Job Description

Join to apply for the Senior Full-Stack Engineer - San Francisco, CA role at House Rx

Join to apply for the Senior Full-Stack Engineer - San Francisco, CA role at House Rx

Get AI-powered advice on this job and more exclusive features.

At House Rx, we're driven by something special: making specialty medications more accessible and affordable. Our 25+ person product, design, and engineering (PDE) team, part of our broader 125+ person company, creates technology that helps patients access the life-saving drugs they need. We bring our hearts and minds to this meaningful work, fostering a caring, dedicated, and supportive environment.

About The Role

Join our Product & Engineering team as a Senior Full-Stack Engineer, a technical leader who helps shape the evolution of our pharmacy management platform. You'll design and build robust systems across the stack, own architectural decisions, and drive technical strategy in partnership with product and design. You'll champion inclusive leadership, mentorship, and engineering best practices, all while collaborating in a cross-functional, fast-moving, thoughtful environment. Our core stack includes Node.js, TypeScript, React, Postgres, and AWS.

What You'll Do

• Lead & Build: Spearhead the design and development of complex, high-impact features and services, across the stack, from frontend to backend.
• Elevate Engineering: Champion and evolve software development and system design best practices, lead by example in code reviews and drive initiatives that boost quality and innovation.
• Mentor & Grow Team: Actively mentor junior and mid-level engineers fostering their growth, while you make significant technical contributions.
• Own Critical Problem Solving: Identify, diagnose, and decisively resolve complex technical and system-level production issues.

About You

You are an experienced full-stack generalist, known for building complex features, driving impactful projects across the stack, and helping others grow through mentorship.

Technical Leadership:

• 5+ years building full-stack web applications, including production React UIs backed by Node.js and TypeScript services, with a focus on end-to-end performance and maintainability.
• Strong experience in RESTful API design and relational data modeling in Postgres.
• Skilled in architecting scalable, reliable systems using AWS services.
• Bachelor's/Master's in CS/Engineering or equivalent practical leadership experience.

Ownership & Strategic Impact:

• You thrive on owning critical systems shaping their evolution and driving initiatives to success.
• Possess strong business acumen to align technical strategy with evolving business priorities.
• Adept at thoughtfully leveraging AI development tools to boost productivity and quality.

Collaboration & Mentorship:

• Exceptional communicator, articulating complex technical concepts to diverse audiences.
• Inclusive cross-functional leader, guiding teams and managing trade-offs effectively.
• Dedicated mentor, passionate about growing fellow engineers.
• Proven ability to navigate ambiguity and deliver results in a fast-paced, remote environment.

Why You'll Enjoy Leading With Us

• Drive Meaningful Impact: Lead the design of tech that improves patient access to medications.
• Empowerment & Agency: Wield significant autonomy to shape technical strategy.
• Inspire & Grow Talent: Mentor engineers in technical concepts and foster a culture of excellence.
• Vibrant & Supportive Culture: Join a fun, thoughtful, down-to-earth team that values collaboration, continuous learning, and celebrating successes.

In particular, we offer:

• Flexible work hours and flexible paid time off
• Generous parental leave
• Comprehensive healthcare, vision and dental benefits
• Competitive salary and equity stake

We're backed by forward-thinking investors committed to transforming healthcare, including Bessemer Venture Partners, First Round Capital, LRV Health, Khosla Ventures, Maverick Ventures, 1984.vc, and Character.

While a cover letter is optional, a note sharing your enthusiasm for House Rx and this role is highly insightful.

Expected Full-Time Base Salary: $160,000-$185,000

This range represents the low and high end of the anticipated base salary/wage. The actual base salary/wage will depend on several factors, including experience, knowledge, and skills. Actual compensation packages may include other elements equity, paid time off and benefits.

More About House Rx: Our Team, Work, and Culture

Here's our amazing PDE team that builds healthcare technology that matters:

• Software Engineering: 10 engineers+ from early career to staff/architect level
• Product & Design: 3 product managers, 2 designers
• Infrastructure: 2 IT specialists, 2 security engineers, 3 SREs
• Quality & Support: 3 QA engineers, 2 support specialists

Together, we build and maintain impactful solutions through our pharmacy management system and data insights platform. These tools enable our internal teams, pharmacists, care coordinators, and clinical operations, to streamline medication access, while helping external healthcare providers and clinics deliver better patient care.

Our engineering work presents exciting technical challenges as we balance user-facing features with robust internal systems. We release updates daily, requiring thoughtful prioritization and technical excellence while maintaining high quality. This iterative approach means we're constantly innovating to deliver meaningful improvements to our healthcare platform.

Our culture brings thoughtfulness to our daily work. You'll find us expressing ourselves through our extensive Slack emoji and GIF collection (seriously, it's impressive!), sharing gratitude circles on birthdays, and having conversations that range from foodie recommendations to discussions about AI tooling, developer experience, and architecture. While we take our mission seriously, we believe enjoying what you do and technical excellence go hand in hand.

We're a fun, thoughtful, supportive, talented, and down-to-earth group focused on doing some of the best work of our lives. At the end of the day, we know software is built by people and we're committed to taking care of both the people we work with and the patients whose lives we touch through our technology. We're growing our team. There's no one else in the world like you, and hope you can join us for this ride!

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Engineering and Information Technology

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at House Rx by 2x

Sign in to set job alerts for Full Stack Engineer roles.

San Francisco, CA $160,000 - $180,000 12 hours ago

San Francisco, CA $130,000 - $238,000 2 weeks ago

San Francisco, CA $145,000 - $230,000 2 weeks ago

San Francisco, CA
$220,000.00
-
$350,000.00
2 weeks ago

San Francisco, CA
$165,000.00
-
$165,000.00
2 years ago

San Francisco, CA
$130,000.00
-
$185,000.00
1 month ago

San Francisco, CA
$120,000.00
-
$190,000.00
8 months ago

San Francisco, CA
$130,000.00
-
$220,000.00
1 day ago

San Francisco, CA
$40.00
-
$40.00
14 hours ago

San Francisco, CA
$40.00
-
$40.00
14 hours ago

San Francisco, CA
$100,000.00
-
$200,000.00
1 year ago

San Francisco, CA
$125,000.00
-
$175,000.00
3 weeks ago

San Francisco, CA
$150,000.00
-
$176,000.00
1 month ago

San Francisco, CA
$140,000.00
-
$180,000.00
4 weeks ago

San Francisco, CA
$100,000.00
-
$160,000.00
2 weeks ago

Software Engineer, Frontend (All Levels)

San Francisco, CA
$150,000.00
-
$220,000.00
2 weeks ago

San Francisco, CA
$130,000.00
-
$180,000.00
1 year ago

San Francisco, CA $140,000 - $240,000 1 month ago

San Francisco, CA $130,000 - $280,000 7 months ago

San Francisco, CA $60,000 - $120,000 2 weeks ago

San Francisco, CA $180,000 - $250,000 7 months ago

Full-stack Software Development Engineer (FS SDE)

San Francisco, CA $99,998 - $199,998 1 year ago

San Francisco, CA $140,000 - $180,000 4 weeks ago

San Francisco, CA $140,000 - $280,000 7 months ago

San Francisco, CA $120,000 - $180,000 9 months ago

Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

#J-18808-Ljbffr

Job Tags

Full time, Flexible hours,

Similar Jobs