Sr.Full Stack Software Engineer

Senior Full Stack Software Engineer: Telehealth + Ecommerce (Startup, High Ownership, AI-Forward)
About the Role
Enhance.MD is a telehealth company operating two consumer platforms: one providing GLP-1 weight management and longevity care, the other focused on women's health and biomarker-driven care. We’re a fast-paced startup building a team of passionate, self-starting, talented individuals who want to contribute to the telehealth + ecommerce space.
We're bringing this role in-house to take direct, hands-on ownership of that codebase from our outside development team. You'll be the person who actually knows how the system works: everything from product SKUs, intakes, orders, subscriptions, dashboards, and the AI features layered on top of them. You will continue to build and ship new ecommerce and AI-powered features while maintaining what is already live for real patients.
This is an individual contributor role. You won't be managing a team, but you will be trusted with real architectural judgment: knowing when to refactor and when to take a new approach – your ideas are welcome and will be relied on for decision making.
What You’ll Work On
1. Building New Features
Work alongside Product and Marketing teams to scope and prioritize high impact features
Design and implement a clean, scalable patient-facing featuring
Work within the core systems across ecommerce + telehealth workflows
Deliver strong foundations (APIs, data models, services) where they are missing
Integrate AI-powered features into real product workflows
2. Stabilizing & Improving the Existing Platform
Work across a live system with real users and real complexity
Debug issues across services, data flows, and integrations
Partner with customer support and operations to resolve dev-related issues quickly
Identify root causes behind recurring issues and reduce requests through systemic fixes
3. Creating Engineering Structure
Define and implement:
Development workflows
Code quality standards
Definition of Done
Automated testing practices
Bring consistency across frontend, backend, and APIs
Improve how the team delivers, not just what it builds
What We’re Looking For
Leadership & Ownership
You take responsibility for outcomes
You can set direction without overcomplicating things
You introduce structure that increases speed
Execution & Business Thinking
You can translate business priorities into shipped features
You are able to effectively communicate with non-technical business partners
You understand that shipping matters more than perfection Strong analytical mindset: you break down problems, identify root causes, and make data-informed decisions
Business-aware: you understand tradeoffs between speed, cost, and impact, and prioritize accordingly
You think beyond single tasks: you understand how your work affects the business, operations, and customer experience
Technical Judgment
Strong system design and architectural thinking
Comfortable working in evolving, imperfect environments
Able to push back on requirements when needed, clearly communicating tradeoffs and impact
Forward-thinking as you anticipate downstream effects and avoid decisions that create unnecessary complexity or risk
Comfortable calling out when a solution is too costly, too fragile, or negatively impacts other parts of the system, and proposing better alternatives
AI & Development Style
We move fast and use AI to do it. We are looking for someone who can:
Be comfortable using a variety of AI tools, open to adopting new ones
Know when to prototype quickly versus apply engineering rigor
Be excited about using AI to improve both development speed and product capabilities
Technical Skills
Core Stack
Microservices Architecture - FastAPI (Python) and ASP.NET Core (C#)
UI - React/NextJS, TypeScript
Backend Databases: Redis, PostgreSQL
Cloud Environment: GCP, Container Apps, IaaC (TF), GitHub Actions
AI Development: Azure Foundry with Azure OpenAI, Microsoft Agent Framework
AI Native Development Practices: Includes Skill development, AI Agent Development, Obsidian AI Brain
Software Engineering Skills
You understand of Microservices architecture and multi-tenant platform design
You understand pub-sub and eventual consistency models
You understand DDD (Domain-Driven Design) and Software Architecture principles such as ACL (Anti-Corruption Layer), Events-Driven design, Ports & Adapter design
You understand AI-native development and can develop AI agents and skills to assist in daily workflows
You understand the 12 Factor Framework for Software Development
Nice to have: experience working with Saleor
Security & Compliance
Experience or strong awareness of: HIPAA / healthcare data handling
Data privacy and security best practices
Understands how to: Handle sensitive data safely
Make pragmatic tradeoffs between speed and compliance
Design secure systems without over-engineering
Success Criteria
You’ll know you’re succeeding when:
Work is delivered with clarity, minimal rework, and aligned to business priorities
The new platform is being built cleanly and efficiently
The existing system becomes more stable and easier to work with
Architecture becomes simpler over time
Engineering workflows, standards, and testing are clearly defined and adopted
The team ships faster with fewer regressions
Why Join
High ownership and high impact as you shape both the system and the team
Ability to closely work with business stakeholders and impact the direction of development
Work on real-world complexity across healthcare, ecommerce, and AI
Direct influence on architecture, standards, and product direction
A team that values speed, pragmatism, and getting things done

Work arrangement
Yes