About the Role
We're an early-stage, venture-backed AI-native healthtech startup building an intelligent operating system that empowers nurse practitioners to launch and run their own independent clinics. Our platform replaces fragmented, manual healthcare infrastructure with a single, cohesive system — so clinicians can focus on care, not paperwork.
We're hiring a Senior Software Engineer, Full Stack to build and own core product functionality across the stack. You'll design and implement the systems that power reliable clinical and operational workflows — from backend services and APIs to the frontend experiences that clinicians use every day. This role reports to the CTO.
You do not need prior healthcare or FHIR experience. We care more about strong engineering fundamentals, sound technical judgment, and the ability to ramp quickly on a complex domain.
Work arrangement: Hybrid — 3 days per week in our New York City office.
What You'll Do
Build and own product features across the stack using Python, Django, React, and Next.js
Design and implement systems behind clinical and operational workflows, including scheduling, messaging, and practice operations
Build APIs, application logic, and integrations with clinical and third-party systems
Collaborate with engineers, designers, and clinical stakeholders to turn complex workflows into intuitive software
Debug and resolve production issues across the frontend, backend, and infrastructure
Design systems that remain reliable, maintainable, and predictable as the product scales
Contribute to system design, technical planning, architecture discussions, and code reviews
Incorporate AI coding tools (e.g. Claude Code, GitHub Copilot) into your daily development workflow
Our Stack
Backend: Python, Django, django-ninja, Django Channels (async-first)
Frontend: Next.js, React
Data: PostgreSQL, pgvector, Redis
Clinical: Medplum, FHIR, WebSockets
Infrastructure: AWS, Kubernetes, Terraform, Datadog, GitHub Actions
What We're Looking For
Required (5–8 years of experience):
Strong ability to design and own backend services and APIs — including data modeling, service architecture, scalability, and reliability
Frontend development experience building usable, intuitive UI/UX for real users
Experience with asynchronous processing and workflow design for reliable, real-world operational tasks
Experience building integrations and interfaces between internal and external systems to support end-to-end workflows
Deep commitment to reliability, correctness, and writing maintainable, testable code
Based in New York City and available for a hybrid work schedule (3 days/week in office)
Must be eligible to work in the United States without visa sponsorship
Nice to have:
Familiarity with FHIR, Medplum, or clinical data standards
Experience at a healthtech, care delivery, or clinical operations company
Comfort operating in an early-stage, fast-moving environment with a small engineering team
Compensation & Benefits
Salary: $160,000 – $205,000 per year
Equity participation
Visa sponsorship: Not available — candidates must be authorized to work in the United States
Location
New York City, NY — Hybrid (3 days per week in office). Candidates must be local to or willing to relocate to the New York City area.
Clera is building autonomous AI agents that handle end-to-end recruiting operations. The company's AI agents find candidates, write personalized outreach, handle conversations, qualify fit, and schedule interviews without human intervention. Clera has raised pre-seed funding from top investors and has grown to marketplace scale with 40,000+ talents and hundreds of top startup customers. The company is now scaling its AI-native recruiting platform by hiring operators who supervise the agents, handle high-judgment moments, and close candidates that require human touch.
