[Remote] Full Stack Engineer

Note: The job is a remote job and is open to candidates in USA. RecovryAI is developing innovative FDA-regulated clinical AI to assist patients in their post-operative recovery. The Full Stack Engineer will be responsible for end-to-end feature development across web and mobile applications, while also shaping the technical direction as the company scales.

Responsibilities

• Ship features end-to-end across our web apps, mobile app, and backend services
• Shape the architecture and tooling decisions for our greenfield web applications
• Design and build LLM-powered features and long-running agentic workflows that drive our Virtual Care Assistants - durable execution, clinician-in-the-loop review, recovery from failures and restarts
• Model and evolve clinical and operational data; design the APIs and contracts that connect mobile, web, and backend
• Evolve our cloud infrastructure as we scale toward De Novo authorization and commercial launch
• Contribute to engineering documentation appropriate for an FDA-regulated SaMD
• Translate clinical, regulatory, and product requirements into shippable software
• Participate in code reviews and help shape technical direction across the team

Skills

• 5+ years of professional software development experience
• Strong full-stack TypeScript - backend and frontend, in production
• Production experience with Node and TypeScript, building HTTP APIs (REST, tRPC, oRPC, or similar)
• Production experience with modern, server-first React - React Server Components, server-side data loading, suspense, streaming, and progressive enhancement. The pattern matters more than the specific framework; we're not building SPAs
• Production experience building LLM-powered features (prompt design, structured generation, retrieval, evaluations)
• Solid SQL fundamentals and hands-on experience with Postgres (or a comparable relational database)
• AWS experience, including infrastructure-as-code (CDK preferred) and container-based deployments
• Comfortable with Git/GitHub workflows and CI/CD
• Strong written communication - especially important in remote, regulated work
• Experience designing or operating agentic systems in production - tool use, multi-step reasoning, durable orchestration
• Experience with LLM evaluations and observability - eval harnesses, regression suites, tracing, golden datasets
• Experience with AWS Bedrock - or transferable experience with other LLM platforms and TypeScript LLM tooling (Vercel AI SDK, Anthropic/OpenAI SDKs, Mastra, LangChain, etc.)
• React Native + Expo production experience
• Temporal or a comparable workflow engine (Step Functions, Airflow, Cadence)
• Experience with Zod or a similar Node schema library (Valibot, Yup, ArkType, io-ts)
• Monorepo experience (Turborepo, Nx, pnpm/yarn workspaces, or similar)
• Cognito or another OIDC/identity provider in production
• Experience shipping in a regulated environment (FDA SaMD, HIPAA, SOC 2)
• Familiarity with healthcare data, clinical workflows, or medical devices
• Demonstrated proficiency with AI-assisted coding tools (Claude Code, Codex, Cursor, etc.) - we use these heavily and expect engineers to as well
• Startup experience and comfort with ambiguity

Benefits

• Direct work on a Breakthrough-designated medical device that affects patient outcomes
• Early collaboration with experienced technical, clinical, and regulatory leadership
• A path to grow into technical leadership as the team scales
• Competitive compensation including early-stage equity
• Health, dental, and vision benefits
• Fully remote with flexible hours

Company Overview