Senior Fullstack Engineer

At Jukebox Health, our mission is to empower everyone to live safer, healthier, more independent lives at home. We partner with health plans to make homes safer and more accessible for older adults and high-needs populations. We achieve this by combining technology with networks of clinicians, suppliers, and installers to deliver personalized home modifications and environmental supports nationwide. Founded by experienced entrepreneurs, Jukebox Health is a fast growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot. We're looking for a Senior Fullstack Engineer who is equally comfortable shaping a React interface, designing a Rails service, and reasoning about the database and infrastructure beneath it. This is a core product role: you will own meaningful features end-to-end, from the client and partner experience down to the data model and the systems that run it. The product our users and partners rely on becomes more capable and more reliable because of the work you ship. Key Responsibilities Build and ship product features end-to-end across the stack — React and TypeScript on the front end, Rails on the back end, and the database and services that support them Own meaningful product areas, taking responsibility for design, implementation, performance, and reliability rather than handing work off at a boundary Make pragmatic decisions about data modeling, API design, and infrastructure on GCP that hold up as the company scales Partner closely with product, design, and the clinical and operations teams to turn complex healthcare workflows into experiences that feel simple Raise the technical bar through thoughtful code review, design feedback, and shared engineering standards Mentor and sponsor less experienced engineers, providing guidance that accelerates the whole team's growth Building and integrating AI-powered features into production Qualifications Required 6+ years of professional software engineering experience building and shipping production web applications Strong proficiency across the stack: React and TypeScript on the front end and Ruby on Rails on the back end Solid command of relational databases and the infrastructure your applications run on, including comfort working in a major cloud provider (GCP or AWS) A track record of owning features end-to-end and making sound architectural trade-offs with limited supervision Experience building or integrating AI-powered features into production applications — whether LLM-backed workflows, retrieval-augmented generation, or ML-assisted automation — and applying those same tools to accelerate your own development workflow Preferred Experience with Google Cloud Platform (our cloud provider) Experience working with healthcare data, HIPAA, or other regulated or compliance-sensitive environments Experience at an early-stage or high-growth startup, where you've helped establish engineering practices that scale How We Invest In You Generous company-funding of our health, vision, and dental plans HSA plan with company seeding FSA plan Short and Long-Term Disability Life and Personal Accident Insurance Hospital Insurance 401k immediately upon hire Generous candidate referral program Yearly wellness stipend Time Away Unlimited PTO + 10 paid holidays Remote First Team $1000 stipend towards work from home costs Frequent team off-sites and get-togethers around the country Collaborative team environment Monthly Townhalls High trust environment A laptop and company swag upon hire Compensation Range: $180,000 - $210,000/year + company equity