Senior Full Stack Engineer

Axmed is a healthcare technology company operating a B2B marketplace to improve access to affordable, high-quality medicines in low- and middle-income countries (LMICs) by aggregating demand and streamlining procurement. They also offer global health advisory services.

Axmed

Employee count: 11-50

United States only

Stay safe on Himalayas

Never send money to companies. Jobs on Himalayas will never require payment from applicants.

Our Vision

We believe in a world where everyone, regardless of their country’s wealth or frontiers, enjoys access to medicines and healthcare when they need it.

Our Mission

We work tirelessly to remove access barriers faced by patients and caregivers across Low and Middle-Income Countries (LMICs) when seeking quality medicines and quality healthcare.

Who We Are:Accelerating access to medicines for all

Imagine a world where critical medicines are within reach, affordable, and synonymous with quality, no matter where you are. That is the world we're building with our unique, demand-aggregation model that unites healthcare providers across LMICs. At the heart of our identity is a single, resolute commitment: to build a future where geography and income never stand between any individual and life-saving medicines. Our platform isn't merely a space for transactions, we unlock affordable access to medicines by aggregating demand across healthcare providers. We also help manufacturers build a sustainable and reliable global access strategy.

Our business focuses on low- and middle-income countries and strengthens the purchasing power of these markets to ensure the supply of cost-effective, high-quality medicines.
We partner exclusively with authorized, high-quality pharmaceutical companies and certified caregivers to accelerate sustainable access to medicines.

About the Position:

We are seeking a Senior Full Stack Engineer to drive the next wave of growth across our marketplace and broader digital ecosystem, including AI and data-driven products. This role is strategically positioned to accelerate delivery speed, strengthen platform adoption, and contribute directly to our global technology foundation.

You will work autonomously, thrive in ambiguity, and collaborate closely with product, design, and engineering to deliver high-impact features at speed. This role requires strong leadership, excellent internal and external stakeholder management, and the ability to say no when necessary to maintain focus and quality.

You will operate in a modern engineering environment where AI-assisted development is mandatory, including AI-in-the-loop pull requests, Cursor-style workflows, and the ability to demonstrate real, practical applications of AI in coding and validation.

Key Responsibilities:

Full-Stack Engineering & Delivery

Own end-to-end delivery of features across backend and frontend
Develop backend services in Python (Django)
Build frontend features using Next.js or React
Improve architecture and propose enhancements with engineering peers
Maintain strong code quality while delivering at speed

AI-First Engineering Workflows

Use AI-in-the-loop pull requests as a core development practice
Apply AI-assisted coding tools (Cursor or similar) daily
Demonstrate hands-on, practical AI usage in delivery and validation

Data, Infrastructure & Deployment

Work with audit data and implement data-driven workflows
Build and maintain CI/CD pipelines using GitHub Actions
Develop and operate Docker-based workloads
Deploy to AWS environments, especially ECS/ECR

Stakeholder Alignment & Collaboration

Collaborate closely with PMs, designers, and other engineers
Communicate technical trade-offs clearly
Manage internal and external stakeholders confidently
Say no when needed to protect focus and engineering quality

Requirements:

Strong Python experience with Django
Strong Next.js or React experience
AI development workflows are a MUST (AI-in-the-loop PRs, Cursor/similar)
Ability to demonstrate practical AI-assisted coding
Strong data and AI foundations
Experience auditing and working with data
Experience with B2B platforms
Experience with AI/Data product environments, n8n workflows, and LLM-based agents
Experience with AWS (ECS/ECR), Docker, and CI/CD via GitHub Actions
Operates autonomously and thrives in ambiguity
Strong leadership and stakeholder management
Ability to say no to maintain focus and quality

What is in it for you?

At Axmed, we believe in creating a supportive and rewarding environment where our team can thrive. Here’s what we offer:

Unlimited PTO: Take the time you need to recharge and maintain work-life balance.
Monthly wellness allowance: Prioritize your health and well-being with extra support.
Paid parental leave: Time off to bond with your new family member without any added stress.
Flexible working hours: Enjoy the freedom to structure your workday in a way that suits your lifestyle.
Annual off-site retreats: Connect with the team and build lasting relationships during our company retreats.
Fully remote work: Work from anywhere in the world and join our distributed team.
The opportunity to make a difference: Be part of a mission-driven company working to improve healthcare equity.
Competitive salaries: We offer a compensation package that reflects your skills and experience.
Plenty of room for growth: We believe in nurturing talent and offering opportunities for professional development and advancement.

Apply now

Please let Axmed know you found this job on Himalayas. This helps us grow!

Apply now

About the job

Apply before

Apr 06, 2026

Posted on

Feb 05, 2026

Job type

Full Time

Experience level

Senior

Location requirements

United States

Hiring timezones

United States +/- 0 hours

About Axmed

Learn more about Axmed and their company culture.

View company profile

In a world where the geography of one's birthplace too often dictates the quality of healthcare they can access, Axmed stands as a beacon of hope and innovation. The company's journey began with a simple, yet profound belief: access to high-quality medicines and healthcare should be a universal right, not a privilege reserved for the few. Founded on the pillars of compassion, innovation, and equity, Axmed embarked on a mission to dismantle the barriers that stand between patients in low- and middle-income countries (LMICs) and the healthcare they desperately need. This mission was fueled by the firsthand experiences of its founders, including CEO Emmanuel Akpakwu, who grew up in Nigeria and witnessed the dire consequences of inadequate access to essential medicines. He, along with co-founders Felix Ohnmacht and Sofia Radley-Searle, leveraged over 30 years of collective experience in healthcare, finance, and public-private partnerships, much of it gained at leading pharmaceutical companies like Novartis and GSK, to establish Axmed. They conceived the idea during their studies at Harvard, driven by an ambition to tackle this global challenge.

Axmed's story is not just about medicines; it's about changing lives, communities, and eventually, every corner of the LMIC world. The company operates a two-sided B2B marketplace platform designed to optimize the procurement process for healthcare providers in emerging and growth markets. This platform aggregates demand for both off-patent and patented medicines, creating larger, more cost-effective order volumes for manufacturers while simultaneously enhancing buyer leverage on cost and availability. It further streamlines the process by curating and consolidating Requests for Proposals and efficiently mapping out supply logistics. Axmed's innovative approach aims to lower the barriers to accessing costly medicines for patients and providers, while enabling manufacturers to expand their footprint in underserved markets. The company's core solutions include the Axmed Medicines Platform, a dynamic medicines marketplace, and Axmed Global Health Advisory, which provides expertise to healthcare entities looking to effectively serve patients across LMICs. Initially focusing on markets in Kenya, Tanzania, Rwanda, Ethiopia, and Nigeria, Axmed is already in discussions with countries elsewhere and plans to expand its operations into the Caribbean. The company's commitment to healthcare equity has attracted significant support, including grant funding from the Bill and Melinda Gates Foundation, underscoring the transformative potential of its vision.