Mochi Health

Senior Fullstack Engineer

San Francisco, CA · Senior · Full-time

Sponsorship not specified$230k-$280kDetected 13 days ago

ReactFull-Stack DevelopmentCode ReviewAWSKubernetesTerraformCI/CDRESTHIPAALeadershipCommunicationCollaborationMentoring

About the role

At Mochi, our engineering team operates with exceptional leverage.
We believe in high talent density, where a focused, pragmatic team powers a profitable, nine-figure ARR healthcare platform serving hundreds of thousands of patients.
We are looking for an Engineering Manager to help us scale, align, and unblock this organization.

Champion the User Experience: You don't just implement specifications
Own the Full Lifecycle: True full-stack means owning the delivery. You will design the database schema, write the API, build the React interface, deploy the service, and own both backend reliability and client-side error tracking in production.
Build Agentic Workflows: Mochi is an AI-first engineering org.
You will not only utilize frontier agentic models to accelerate your own development, but you will also integrate AI capabilities directly into our product to automate clinical operations and scale our provider workflows.
Raise the Engineering Bar: Own key architectural decisions across the stack, systematically upgrade legacy code, and elevate the engineers around you through rigorous code review, testing practices, and technical standards.
You get data modeling right. You think carefully about schema design and API boundaries, because you've seen what happens to the frontend when the foundational backend model is wrong.
To support this growth, we are actively leveling up our engineering maturity-pairing our ambitious, early-career engineers with incoming Senior and Staff-level talent to build our next generation of clinical systems.
It's designed for deep work and casual collaboration

You have operated high-stakes systems.
You have 5-7+ years of full-stack engineering experience.
You are a full lifecycle owner.
You can describe specific ways these models have structurally changed how you code, while retaining the deep technical skepticism required to audit, verify, and own its output.
You are a collaborative builder.
You have low ego, high standards, and excellent communication skills.
You are excited to work in-person.
If you are targeting Staff leveling: We expect a demonstrated track record of setting technical direction across teams, navigating deep ambiguity, and measurably leveling up the engineers around you.
You sweat the details of the UI and possess the strong product sense required to make pragmatic, high-quality design decisions on the fly that measurably improve patient outcomes.

🌴 Time to Recharge - Enjoy unlimited PTO, generous company holidays, and true flexibility.
The base salary for this full-time position ranges from $230,000 to $280,000, in addition to equity and benefits.
Actual compensation within this range is determined by various factors, such as job-related skills, experience, relevant education or training, and location.

Mochi has already helped patients lose over 5 million pounds through metabolic care, and we are now rapidly expanding into the frontiers of preventative healthcare.

Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, disability status, or any other applicable legally protected characteristic. We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment, including hiring.
Accommodations
Mochi Health complies with the Americans with Disabilities Act (ADA), as amended by the ADA Amendments Act, and all applicable state or local laws. We will reasonably accommodate qualified individuals with a disability during the application process and throughout employment as required by law.
If you need any assistance or accommodations due to a disability, please contact us at hr@joinmochi.com.

This listing is sourced directly from Mochi Health's careers page and normalized into a canonical job model.