Senior Full-Stack Software Engineer

United States - Remote

About Tulea Health

At Tulea Health, we are compassionate partners seeking to improve the infusion experience for patients who rely on complex medication therapies by supporting the health systems that serve them.  

Software plays a critical supporting role in how our teams deliver therapy - powering day-to-day clinical operations and integrating with our health system partners. We work with sensitive data and operate in a high-trust environment, so reliability, security, and engineering quality matter as much as speed. By reducing friction, errors, and delays in infusion center workflows, our software helps care teams deliver therapy more smoothly and consistently.

Join us as a founding engineer at Tulea Health and help us profoundly improve the infusion experience.

The Role

We’re looking for a Senior Full Stack Software Engineer with excellent React skills and strong backend fundamentals who is excited to build market-leading, high-quality applications using an AI-driven, high-accountability engineering approach that balances speed with security and correctness.

You’ll build modern, greenfield capabilities in a real clinical operations environment where the details matter. Workflow, usability, reliability, and security directly affect how care gets delivered day to day.

What you’ll own

  • A significant slice of our net new capabilities and the engineering standards behind them, including UI patterns, testing strategy, and developer workflow.
  • The foundations of our front-end applications and back-end APIs, plus end-to-end features from discovery through production.
  • Practical, secure AI-driven development practices that increase delivery speed without compromising quality, reliability, or security.

What you’ll do

  • Build and ship full-stack web applications with a strong emphasis on front-end quality and UX.
  • Implement polished UIs from design specs using modern component libraries and styling approaches.
  • Design and maintain performant UI architecture, including client and server state patterns.
  • Develop backend services and APIs, and work across relational and NoSQL data stores with strong SQL fundamentals.
  • Own features end-to-end: clarify requirements, propose solutions, design data flows, implement, test, deploy, and support.
  • Build with a high bar for quality: write automated tests across unit, integration, and end-to-end layers.
  • Participate in and improve engineering conventions: code reviews, coding standards, design patterns, build/release practices, and documentation.
  • Make thoughtful architecture and technology decisions in partnership with the team, balancing speed, correctness, security, and maintainability.
  • Collaborate closely with cross-functional partners (clinical operations, customer-facing teams, leadership), and communicate tradeoffs clearly.
  • Mentor and raise the bar: share knowledge, help others unblock, and contribute to a culture of strong engineering execution.

AI-driven engineering expectations

We believe AI is changing how software is built. You should be excited about that future - but also clear-eyed about risks and accountability.

  • You actively use modern AI tooling to accelerate development, improve quality, and reduce toil.
  • You have strong judgment about what AI tools can and cannot do.
  • You take responsibility for every line of code shipped - whether written by you or suggested by AI.
  • You help build a reliable, secure, reproducible development system that leverages AI without compromising quality or security.
  • You help define and evolve how we use AI across the SDLC (e.g., design docs, code generation, test generation, refactoring, PR review), with clear guardrails and human accountability.

What we’re looking for

  • 8+ years of professional software engineering experience, including substantial full-stack work.
  • Expert-level React + TypeScript skills, with a track record of building high-quality, maintainable UIs.
  • Strong experience with front-end architecture patterns:
    • State management (e.g., Zustand, Redux)
    • Server-state/data fetching (e.g., TanStack Query, SWR)
  • Experience implementing UIs from design systems, with attention to UX details and polish.
  • Strong automated testing discipline across unit/integration/E2E; familiarity with tools like Vitest, RTL, and Playwright (or equivalents).
  • Backend experience building APIs/services with Node.js and TypeScript.
  • Strong experience with SQL and relational databases; familiarity with NoSQL concepts and tradeoffs.
  • Demonstrated ability to operate across the full SDLC: discovery, scoping, design, implementation, testing, delivery, and production support.
  • High standards for security, correctness, and operational reliability - especially in environments with sensitive data.
  • Clear, kind, high-signal communication, including the ability to translate ambiguous needs and constraints into crisp technical plans.

Bonus points

  • Experience in healthcare, regulated environments, or systems handling sensitive data.
  • Experience building on AWS (or strong cloud platform experience).

How we work

  • High ownership and high trust: you’ll have autonomy and real impact.
  • Strong engineering fundamentals: code reviews, testing, pragmatic architecture, and continuous improvement.
  • AI-forward, accountability-first: we move faster with AI, but we don’t outsource responsibility.
  • Collaborative and mission-driven: we build software that improves the experience for patients that rely on infusion therapy and ultimately enhances care and outcomes.

Education

Bachelor’s degree in Computer Science or related field, or equivalent practical experience.

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