
Lead Software Engineer (Healthcare) W2 or Green Card
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
Apply now
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