Staff Fullstack Software Engineer
At a glance
Senior Full-stack Engineering role at Midi Health. San Francisco · $200,000–$250,000 base.
techroles summary, based on the employer's posting.
What you'll do
- Lead architecture reviews spanning teams, resolve difficult system problems, and set patterns that limit technical debt
- Turn infrastructure needs into technical roadmaps that make future product development faster
- Build scalable, adaptable full-stack products while balancing delivery speed with long-term needs
- Set engineering practices for automated tests, delivery pipelines, and code quality across the stack
- Translate needs from executives, product, marketing, and clinical partners into technical plans, and mentor engineers
What you bring
- At least ten years building and scaling complex engineering systems, including major architecture migrations in a startup
- Production experience with Django and DRF, plus React and Next.js or comparable technologies
- Skill turning broad product and growth goals into practical technical roadmaps
- Hands-on use of agentic coding and LLM tools, with the ability to coach teammates on prompting and code review
Who this fits
This is a hands-on staff-level role for an engineer who can guide architecture across teams, mentor colleagues, and work across both consumer products and operational systems. You’ll work in person on Mondays and Thursdays at the Palo Alto or San Francisco office, with the remaining days remote. Applicants must be authorized to work in the United States without current or future visa sponsorship.
From the employer
Staff Software Engineer, Full Stack (Full-time)
Location: Hybrid — San Francisco Bay Area (Palo Alto or San Francisco office, Monday/Thursday in-office)
Salary Range: $200,000 – $250,000 + equity + benefits
Job Type: Full-time, W2
About Midi Health
Midi Health is the largest virtual care clinic for women in midlife navigating perimenopause, menopause, and other hormonal transitions. We combine expert clinicians, evidence-based protocols, and a modern technology platform to deliver care that has historically been underserved by the healthcare system. We're a fast-growing, mission-driven company building the infrastructure and products that define this new category of care.
How We Work
- Hybrid by design. 2 days/week in-office (Monday and Thursday) in Palo Alto or San Francisco, 3 days remote. We believe high-trust teams are built in person and scaled remotely.
- AI-native engineering. We expect every engineer to be fluent with modern AI coding tools (Claude Code, Cursor, Copilot, and similar) and to actively push the frontier of how we build software.
- Low-ego, high-curiosity. We approach disagreement with humility and technical rigor, not politics. We invest in each other's growth.
- Outcome-oriented. We move fast, own our work end-to-end, and balance speed with the durability that healthcare demands.
The difference you will make
We are looking for a Staff Fullstack Engineer to serve as a technical pillar within our Engineering Org. As we scale, you will be a hands-on technical driver, distilling complex understanding from across Midi into cohesive technical roadmaps and products that help us revolutionize women's healthcare.
What you will do
- Analyze complex technical problems and lead architectural reviews across multiple teams to prevent technical debt, establish cross-service patterns, and ensure the long-term sustainability of Midi’s healthcare ecosystem.
- Act as a 'part-time product manager for technology,' advocating for critical infrastructure upgrades that enable future business velocity.
- Craft exceptional, thoughtful, scalable and flexible products and code, balancing for speed of execution and scalability
- Actively shape engineering culture by establishing best practices for automated testing, CI/CD, and high-quality code across the entire stack.
- Analyze high-level technical and business problems and architect elegant, flexible solutions that account for long-term scalability and business growth.
- Partner with Executive Leadership, Product, Marketing, and Clinical Stakeholders to identify unmet customer and operational needs, translating business goals into technical strategies that deliver outcomes for our patients and clinicians
- Formally and informally mentor senior and junior engineers, fostering a culture of curiosity, humility, and technical excellence.
About You
- You have 10+ years of experience building and scaling complex engineering solutions, with a proven track record of leading large-scale architectural migrations in a startup environment.
- You possess proven production experience in Django/DRF and React/Next.js or similar technologies.
- You are comfortable operating at a high level of abstraction, translating vague product and growth goals into concrete technical roadmaps.
- You bring a versatile background in building consumer-facing products alongside deep expertise in architecting complex operational and workflow management systems.
- You are a power-user of agentic coding tools and LLM’s (e.g., Claude Code, GitHub Copilot) to accelerate development and mentor the team on high-leverage prompting and code-auditing strategies.
- You help create a respectful, low-ego team environment, approaching discussions with curiosity and humility.
At this time, Midi Health is not able to sponsor or take over sponsorship of any employment visa (including H-1B, TN, or other work authorization). Applicants must be authorized to work in the U.S. without current or future visa sponsorship.
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At Midi Health, we are committed to pay transparency and equity. The estimated salary range for this role is $200,000-$250,000 per year, based on factors such as experience and skills. In addition to base salary, employees are eligible for a wide range of benefits and equity in the company,
We believe in fair and competitive compensation practices that align with our values of equity and inclusion. If you have any questions about how we determine pay, we’re happy to discuss further in the hiring process.
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At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs.
Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at careers@joinmidi.com.
Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history.
Please find our CCPA Privacy Notice for California Candidates here.
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