Senior Fullstack Engineer

About the Role

Pragmatike is recruiting on behalf of a fast-growing SaaS company building a modern healthcare platform used by medical professionals. As the product continues to scale, the engineering team is expanding to support increasingly complex integrations, security requirements, and platform reliability.

We are looking for a Senior Full Stack Engineer with strong backend expertise in NestJS to help design, build, and scale the core platform. This is a highly technical, hands-on role where you'll own backend architecture, develop reliable distributed systems, and collaborate closely with frontend and product teams to deliver high-quality features.

The ideal candidate has a strong product mindset, thrives in startup environments, and actively leverages AI-assisted development to improve engineering velocity while maintaining high code quality.

Your Responsibilities

- Design, develop, and maintain scalable backend services using NestJS

- Architect APIs, caching layers, queues, and distributed services for high-performance SaaS applications

- Build and maintain integrations with third-party systems using REST APIs (SOAP experience is a plus)

- Collaborate closely with frontend and product teams to deliver end-to-end product features

- Improve application performance, reliability, scalability, and maintainability

- Contribute to engineering best practices, code quality, and technical architecture decisions

- Leverage AI-assisted development workflows to accelerate implementation, testing, and debugging

- Take ownership of features from design through production in a fast-moving startup environment

AI-First Engineering

AI is an integral part of the engineering workflow. During the interview process, we'll explore how you use AI in real-world software development. We're looking for engineers who use AI as a force multiplier for software quality, productivity, and problem-solving, not simply as an autocomplete tool.