Senior Full-Stack Engineer – AI & Healthcare Platform

Sphere Inc. is building a new AI-powered SaaS platform for the U.S. healthcare industry. We're looking for a senior engineer who enjoys building products from scratch, making technical decisions, and shipping production-quality software. This is an MVP that will quickly transition into production, so we're looking for someone who is comfortable owning architecture, development, deployment, and AI integration. We're developing a HIPAA-compliant Care Coordination Platform that helps physicians, nurses, and care coordinators manage chronic care patients more efficiently. A patient with diabetes and hypertension visits a primary care clinic. Instead of manually reviewing hundreds of pages of clinical notes, lab results, discharge summaries, and specialist referrals, the provider uploads the patient's records. The AI platform will: - Extract structured medical information from uploaded documents - Generate concise clinical summaries - Highlight medication conflicts and missing follow-ups - Detect abnormal lab trends - Recommend preventive care actions based on clinical guidelines - Generate visit notes and patient-friendly summaries - Allow physicians to approve, edit, or reject AI-generated recommendations - Maintain complete audit trails for HIPAA compliance The system must never expose PHI to unauthorized users and must meet healthcare security best practices. You'll work directly with our founders to design and build the MVP. Responsibilities include: - Design scalable backend architecture - Develop responsive React/Next.js frontend - Build secure REST APIs - Integrate OpenAI, Anthropic, or Azure OpenAI - Implement Retrieval-Augmented Generation (RAG) - Build document ingestion pipelines - Implement vector search - Build role-based access control - Design PostgreSQL database schema - Implement authentication and authorization - Deploy production infrastructure on AWS or Azure - Write automated tests - Optimize AI performance and costs Candidates should understand: - HIPAA Security Rule - PHI handling - Encryption at rest and in transit - Audit logging - Role-based permissions - Secure cloud architecture - Least-privilege access - Secrets management - BAA-aware cloud services Previous healthcare or medical SaaS experience is highly preferred. To Apply Please include the following in your proposal: - Links to recent AI SaaS or healthcare projects - Your GitHub profile - A brief description of your HIPAA or healthcare experience - 5–10 minute Loom video walkthrough of a HIPAA-compliant AI or SaaS project you personally built, highlighting the architecture, technical decisions, and your specific contributions.