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

Pay: $130,000.00 - $150,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: Remote