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Staff Fullstack Software Engineer

midihealth · Hybrid - San Francisco Bay Area · Remote
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<p><strong>Staff Software Engineer, Full Stack (Full-time)</strong></p> <p><em><strong>Location:</strong> Hybrid — San Francisco Bay Area (Palo Alto or San Francisco office, Monday/Thursday in-office)<br></em><em><strong>Salary Range:</strong> $200,000 – $250,000 + equity + benefits<br></em><em><strong>Job Type</strong>: Full-time, W2</em></p> <p class="p1"><strong>About Midi Health</strong></p> <p class="p1">Midi Health is the largest virtual care clinic for women in midlife navigating perimenopause, menopause, and other hormonal transitions. We combine expert clinicians, evidence-based protocols, and a modern technology platform to deliver care that has historically been underserved by the healthcare system. We're a fast-growing, mission-driven company building the infrastructure and products that define this new category of care.</p> <p class="p1">How We Work</p> <ul class="ul1"> <li class="li1"><strong>Hybrid by design.</strong> 2 days/week in-office (Monday and Thursday) in Palo Alto or San Francisco, 3 days remote. We believe high-trust teams are built in person and scaled remotely.</li> <li class="li1"><strong>AI-native engineering.</strong> We expect every engineer to be fluent with modern AI coding tools (Claude Code, Cursor, Copilot, and similar) and to actively push the frontier of how we build software.</li> <li class="li1"><strong>Low-ego, high-curiosity.</strong> We approach disagreement with humility and technical rigor, not politics. We invest in each other's growth.</li> <li class="li1"><strong>Outcome-oriented.</strong> We move fast, own our work end-to-end, and balance speed with the durability that healthcare demands.</li> </ul> <p><strong>The difference you will make</strong></p> <p>We are looking for a Staff Fullstack Engineer to serve as a technical pillar within our Engineering Org. As we scale, you will be a hands-on technical driver, distilling complex understanding from across Midi into cohesive technical roadmaps and products that help us revolutionize women's healthcare.</p> <p><strong>What you</strong><strong> will do</strong></p> <ul> <li>Analyze complex technical problems and lead architectural reviews across multiple teams to prevent technical debt, establish cross-service patterns, and ensure the long-term sustainability of Midi’s healthcare ecosystem.</li> <li>Act as a 'part-time product manager for technology,' advocating for critical infrastructure upgrades that enable future business velocity.</li> <li>Craft exceptional, thoughtful, scalable and flexible products and code, balancing for speed of execution and scalability</li> <li>Actively shape engineering culture by establishing best practices for automated testing, CI/CD, and high-quality code across the entire stack.</li> <li>Analyze high-level technical and business problems and architect elegant, flexible solutions that account for long-term scalability and business growth.</li> <li>Partner with Executive Leadership, Product, Marketing, and Clinical Stakeholders to identify unmet customer and operational needs, translating business goals into technical strategies that deliver outcomes for our patients and clinicians </li> <li>Formally and informally mentor senior and junior engineers, fostering a culture of curiosity, humility, and technical excellence.</li> </ul> <p><strong>About You</strong></p> <ul> <li>You have 10+ years of experience building and scaling complex engineering solutions, with a proven track record of leading large-scale architectural migrations in a startup environment.</li> <li>You possess proven production experience in Django/DRF and React/Next.js or similar technologies.</li> <li>You are comfortable operating at a high level of abstraction, translating vague product and growth goals into concrete technical roadmaps.</li> <li>You bring a versatile background in building consumer-facing products alongside deep expertise in architecting complex operational and workflow management systems.</li> <li>You are a power-user of agentic coding tools and LLM’s (e.g., Claude Code, GitHub Copilot) to accelerate development and mentor the team on high-leverage prompting and code-auditing strategies.</li> <li>You help create a respectful, low-ego team environment, approaching discussions with curiosity and humility.</li> </ul> <p>At this time, Midi Health is <strong data-start="156" data-end="227">not able to sponsor or take over sponsorship of any employment visa</strong> (including H-1B, TN, or other work authorization). Applicants must be authorized to work in the U.S. without current or future visa sponsorship.</p> <p>While you are waiting for us to review your resume, here is some fun content to check out. </p> <p><a href="https://www.youtube.com/watch?v=ctD2SSvcUm8">Midi 2024 in Review</a></p> <p><a href="https://www.prnewswire.com/news-releases/women-leaders-across-tech-entertainment-sports-media-and-fashion-come-together-to-invest-in-midi-health-302253241.html">Women Leaders Invest in Midi</a></p> <p><a href="https://www.youtube.com/watch?v=1px7i6MVjNg">Patient Testimonials</a></p> <p data-start="109" data-end="525">At Midi Health, we are committed to pay transparency and equity. The estimated salary range for this role is <strong>$200,000-$250,000</strong> per year, based on factors such as experience and

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