Metriport

Metriport

Staff Software Engineer

San Francisco · Staff+

Sponsorship not specifiedDetected 1 day ago
TypeScriptPythonNode.jsDistributed SystemsFull-Stack DevelopmentPostgreSQLDynamoDBSnowflakeAWSCI/CDRESTMachine LearningAgileHL7/FHIREHR/EMRICD-10Mentoring

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Cap-exempt (no lottery)0
Sponsors this role0
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70

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About the role

  • We integrate with all major US healthcare IT systems and tap into comprehensive medical data for 300+ million individuals.
  • We're a tight-knit, high-performing team of mostly former founders (including two YC alumni).
  • We're engineering-heavy, operate with minimal bureaucracy and high autonomy, and hire based on competence, not prestige.

Responsibilities

  • Driving projects end-to-end, from ideation to production rollout: writing Design Documents, shipping v0's quickly, and iterating to v1 and beyond.
  • Eventually, acting as Team Lead for a group of engineers: breaking down and delegating work, unblocking teammates, and owning your team's delivery - while staying hands-on in the code.
  • Multiplying the team: mentoring engineers, reviewing designs and PRs, judging when to invest in quality vs. ship fast, and improving our dev processes and tooling so quality and security are enforced by default.
  • Example projects you could own:
  • Refactoring our core data pipeline to process data 10x faster than originally designed.
  • You're confident in building scalable, distributed systems across the full stack - with particular depth on the back-end - and people usually come to you for technical guidance.
  • You've led engineers before - as a team lead, tech lead, or founder - and you own outcomes: technical direction, results, and the work of the people you lead.
  • You're energized by multiplying a team's output, not just your own.

Requirements

  • 8+ years as a full-stack engineer, with a heavy lean towards back-end - public APIs, distributed systems, and complex integrations with external systems.
  • You've made engineering teams faster - better developer experience, more testability, shorter release cycles - and you can talk about the before/after.

Skills

  • FHIR, HIE, IHE, EHR/EMR, NPI, TEFCA, ADT, HL7, HEDIS, RAF, SNOMED, LOINC, ICD-10, etc.
  • Competitive equity + compensation package 🚀
  • Full family Platinum health insurance, dental, and vision coverage 🦷
  • 401(k) retirement plan + matching 💰
  • Flexible work from home or in-office 🏢
  • Healthy lunches are complimentary when working in-office (and breakfast + dinners as needed) 🍏
  • Quarterly company off-sites with the team ⛷️
  • MacBook provided by us 💻
  • Unlimited PTO (we work hard, but trust you to take time you need to be at your best) 🧘‍♂️
  • Core business logic in Node.js and TypeScript, with Python in data and ML workflows.
  • AWS across the board (ECS, Lambda, SQS, SNS, Batch, etc.), infrastructure as code with CDK.
  • Data lives in S3, PostgreSQL/Aurora, DynamoDB, Snowflake, and our FHIR server - with Athena for querying S3 and SageMaker for ML.

Compensation

  • Competitive equity + compensation package 🚀

Benefits

  • You're entrepreneurial-minded with an olympian-level work ethic (about half our engineering team are former founders).

Company info

  • We've found product-market fit with multi-million ARR, 100+ customers (including Amazon One, Medical Strive Health, Circle Medical, and Brightside Health), backing from top VCs, and years of runway.
  • We push hard-founders work six days a week from our SF office-but give everyone freedom to craft their schedule.
  • We measure output and we're committed to sustainable intensity.
  • Metriport is an open-source data intelligence platform that helps healthcare organizations access and exchange patient data in real-time: record retrieval that used to take days now takes seconds, and clinicians walk into every appointment with the full patient picture.
  • We're ready to scale.
  • We're looking for "generalist" engineers who can operate at a Staff level:
  • You've led engineers before - as a team lead, tech lead, or founder - and you own outcomes: technical direction, results, and the work of the people you lead. You're energized by multiplying a team's output, not just your own.
  • You own reliability, security, and networking end-to-end - designing for 99.99%+ uptime, thinking like an attacker to harden your systems, and diving into the network layer yourself rather than treating it as someone else's domain.
  • You care about delivering value to customers, not about what frilly new tech is under the hood.
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This listing is sourced directly from Metriport's careers page and normalized into a canonical job model.