Thoughtful AI · 10 hours ago
Sr. Software Engineer, Full Stack
United States
Full-time
Remote
Senior Level
$170K/yr - $220K/yrThoughtful AI is pioneering a new approach to automation for healthcare providers through their AI-powered Revenue Cycle Automation platform. They are seeking a Sr. Software Engineer to lead the development of scalable backend services and intuitive frontends, directly supporting internal teams and customer-facing products.
Artificial Intelligence (AI)Enterprise SoftwareHealth CareRobotic Process Automation (RPA)
Responsibilities
Lead End-to-End Builds Own projects across the full development lifecycle - from greenfield prototypes to scaling out mature systems. You’ll take loosely defined problems and return well-architected, production-ready solutions
Design for Clarity and Change Build backend services and user interfaces that are modular, testable, and ready to evolve. You prioritize simplicity, knowing where abstraction helps - and where it just adds noise
Drive Pragmatic Scalability Design for growth without overengineering. You’ll apply best practices in schema design, API modeling, and state management with a clear sense of tradeoffs and long-term maintainability
Collaborate Closely Partner with product, design, and other stakeholders to understand real-world needs and shape the right technical solutions. You'll operate autonomously but never in isolation
Continuously Level Up Bring curiosity and humility. We’re a senior team that shares learnings freely and pushes each other to do our best work
Qualification
Required
Deep experience building complex, interactive UIs using React, Vue, or Angular
Strong grasp of state management patterns and reactive paradigms (e.g. refs, signals, RxJS, or similar)
Proficiency in TypeScript and JavaScript, with clean, maintainable component architecture
Familiarity with frontend performance profiling, accessibility, and design system integration
Comfortable working with designers and PMs to turn wireframes and mockups into polished interfaces
Proficiency in Python and TypeScript, with experience across modern backend frameworks (e.g. FastAPI, Next.js, Express)
Skilled in API design, including versioning, pagination, and error modeling
Solid understanding of authentication and authorization protocols (OAuth, JWT, etc.)
Experience with relational (PostgreSQL, MySQL) and NoSQL (MongoDB, DynamoDB) databases, including schema design, indexing strategies, and performance tuning
Familiarity with AWS and infrastructure concepts like CI/CD pipelines, containerization, and cloud deployments
Invested in setting up logging, monitoring, and alerting from day one
Builds with testability in mind - unit tests, integration tests, and end-to-end test frameworks
Preferred
You know how to ship fast without creating tech debt landmines
You balance product intuition with a strong technical foundation
You default to clarity and modularity, especially when designing for unknowns
You've worked at early-stage startups or launched new systems from scratch
You value peer collaboration and open sharing of technical learnings
You care just as much about why you're building something as how you build it
Benefits
Comprehensive medical, dental, and vision insurance.
Generous leave policies and paid company holidays.
Company
Thoughtful AI
Thoughtful AI provides an AI operating system designed specifically for healthcare revenue cycle management teams.
Founded in 2020
51-200 employees
H1B Sponsorship
Thoughtful AI has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
Funding
Current Stage
Growth StageTotal Funding
$35.83MKey Investors
New Mountain CapitalDrive Capital
2025-04-10Private Equity
2024-04-19Series A· $20M
2022-03-31Seed· $10M
Leadership Team
Alex Zekoff
Co-Founder, CEO
Chris Williams
SVP of Customer Engineering, Security, and Support
Recent News
2025-10-03
Company data provided by crunchbase