Staff Full-Stack Engineer

Amigo partners with healthcare organizations to deploy robust AI infrastructure that directly serves patients and providers. Our agents handle clinical workflows and patient engagement across the entire journey: pre-visit intake, care navigation, post-visit care plans, patient monitoring, and more.

We're fresh off our Series A backed by Tier 1 investors like Madrona, General Catalyst, and Optum Ventures. Our work is validated with leading academic medical institutions. Our agents have reached 3M+ patient encounters and are on track to 10x this year.

As a Staff Full-Stack Engineer at Amigo, you'll own the technical direction of the foundational applications that power clinical operations. Three products: Control Center for real-time oversight of agent conversations, Research Platform for natural language queries over healthcare data, and Agent Forge for designing agent behavior without code.

You'll drive architecture decisions, establish engineering standards, and build systems that scale. These applications handle sensitive patient data and support clinical workflows—correctness and reliability are non-negotiable. You'll mentor engineers, shape technical culture, and ensure we maintain elite engineering standards as the team grows.

• Own technical architecture and system design across Control Center, Research Platform, and Agent Forge

• Drive engineering standards for code quality, testing, observability, and incident response

• Architect real-time systems for clinical oversight—streaming conversations, escalation workflows, audit trails

• Design the technical approach for natural language queries over healthcare data

• Architect no-code tools that enable non-engineers to design and configure agent behaviors

• Design APIs, data models, and caching strategies that support real-time streaming, voice, and multi-channel communication at scale

• Own authentication, authorization, and audit logging architecture for healthcare compliance

• Make build vs. buy decisions and evaluate technical tradeoffs across the platform

• Mentor engineers and establish patterns that raise the bar for the entire team

• Collaborate with agent engineers, clinicians, and customers to understand complex workflow requirements

• Define and maintain shared component libraries, design system, and development infrastructure

• 7+ years of production full-stack engineering experience, with significant time at elite engineering organizations

• Expert-level React/TypeScript skills with deep understanding of performance, rendering, and state management

• Strong experience building Python backend services, REST APIs, and distributed systems

• Proven track record designing systems that scale—you've built and operated high-traffic production applications

• Deep understanding of real-time systems (WebSockets, streaming, event-driven architectures)

• Experience with relational databases, data modeling, query optimization, and caching strategies

• History of establishing engineering standards and mentoring engineers

• Extremely high standards for code quality, reliability, and operational excellence

• Both execution-oriented and defensive-minded: you ship fast while anticipating failure modes

• Strong product instincts—can translate ambiguous requirements into robust technical solutions

• Excellent written and verbal communication across engineering and executive stakeholders

• Experience with healthcare applications or regulated industries (HIPAA, SOC 2)

• Background with voice/telephony systems or real-time communication protocols

• Experience building no-code/low-code platforms or developer tools

• Track record building and scaling engineering teams

• Understanding of accessibility requirements for clinical software

• Experience with mobile development (React Native, iOS, Android)

• Comprehensive health, dental, and vision insurance

• Daily catered lunch and dinner

• Mental health support and wellness coaching

• Flexible wellness stipend for fitness, therapy, or personal growth

• Annual learning budget for courses, books, or conferences

• Conference attendance budget for professional development

• Annual team offsite

• Academic collaboration opportunities

• Unlimited PTO

1. Patients Win, We Win

   If patients aren't getting better care, we haven't earned the right to scale. Every internal decision gets pressure-tested: does this make patients' lives better? If we can't draw the line, we question why we're doing it.

2. High Standards, High Care

   We hold a high bar for the team because patients are counting on us to get this right. But high standards only work with genuine investment in each other. You can take risks, admit mistakes, and challenge ideas—not despite our standards, but because of them.

3. Thoughtful Urgency

   We move fast by default, but speed without judgment is recklessness. The discipline is knowing which decisions are reversible vs. not. In healthcare AI, the companies that win will be fast everywhere they can be and careful everywhere they must be. We build the muscle to do both.

4. Intensely Measured

   We instrument patient outcomes, provider ROI, system performance, and clinical accuracy. But data without action is surveillance. Every metric should have an owner, a threshold, and a response plan. If we're measuring something but never acting on it, we stop measuring it.

• Low ego: Politics and territory don't interest you. The best ideas win, regardless of who has them.

• Direct: You say the hard thing, challenge ideas openly, and commit fully once decided.

• High agency: You thrive on trust rather than instruction. When you see something is broken, you fix it. You don’t file tickets and wait for someone else.

• Bar of excellence: You hold yourself to a bar most people wouldn't, and you want teammates who do the same.

• Skeptical: You push back on rules that don’t make sense and question assumptions that haven’t earned their place.