Remote Staff Back-End Engineer for a Series A Health Tech Startup Job at Palermo Advisors
USA
2 days agoJob Overview
Palermo Advisors is hiring a remote candidate for Staff Back-End Engineer for a Series A Health Tech Startup. This is a full time position. Work location: USA.
The role typically involves technologies such as TypeScript, React, SQL, Redis, engineer, tech.
This role involves building user interfaces using technologies such as React.
Key Responsibilities
- TypeScript end-to-end
- Express + React Router 7 (web)
- tRPC
- React Native (mobile)
- React Query
- Postgres + Redis
Required Skills
Primary Skills
- TypeScript
- React
- SQL
- Redis
Secondary Skills
- engineer
- tech
- back-end
- architecture
Skills required for this role include TypeScript, React, SQL, and related tools for day-to-day development.
Job Details
- Employment Type: Full Time
- Location: USA
- Salary: $160000 – $210000 USD
Tech Stack
TypeScript, React, SQL, Redis, engineer, tech, back-end, architecture
Role details
We are searching for a Senior Fullstack Engineer to join a fast-growing Series A health technology startup focused on an innovative at-home monthly blood testing and health insights platform. This company has raised over $24 million across three funding rounds, with its latest round in November 2025. Their main product is an easy, painless at-home kit for collecting your own blood sample. Your results appear in a private, HIPAA-compliant dashboard where you can track your biomarker changes over time and understand their implications for your health. The Tech Stack:
What You’ll Do:
Own features end-to-end — from design discussion to production rollout and monitoring.
Ship TypeScript on the web app, Node/Express backend, and/or mobile app.
Design and build fault-tolerant, HIPAA-compliant services with a strong focus on privacy, security, and stability.
Document your work so others can move fast.
Use the latest AI tools and SDKs to build AI-enriched features.
You’re a great fit if you…
Bring 6+ years of hands-on software experience, with advanced TypeScript skills.
Are comfortable working in a fast-paced startup where procedures aren't clearly defined.
Have built some great things you can show us and describe in detail.
Manage your own time, break down ambiguous problems, and deliver.
Use AI tools as an accelerator—never as the decision-maker.
Understand backend design and data modeling in SQL/Postgres.
Have written reliable tests with Vitest, Cypress, Jest, etc.
You’re an excellent fit if you…
Have used AI SDKs (AI SDK, OpenAI, Anthropic, etc.) with production software.
You have built or maintained HIPAA-compliant or other regulated healthcare software.
Are comfortable with internal tooling (e.g., Retool) and thorough documentation habits.
Bring deeper expertise in React Native or sophisticated systems architecture.
Are comfortable with monorepos.
What They Offer
Salary: $160k – $210k
Equity: 0.05 % – 0.25 %
Benefits: Health, Dental, Vision
Time Off: Flexible PTO
Work Setup: Fully remote
This is a Senior / Staff level role. It is fully remote within the U.S. only.