United States onlyLocation: Remote Onshore, US Citizen | Type: Full-Time | Experience: 4–6+ years | Stack: Python/Django · React · AWS/GCP Compensation: $100k-$120k base, 10% bonus, + equity
About Grapefruit Health
Grapefruit Health is a healthcare tech-enabled services company that is addressing the massive staffing shortage in healthcare. We do this by training and managing clinical students to perform remote, telephonic interactions with patients using our web application. By doing this, we can close gaps in care at half the cost and twice the speed. Patients get the care they need, healthcare organizations can do much more, and you get to learn while you earn. It is a win-win-win!
The Role
We are looking for a Full Stack Engineer who thrives on ownership and loves building products that work in the real world. You will be hands-on across the entire stack — from architecting backend systems to shipping polished frontend features — and will play a key role in shaping how our platform evolves. This is a high-trust, high-autonomy role on a lean engineering team where your decisions matter and your work ships.
You will work closely with clinical, product, and operations teams to build tools that directly impact patients and the clinicians who care for them. If you want to write code that means something, this is the place.
What You'll Do
Core Engineering
Design, build, and maintain full stack features across our platform
Own backend architecture and API design using Python/Django and JavaScript
Develop performant frontend applications using React and modern JavaScript
Architect and integrate microservices and third-party systems (e.g. Twilio, messaging, analytics tools)
Debug complex production issues across distributed systems — frontend, backend, and infrastructure
Improve system reliability, observability, and performance
Contribute to infrastructure and DevOps (AWS/GCP, CI/CD, IaC)
Write clean, testable, and scalable code; enforce best practices through code reviews
Technical Leadership & Growth
Drive technical decision-making and influence architecture
Stay current with modern tools, frameworks, and best practices
Identify inefficiencies and proactively improve systems and processes
Take ownership of ambiguous problems and deliver solutions
What We're Looking For
Experience — Required
4–6+ years of professional software development experience
Proven experience owning features or systems end-to-end in production
Strong backend development with Python/Django and JavaScript
Advanced API design and integration — REST, async workflows, webhooks
Frontend development with React and modern JavaScript
Cloud platforms: AWS and/or GCP (compute, networking, storage, monitoring)
Experience integrating and managing external services and microservices (e.g. Twilio, third-party APIs)
Strong debugging and troubleshooting skills across the full stack
Infrastructure & Data
PostgreSQL and data modeling
Infrastructure as Code (Terraform, CloudFormation, or similar)
CI/CD pipelines and DevOps workflows
Experience with logging, monitoring, and observability tools
Development Practices
Unit and integration testing
Git-based workflows (GitHub)
Agile/project management tools (e.g. Jira)
Nice to Have
Healthcare or health-tech experience
Familiarity with HIPAA, SOC 2, or HITRUST environments
Who You Are
You thrive when you…
Debug issues others get stuck on
Work across the stack and into infrastructure
Own problems from discovery to production
Balance speed with long-term scalability
Stay curious and keep learning
Communicate clearly across technical and non-technical teams
Bring positive energy and show up reliably
This probably isn't for you if…
You need a large team and heavy process to ship
You prefer being handed fully-defined specs
You avoid production incidents or on-call responsibility
You want to specialize narrowly in one layer of the stack
Compensation & Benefits
Base Salary $100,000 – $120,000 depending on experience
Bonus up to 10% annually
Equity Details discussed during process
Benefits Health, dental, vision, 401k — details provided during interviews
