Company Description Astrello provides the intelligence layer that powers ACOs, independent physician groups, and value-based care networks. The company focuses on real-time patient data, automated quality reporting, and tools that help care organizations drive shared savings at scale. Astrello’s technology is designed to make complex healthcare data accessible and actionable for clinical and operational teams. By enabling smarter decisions at the point of care, Astrello supports better outcomes for patients and more efficient performance for provider organizations.

Full Stack Developer — Chrome Extension / Healthcare Tech

Role Level: This is a lead-level role, not a purely individual-contributor position. The successful candidate will both develop hands-on and lead a small team of engineers. Not suited for entry level or new graduate candidates.

What You'll Do

• Lead and mentor a small team of engineers, balancing hands-on development with team direction.
• Build and maintain full stack features using Next.js, React, TypeScript, and Node.js.
• Develop REST APIs and backend services with role based access control and HIPAA compliant audit logging.
• Design and optimize PostgreSQL databases using Prisma ORM.
• Build and maintain a Chrome Extension using Manifest V3 that integrates directly with web based EHR systems.
• Develop and maintain Firebase Cloud Functions and other serverless backend services.
• Work across PostgreSQL, Firestore, and BigQuery to support operational and analytical workflows.
• Collaborate with cross functional teams to deliver patient management, reporting, and analytics features.
• Debug and troubleshoot issues across frontend, backend, browser extension, database, and cloud environments.
• Ensure application performance, reliability, scalability, and security when handling Protected Health Information.
• Participate in code reviews and contribute to maintaining a high quality TypeScript codebase.

Required Skills

• 4+ years of professional software development experience. This is not an entry level or new graduate position.
• At least 1 year of experience leading or mentoring a small development team or group — this role is not purely an individual contributor position.
• Strong experience with TypeScript.
• Strong experience building applications with React and Next.js.
• Experience building full stack applications with Node.js.
• Experience developing Chrome Extensions using Manifest V3.
• Experience with Prisma ORM.
• Strong SQL skills and experience with PostgreSQL or other relational databases.
• Experience designing and building REST APIs.
• Experience with Firebase Cloud Functions or other serverless platforms.
• Experience debugging complex issues across frontend, backend, database, and browser environments.
• Experience working with both SQL and NoSQL databases.
• Strong problem solving skills and attention to detail.
• Excellent communication and collaboration skills.

Nice to Have

• Experience with BigQuery and data analytics pipelines.
• Experience integrating LLMs such as Claude, OpenAI, or Gemini.
• Experience building speech to text or AI powered workflows.
• Experience with healthcare technology, including EHR integrations.
• Experience with Firebase, Google Cloud Platform, and Firestore.
• Familiarity with Rust for performance sensitive components, browser tooling, or systems programming.
• Familiarity with HIPAA compliance and secure handling of healthcare data

Pay: From $80,000.00 per year

Benefits:

• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Parental leave
• Vision insurance

Application Question(s):

• Do you have professional experience building a Chrome Extension using Manifest V2 or V3?
• How many years have you spent in a role that included leading, mentoring, or directing other engineers?
• Have you worked on software handling PHI or in a HIPAA-regulated environment?

Work Location: Remote