, and supportive environment.

About The Role

Join our PDE team as a Staff Full-Stack Engineer, a technical leader pivotal in designing robust systems on AWS that shape our pharmacy management platform. You will own significant architectural areas, drive technical strategy with your deep system design and AWS expertise, and influence our product evolution. This role demands inclusive leadership, mentorship, championing best practices, and leading cross-functional collaboration, leveraging our core stack: Node, TypeScript, React, Postgres, AWS.

What You'll Do

• Lead & Build: Spearhead the design and development of complex, high-impact features and services, leveraging AWS to ensure scalable, reliable platforms.
• Elevate Engineering: Champion and evolve software development and system design best practices, lead by example in code reviews and drive initiatives that boost quality and innovation.
• Mentor & Grow Team: Actively mentor junior and mid-level engineers in areas like system design and AWS architecture, fostering their growth while you make significant technical contributions.
• Own Critical Problem Solving: Identify, diagnose, and decisively resolve complex technical and system-level production issues, helping our team convert and leverage more AWS where possible.

About You

You are an experienced technical engineer and leader who excels at designing complex, scalable systems (especially on AWS), driving impactful projects, and mentoring others.

Technical Leadership & Architecture:

• 7+ years of progressive full-stack software development experience, with a strong emphasis on backend systems, API design, and relational databases (specifically Postgres), while possessing the ability to contribute to frontend (ReactJS) development when needed.
• Proven ability to architect resilient, scalable distributed systems (microservices, event-driven).
• Extensive hands-on experience architecting, building, deploying, and managing production workloads across diverse AWS services (DynamoDB, Lambda, SQS/SNS, API Gateway and more), focusing on security, scalability, and cost optimization. AWS certifications are a plus.
• Strong proficiency in backend development (Node.js, TypeScript), API design, and relational databases (Postgres). Familiarity with React is a bonus.
• Bachelor's/Master's in CS/Engineering or equivalent practical leadership experience.

Ownership & Strategic Impact:

• You thrive on owning critical systems shaping their evolution and driving initiatives to success.
• Possess strong business acumen to align technical strategy with evolving business priorities.
• Adept at thoughtfully leveraging AI development tools to boost productivity and quality.

Collaboration & Mentorship:

• Exceptional communicator, articulating complex technical concepts to diverse audiences.
• Inclusive cross-functional leader, guiding teams and managing trade-offs effectively.
• Dedicated mentor, passionate about growing fellow engineers.
• Proven ability to navigate ambiguity and deliver results in a fast-paced, remote environment.

Why You'll Enjoy Leading With Us

• Drive Meaningful Impact: Lead the design of technology that profoundly improves patient access to medications.
• Empowerment & Agency: Wield significant autonomy to shape technical strategy, own critical AWS architecture, and influence our platform.
• Inspire & Grow Talent: Mentor engineers in advanced technical concepts and foster a culture of excellence.
• Vibrant & Supportive Culture: Join a fun, thoughtful, down-to-earth team that values collaboration, continuous learning, and celebrating successes.

In particular, we offer:

• Flexible work hours and flexible paid time off
• Generous parental leave
• Comprehensive healthcare, vision and dental benefits
• Competitive salary and equity stake

We're backed by forward-thinking investors committed to transforming healthcare, including Bessemer Venture Partners, First Round Capital, LRV Health, Khosla Ventures, Maverick Ventures, 1984.vc, and Character.

While a cover letter is optional, a note sharing your enthusiasm for House Rx and this role is highly insightful.

Expected Full-Time Base Salary: $190,000-$215,000

This range represents the low and high end of the anticipated base salary/wage. The actual base salary/wage will depend on several factors, including experience, knowledge, and skills. Actual compensation packages may include other elements equity, paid time off and benefits.

More About House Rx: Our Team, Work, and Culture

Here's our amazing PDE team that builds healthcare technology that matters:

• Software Engineering: 10 engineers+ from early career to staff/architect level
• Product & Design: 3 product managers, 2 designers
• Infrastructure: 2 IT specialists, 2 security engineers, 3 SREs
• Quality & Support: 3 QA engineers, 2 support specialists

Together, we build and maintain impactful solutions through our pharmacy management system and data insights platform. These tools enable our internal teams, pharmacists, care coordinators, and clinical operations, to streamline medication access, while helping external healthcare providers and clinics deliver better patient care.

💻 Our engineering work presents exciting technical challenges as we balance user-facing features with robust internal systems. We release updates daily, requiring thoughtful prioritization and technical excellence while maintaining high quality. This iterative approach means we're constantly innovating to deliver meaningful improvements to our healthcare platform.

🌎 We're a fully remote team, with our talented people spread across New York, Boston, San Francisco, and throughout the U.S. While we embrace the flexibility of remote work, we're passionate about strengthening connections through our bi-annual retreats, both company-wide and PDE-specific, where we plan, grow, and celebrate our successes together. Local team members enjoy getting together for co-working and social events, creating bonds that go beyond the workplace.

🎉 Our culture brings thoughtfulness to our daily work. You'll find us expressing ourselves through our extensive Slack emoji and GIF collection (seriously, it's impressive!), sharing gratitude circles on birthdays, and having conversations that range from foodie recommendations to discussions about AI tooling, developer experience, and architecture. While we take our mission seriously, we believe enjoying what you do and technical excellence go hand in hand.

We're a fun, thoughtful, supportive, talented, and down-to-earth group focused on doing some of the best work of our lives. At the end of the day, we know software is built by people – and we're committed to taking care of both the people we work with and the patients whose lives we touch through our technology. We're growing our team. There's no one else in the world like you, and hope you can join us for this ride! 🚀