Founding Full Stack Engineer - Remote Telehealth Solutions

About the Role

We’re hiring a Founding Full Stack Engineer to help build the core infrastructure and product surfaces that define Noho’s patient and clinician experience. This is a unique opportunity to join a remote team and work on innovative telehealth solutions. As a Full Stack Engineer, you will play a crucial role in shaping the future of healthcare technology.

What You'll Do

• Own end-to-end development of patient and clinician-facing features: from initial spec and architecture through implementation, launch, and iteration.
• Build intuitive flows for intake, eligibility, visit scheduling, and follow-up that feel modern while staying clinically rigorous.
• Integrate video, messaging, and asynchronous care into a cohesive telehealth experience.
• Design and maintain scalable, secure APIs and data models for medical records, prescriptions, and longitudinal patient data.
• Collaborate with clinical and compliance stakeholders to ensure privacy, security, and regulatory requirements are embedded in the product.
• Help shape our engineering culture, standards, and tooling from the ground up.
• Contribute to hiring, onboarding, and mentoring future engineers as the team grows.
• Work closely with our Co-Founders, CMO, Product Designer, and Head of Growth to ship end-to-end features.

Requirements

• 5+ years of professional experience as a full stack or backend-leaning engineer.
• Experience in shipping and owning meaningful production systems in a startup or high-growth environment.
• Strong skills in backend development: designing APIs, data models, queueing/async processing, integrating third-party APIs.
• Proficiency in frontend development: building usable, polished interfaces in a modern framework (React or similar).
• Deep care for reliability, correctness, and safety, especially when dealing with health data.
• Ability to work with non-technical stakeholders and translate messy requirements into clean, pragmatic solutions.

Nice-to-Haves

• Experience in healthcare, telemedicine, or regulated products (HIPAA, PHI, etc.).
• Prior work integrating with EMRs/EHRs, labs, pharmacies, or insurance systems.
• Familiarity with event-driven architectures, background jobs, or analytics pipelines.
• Experience on an early-stage or founding engineering team.
• Comfort digging into product metrics and using data to inform iterations.

What We Offer

• Competitive salary range of $140,000 - $180,000 based on experience.
• Remote-first work culture with flexibility in work hours.
• Opportunity to work on meaningful projects that impact real patients.
• Regular team meetups and offsites to foster collaboration.
• Supportive environment for professional growth and development.
• Access to resources for continuous learning and improvement.