About The Role

Build and own product features across the stack using Python, Django, React, and Next.js
Design and implement the systems behind clinical and operational workflows, including scheduling, messaging, and practice operations
Build APIs, application logic, and integrations with clinical and third-party systems
Collaborate with engineers, designers, and clinical stakeholders to turn complex workflows into intuitive software
Debug and resolve production issues across the frontend, backend, and infrastructure
Design systems that remain reliable, maintainable, and predictable as the product grows
Contribute to system design, technical planning, architecture discussions, and code reviews

5+ years building production web applications
Strong backend engineering experience with a modern server-side language or framework (Python, Go, Kotlin, TypeScript, Java, C#, or similar)
Comfortable building product features across the stack, including React/Next.js
Strong engineering judgment and debugging skills
Comfortable owning features from design through production
Comfortable using AI development tools while maintaining ownership of the systems you build
Ability to commute to Kinstead’s Columbus Circle office 3x week

Python (Django, async-first with django-ninja and Channels), Next.js, PostgreSQL (with pgvector), Redis, WebSockets, asynchronous background jobs, workflow state machines, and clinical integrations using Medplum and FHIR.
Our services run on AWS and Kubernetes, and we rely on Terraform for IaC and Datadog for APM and infrastructure monitoring.
We maintain automated testing and deployment pipelines using Github Actions and integrate with AI providers including Google (Vertex AI), Anthropic (AWS Bedrock), and OpenAI.

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Senior Software Engineer, Full Stack