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Founding Full-Stack Software Engineer

Work from home Full-time role Hiring

About YouShift Healthcare runs on people — but the systems that manage them are outdated. At YouShift, we’re building the AI-powered workforce OS for healthcare teams. Our platform replaces spreadsheets and fragmented legacy tools with an intelligent scheduling engine managed by AI agents that handles complex rules, compliance, and real-world operational constraints at scale. Our investors include Y Combinator (YC) and Bain Capital Ventures—partners who believe in our mission to redefine how hospitals operate. We’re channeling this investment into building a world-class team: people with relentless drive, sharp problem-solving skills, and the passion to push limits in a fast-paced, high-intensity environment. If this resonates, you belong at YouShift. About The Role Founding Full-Stack Engineers at YouShift own meaningful parts of the product and infrastructure end-to-end. This role combines building new capabilities while improving systems already running in production. You will design systems from scratch — and take responsibility for their reliability once they’re live. You won’t just implement specs. You’ll help define them. You’ll work across:

  • Frontend: React (web), potentially React Native (mobile)
  • Backend: TypeScript, Node, PostgreSQL
  • Architecture: Strong domain modeling, hexagonal design principles
  • Infrastructure: AWS, deployments, monitoring, production debugging

What You’ll Do

  • Build and own product features end-to-end: UI → API → database → deployment.
  • Design clear interfaces for complex workflows (scheduling, rules engines, approvals, operations dashboards).
  • Model real-world operational constraints in clean, maintainable systems.
  • Improve reliability: testing strategy, CI/CD, observability, performance.
  • Debug production issues thoughtfully and systematically.
  • Ship frequently and iterate with real users.
  • Use modern AI development tooling to move faster without lowering quality.

What We’re Looking For

  • 2+ years (or equivalent experience) shipping production software in high-ownership environments.
  • Strong in TypeScript and comfortable across the stack (React + Node).
  • Solid fundamentals in data modeling and backend system design.
  • Good product instincts — you care about usability and clarity.
  • High agency: you take ownership of problems and drive them to completion.
  • Pragmatic but disciplined: you value clean abstractions and systems that can evolve.

Nice to Have

  • React Native experience.
  • Experience with strongly-typed API patterns (tRPC, Zod, TanStack Query).
  • Familiarity with constraint-based systems or scheduling logic.
  • AWS experience and Terraform (deployments, networking basics, observability).
  • Experience improving testing and QA pipelines.

What It’s Like to Join

  • Small team. High ownership. No bureaucracy.
  • You’ll design systems and see them in production quickly.
  • We move fast and expect intensity.
  • Real customers. Real operational impact.
  • Early equity and meaningful technical influence.

If you’re excited about building deep systems that handle real-world complexity — and taking responsibility for the full lifecycle of what you ship — we’d love to talk. Apply tot his job Apply To this Job

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