LumiMeds · 2 days ago
Senior / Lead Full-Stack Engineer (Node.js & Next.js) - Remote
United States
Contract
Remote
Senior Level, Lead/Staff
6+ years expLumiMeds is seeking a Senior Full-Stack Engineer with deep experience in Node.js and Next.js to lead and evolve their core platform. This high-impact role involves driving architectural decisions and mentoring junior engineers while building meaningful products in the healthcare sector.
Hospital & Health Care
Responsibilities
Lead architectural decisions across backend, frontend, infrastructure, and data layers
Establish engineering standards, best practices, and code quality guidelines
Mentor and review work of junior and mid-level engineers
Own technical planning, sprint scoping, and long-term platform evolution
Translate ambiguous product requirements into clear, scalable technical solutions
Design and build high-performance REST and/or GraphQL APIs
Architect scalable data models and schemas (PostgreSQL preferred)
Implement secure authentication, RBAC, rate limiting, and API throttling
Optimize performance, caching, and reliability (Redis, queues, background jobs)
Build integrations with third-party systems (e.g., Stripe, Twilio, external APIs, internal EMR systems)
Build performant, production-grade UIs using Next.js (SSR, SSG, ISR)
Drive component architecture, state management, and front-end best practices
Collaborate with product and design to deliver intuitive, complex workflows
Ensure SEO optimization, accessibility, performance, and mobile responsiveness
Architect and manage deployments on AWS, Vercel, or similar platforms
Own CI/CD pipelines, release workflows, and automated testing frameworks
Improve observability with monitoring, logging, and alerting (Datadog, Sentry, CloudWatch, etc.)
Enforce security best practices for secrets, environments, and infrastructure
Qualification
Required
6+ years of professional engineering experience, including senior or lead-level responsibility
Strong expertise in Node.js and Next.js / React
Proven experience designing and scaling production systems
Solid understanding of databases, distributed systems, and API design
Experience working in startup, scale-up, or high-growth environments
Comfortable owning projects end-to-end with minimal supervision
Strong communication skills and ability to collaborate across teams
Must be proficient in English
Preferred
Experience working at large tech companies or high-scale startups
Background in healthcare, fintech, or regulated industries
Experience with multi-region or global user bases
Prior experience mentoring engineers or leading technical initiatives
Company
LumiMeds
LumiMeds is a telehealth platform dedicated to providing patients with long-term, affordable health care.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase