Senior Software Engineer, Full-Stack
At a glance
Senior Full-stack Engineering role at Roger Healthcare. San Francisco · full-time · $200,000–$250,000 base.
techroles summary, based on the employer's posting.
What you'll do
- Build backend services with FastAPI and MongoDB or Postgres
- Create APIs and infrastructure that connect with generative AI and LLM models
- Turn early prototypes into secure, dependable production systems that can scale
- Strengthen backend design, observability and code quality, then deploy through Docker and AWS
- Work with senior engineers and help junior developers grow
What you bring
- At least seven years in professional software engineering, with substantial backend experience
- You have shipped product features in a fast-growing startup setting
- You have designed distributed systems or data-intensive backend architecture
- You have production experience with generative AI or LLM systems, or a strong desire to work on them
Who this fits
This senior role suits an engineer with a product mindset who can partner across teams and move quickly through ambiguity without lowering quality. The position is hybrid in San Francisco.
From the employer
About the Role
Roger is an AI platform that frees home health clinicians from paperwork so they can focus on what matters: delivering life-changing care to our most vulnerable elderly patients in the comfort of their homes. Backed by leading healthcare investors like SignalFire, we've powered millions of visits, deployed to thousands of clinicians, and we're just getting started.
We are growing rapidly, backed by world-class investors, and shipping new capabilities into real clinical workflows every week. We are now looking for a Senior Software Engineer to scale the core services that power our platform and build entirely new Generative AI and LLM-driven workflows that clinicians will depend on every day.
If you want to solve meaningful engineering challenges, work with production LLMs, and build software that directly improves patient care, we would love to talk.
What You'll Do
Ship complex backend services using FastAPI, MongoDB/Postgres
Build APIs and infrastructure that interface with LLMs and Generative AI models
Leverage AI-assisted development tools to accelerate high-quality engineering output
Prototype MVPs and harden them into scalable, secure, and reliable production systems
Improve backend architecture, observability, and code quality standards
Work with Docker and AWS to deploy services into production environments
Collaborate with senior engineers and mentor junior developers as we scale
You Might Be a Good Fit If You Have
7+ years of professional software engineering experience, with deep backend expertise
Startup experience shipping real features in high-growth environments
Experience designing distributed systems or data-heavy backend architectures
Experience working with Generative AI / LLM-powered systems in production or strong desire to
A product mindset and comfort partnering with cross-functional teams
Ability to operate in ambiguity and move quickly without sacrificing quality
High standards for reliability, clarity, and maintainability when real users depend on your code
Why Join Us?
🏥 Platinum health, dental, and vision insurance
🏖️ Unlimited PTO
💰 Retirement: 401(k) plan
🤖 Be at the forefront of LLM innovation in healthcare
🚀 Founded by AI Researchers from Cornell and Amazon Alexa
👩⚕️ Make a tangible difference in the lives of clinicians and patients
🧠 Work on a mission that matters, backed by AI innovation and top-tier investors
Make a Real Difference: Hear from our Users
👨⚕️ “If I had to give Roger a rating out of 10, I’d give it an 11! You guys changed my life!!”
- G.M. from San Francisco, Registered Nurse
👩⚕️ “Roger AI saves me hours per day. I can easily focus on my patients now too.”
- J.L. from Tucson, Registered Nurse
👩⚕️ “Being a single mom is tough, but with Roger I can take the time to go to my daughter’s soccer game and also pursue further education.”
- T.M. from Dallas, Licensed Vocational Nurse
If you're interested in joining a fast-growing healthcare AI startup, we'd love to hear from you TODAY!
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