Senior Fullstack Engineer

WHY the company?

The healthcare industry overspends on its supply chain by over $25B each year, the result of fragmented data, inefficient workflows, and wasted supplies. The company is fixing that. Our AI-powered platform, Astra OS, gives hospitals end-to-end visibility into their supply chain operations, automating workflows and surfacing actionable insights so supply chain teams can focus on what matters most: patient care. We're trusted by some of the world's leading health systems, including Yale New Haven Health, Stanford, Geisinger, and Kaiser Permanente.

Founded in 2020, the company has raised $43M in total funding. Our Series A was led by Northzone, with participation from General Catalyst, AlleyCorp, Kaiser Permanente Ventures, Texas Medical Center Ventures, and 1984 Ventures.

THE OPPORTUNITY

The company is scaling Astra OS across more of the country's leading health systems, and the features our users touch every day are at the center of that growth. We're looking for a Senior Fullstack Engineer who's passionate about using their skills to unlock efficiency for hospitals and their suppliers — someone who wants to own end-to-end features that hospital supply chain teams rely on daily.

In this role, you'll design, build, and maintain features across our full stack, working with a fast-paced, cross-functional team to ship end-user-facing functionality quickly and iterate based on real customer feedback. You'll move fluidly between our frontend (React/TypeScript) and backend (Python/FastAPI) codebases, owning features from concept to production.

This role is ideal for someone who loves end-to-end ownership and staying close to the customer problems their work solves, at a stage where what you build genuinely shapes the product.

IN THIS ROLE YOU WILL

• Design, build, and maintain backend APIs and frontend components for end-user-facing features

• Own features from concept to production, iterating quickly based on customer feedback

• Write high-quality, well-tested, maintainable code across the full stack

• Collaborate with product managers and customers to align development with real-world needs

• Contribute to technical discussions, code reviews, and architecture decisions

WHAT YOU'LL BRING

• 5+ years of relevant industry experience

• Strong experience with Python

• Strong experience designing and consuming RESTful APIs

• Strong experience with React and TypeScript

• Experience with SQL

• Self-motivated, with excellent problem-solving and communication skills

Nice to Have

• Experience with FastAPI

• Experience working in healthtech

• Experience working at a startup

SKILLS & TOOLS YOU'LL USE

NEED TO KNOW - PYTHON · REACT · TYPESCRIPT · RESTFUL APIS · SQL

NICE TO KNOW - FASTAPI · AWS

WHAT YOU GET AT the company

Target Base Salary Range: $140K - $190K

The base salary the company offers may vary depending upon the ultimate scope and responsibilities of the position and on the candidate's job-related knowledge, skills, and experience. The total package will include equity, in addition to a full range of medical and/or other benefits, depending on the position offered. Pay and benefits are subject to change at any time, consistent with the terms of any applicable compensation or benefit plans.

• Incentive Stock Options proportionate to your salary

• Fully remote, with a NYC co-working space available; distributed team across multiple time zones with opportunities for in-person time

• Unlimited PTO

• Top-tier health, vision, and dental benefits

• 401K

• The opportunity to build on a strong foundational team with deep data and engineering roots at a stage where your work genuinely shapes the product

• A fast-paced, high-growth environment where we move quickly to solve critical healthcare challenges

• The chance to empower frontline healthcare workers by automating the administrative friction in their day-to-day

• Collaborative work alongside a high-caliber team of clinicians, engineers, and revenue leaders

• A commitment to diversity, actively seeking out voices and backgrounds underrepresented in healthtech

• A culture built on camaraderie, direct feedback, and celebrating our collective wins

Equal Opportunity Statement

The company is committed to promoting an inclusive work environment free of discrimination and harassment. We value a diverse and balanced team where everyone can belong.