Senior Software Engineer

Piper Companies is seeking a Senior Software Engineer to join a rapidly growing healthcare technology startup. This role will focus on building a greenfield, internal platform designed to unify patient data and support community-based care for Medicaid populations across multiple states. This is a remote opportunity with occasional travel required for key team meetings. Responsibilities of the Senior Software Engineer: • Design, develop, and maintain scalable full-stack applications using React, Node.js, PostgreSQL, and AWS • Contribute to greenfield architecture decisions, including system design, service boundaries, and infrastructure strategy • Utilize AI-powered development tools (e.g., Claude or similar) to enhance development efficiency, testing, and delivery • Build and support distributed, event-driven systems with a strong focus on scalability and performance • Apply best practices for secure coding and support application and infrastructure security standards • Collaborate closely with product and engineering teams in a fast-paced, startup environment • Participate in technical discussions, including system design sessions and live coding interviews Requirements for the Senior Software Engineer: • 6+ years of experience building scalable web or backend systems • Strong full-stack background with modern JavaScript frameworks and cloud platforms • Hands-on experience using AI-assisted development tools in day-to-day work • Solid understanding of system design, distributed systems, and event-driven architectures • Experience with AWS, CI/CD pipelines, and observability tools • Strong communication skills and ability to work effectively in a fast-paced, evolving environment • Willingness to travel occasionally for team collaboration Compensation for the Senior Software Engineer: • Base Salary: $170,000 – $180,000 • Equity eligibility and a comprehensive benefits package, including medical, dental, vision, 401(k), flexible PTO, and a home office stipend Keywords: Senior Software Engineer, Full Stack Engineer, React, Node.js, PostgreSQL, AWS, AI-powered development, healthcare technology, startup, distributed systems, event-driven architecture, HIPAA, cloud engineering, remote This position opened for applications on May 22, 2026, and will remain open for at least 30 days from the posting date.