Piper Companies is seeking a Senior Fullstack Software Engineer to join a fast-growing healthcare technology startup. The Senior Fullstack Software Engineer role is ideal for an experienced engineer with deep expertise in React and Node.js (TypeScript), strong cloud experience in AWS, and a passion for building AI-native products that ship to production and deliver real-world impact.

Responsibilities of the Senior Fullstack Software Engineer:

• Design, build, and maintain fullstack applications using React, Node.js, and TypeScript.
• Develop and scale backend services and APIs leveraging AWS cloud infrastructure.
• Work with PostgreSQL to design, optimize, and maintain reliable data models.
• Build and ship AI-enabled features, integrating modern AI tools and workflows into production systems.
• Collaborate closely with product, design, and engineering teammates in an agile startup environment.
• Participate in architecture discussions and technical decision-making as the platform scales
• Engage with local teammates through in-person meetups in the Washington, D.C. area while working remotely day to day.
  
  

Qualifications of the Senior Fullstack Software Engineer:

• 5+ years of professional software engineering experience in a fullstack role.
• Strong hands-on experience with React and Node.js using TypeScript.
• Proven experience deploying and scaling applications in AWS.
• Solid understanding of relational databases, specifically PostgreSQL.
• Demonstrated passion for AI-native development, with experience shipping AI-driven features into real production environments.
• Comfortable working in a startup environment with evolving requirements and high ownership.
• Ability to work remotely while being local to the Washington, D.C. area for periodic team meetups.
  
  

Compensation for the Senior Fullstack Software Engineer includes:

• Salary range: $170,000 - $180,000 (depending on experience)
• 100% employer-paid healthcare coverage for the employee, Unlimited PTO, 4% 401(k) matching
• Fully remote work with local D.C. area collaboration
  
  

This job opens for applications on 6/26/2026. Applications for this job will be accepted for at least 30 days from the posting date.