[Remote] Senior Full-Stack Engineer

Note: The job is a remote job and is open to candidates in USA. Plenful is on a mission to transform healthcare operations from the inside out. They are seeking a Senior Full-Stack Engineer to build features for pharmacy and health system teams, ensuring compliance-critical work is efficiently managed and automated.

Responsibilities

• Build and ship full-stack features end to end, from the database to the UI, for workflows like 340B compliance, intake, rebate management, and claims reconciliation
• Partner directly with product managers and pharmacy operations experts to understand what pharmacy teams actually need, not just what's in the ticket
• Own what you ship: design it, build it, test it, deploy it, and support it in production
• Make sound tradeoffs between speed and durability as Plenful scales its platform to serve more health systems
• Contribute to the technical foundation of the platform, including how AI gets embedded into product workflows
• Use AI tools deliberately as part of how you work, not just how you demo
• Review code, weigh in on design docs, and help raise the technical bar across the team

Skills

• You've spent 7+ years in professional software engineering, working across the stack
• You're proficient in JavaScript and TypeScript, with working proficiency in Python
• You've built customer-facing products — not primarily internal tooling or developer platforms
• You're comfortable moving across layers of the stack instead of staying in one
• You've worked in a fast-moving, high-growth environment where priorities shift as the product and customer base scale
• You have strong instincts for what 'production-ready' means in a compliance-critical, enterprise healthcare context
• You communicate clearly with product, design, and non-technical stakeholders
• You're open to being based in San Francisco (hybrid, in-office Mondays and Wednesdays) or Chicago (remote)
• Bonus points for experience with Java or Ruby (if you don't know Python, you're willing to learn it)
• Healthcare or pharmacy experience
• A track record at startups that scaled from 0 to 1 and beyond

Benefits

• Full medical, dental, and vision insurance for you and participation for your family
• 401(k) with Company Match — Plenful matches 50% of your first 3% contributed
• Equity — Every full-time employee shares in our success
• Unlimited PTO — Take the time you need, when you need it
• Daily Lunch Stipend — $100/week to cover your midday meals
• Wellness Stipend — $100/month to support your health and well-being
• Commuter Benefits — $100/month for SF and NYC-based employees
• Parental Leave — Paid leave to support growing families
• Flexible Hybrid Work Environment — We're remote-first, with meaningful office presence in San Francisco and New York. R&D roles follow a hybrid model, with two days per week in our San Francisco office

Company Overview