Lead Software Engineer (Healthcare) W2 or Green Card
Role summary
A leading U.S. healthcare software company is seeking a Lead Software Engineer to remotely drive technical direction for critical SaaS products. This full-time, direct-hire role involves end-to-end ownership of systems, including architecture, development, and deployment. Key responsibilities include building backend services with Node.js, TypeScript, and Express, developing front-end applications with React and Next.js, and designing secure APIs (REST, OpenAPI, OAuth/JWT). The ideal candidate will have 8+ years of experience, including a senior/lead role, and a strong background in SaaS product development. Preferred experience includes cloud-native AWS development and AI/LLM systems integration.
Lead Software Engineer (Healthcare)
Location:
100% Remote (U.S. Only)
(CST Time Zone)
Employment Type:
Full-Time / Direct Hire
Eligibility:
U.S. Citizen or Green Card required (W2 only)
About the Role
Our direct client is a leading U.S.-based healthcare software company focused on improving the end-to-end healthcare experience through innovative SaaS products.
They are seeking a
Lead Software Engineer
to take ownership of critical systems, drive technical direction, and partner closely with Product to deliver scalable, secure solutions.
What You’ll Do
- Lead design, development, and delivery of scalable SaaS applications
- Own systems end-to-end (architecture, development, deployment, and performance)
- Build and maintain backend services using
Node.JS, TypeScript, and Express
- Develop modern front-end applications with
React and Next.JS
- Design and secure APIs (
REST, OpenAPI, OAuth/JWT
)
- Partner with Product on roadmap execution, prioritization, and trade-offs
- Collaborate cross-functionally with DevOps, Security, and other teams
Required Qualifications
- 8+ years of software engineering experience with increasing responsibility
- Experience in a senior/lead role (Lead, Staff, Principal, Architect, etc.)
- Strong background in
SaaS product development
- Proven ownership of production systems and delivery outcomes
- Hands-on expertise in:
- Node.js (TypeScript, Express)
- React and Next.js
- API design and security (REST, OAuth/JWT)
Preferred / High-Impact Experience
- Experience building or integrating
LLM / AI-driven systems
(agentic workflows, RAG, etc.)
- Cloud-native development using
AWS (Lambda, API Gateway, Bedrock, Step Functions)
- Cross-functional leadership across DevOps, Security, DBAs, and external vendors
Nice to Have
- Healthcare or regulated environment experience (
HIPAA, PHI
)
- Performance and scalability optimization (latency, throughput, cost)
- Experience improving engineering standards (testing, code reviews, frameworks)
- Mentorship and team development experience
Benefits
- Day 1 health insurance coverage
- Equity/ownership program after 1 year
- Quarterly bonuses
- Employee assistance programs
- Ongoing career development opportunities