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Lead Software Engineer (Healthcare) W2 or Green Card

Entelli
Department:React Native
Type:REMOTE
Region:USA
Location:United States
Experience:Mid-Senior level
Estimated Salary:$150,000 - $200,000
Skills:
NODEJSTYPESCRIPTEXPRESSREACTNEXTJSRESTOPENAPIOAUTHJWTAWSLAMBDAAPI GATEWAYBEDROCKSTEP FUNCTIONSLLMAIRAGSAASHIPAAPHI
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Job Description

Posted on: March 24, 2026

Lead Software Engineer (Healthcare)Location: 100% Remote (U.S. Only) (CST Time Zone)Employment Type: Full-Time / Direct Hire

Eligibility:U.S. Citizen or Green Card required (W2 only)About the Role

Our direct client is a leading U.S.-based healthcare software company focused on improving the end-to-end healthcare experience through innovative SaaS products.

They are seeking a Lead Software Engineer to take ownership of critical systems, drive technical direction, and partner closely with Product to deliver scalable, secure solutions.

What You’ll Do

  • Lead design, development, and delivery of scalable SaaS applications
  • Own systems end-to-end (architecture, development, deployment, and performance)
  • Build and maintain backend services using Node.JS, TypeScript, and Express
  • Develop modern front-end applications with React and Next.JS
  • Design and secure APIs (REST, OpenAPI, OAuth/JWT)
  • Partner with Product on roadmap execution, prioritization, and trade-offs
  • Collaborate cross-functionally with DevOps, Security, and other teams

Required Qualifications

  • 8+ years of software engineering experience with increasing responsibility
  • Experience in a senior/lead role (Lead, Staff, Principal, Architect, etc.)
  • Strong background in SaaS product development
  • Proven ownership of production systems and delivery outcomes
  • Hands-on expertise in:
  • Node.js (TypeScript, Express)
  • React and Next.js
  • API design and security (REST, OAuth/JWT)

Preferred / High-Impact Experience

  • Experience building or integrating LLM / AI-driven systems (agentic workflows, RAG, etc.)
  • Cloud-native development using AWS (Lambda, API Gateway, Bedrock, Step Functions)
  • Cross-functional leadership across DevOps, Security, DBAs, and external vendors

Nice to Have

  • Healthcare or regulated environment experience (HIPAA, PHI)
  • Performance and scalability optimization (latency, throughput, cost)
  • Experience improving engineering standards (testing, code reviews, frameworks)
  • Mentorship and team development experience

Benefits

  • Day 1 health insurance coverage
  • Equity/ownership program after 1 year
  • Quarterly bonuses
  • Employee assistance programs
  • Ongoing career development opportunities
Originally posted on LinkedIn

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