Senior Fullstack Engineer (Remote)
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Key skills for this role
About the Role
Pragmatike is recruiting a Senior Full Stack Engineer for a SaaS/MedTech company. The role requires strong backend expertise in NestJS to design, build, and scale the core platform.
Key Skills for This Role
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
- 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
Requirements
- 5+ years of experience building production SaaS applications
- Strong expertise with NestJS (mandatory)
- Experience with Redis, caching strategies, and queuing systems such as RabbitMQ
- Strong experience with TypeORM
- Good knowledge of Next.js and Tailwind CSS
- Proven experience designing and integrating REST APIs
- Experience building scalable backend systems with asynchronous architectures
- Fluent English with strong communication skills
- Ability to effectively use AI coding assistants to accelerate development
- Ownership mindset with ability to work independently in a remote first environment
Full Job Posting
About The Role
- Pragmatike is recruiting on behalf of a fast growing SaaS company building a modern healthcare platform.
- 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.
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
Required Qualifications
- 5+ years of experience building production SaaS applications
- Strong expertise with NestJS (mandatory)
- Experience with Redis, caching strategies, and queuing systems such as RabbitMQ or equivalent
- Strong experience with TypeORM
- Good knowledge of Next.js and Tailwind CSS
- Proven experience designing and integrating REST APIs
- Experience building scalable backend systems with asynchronous architectures
- Fluent English with strong communication skills
- Ability to effectively use AI coding assistants to accelerate development and debugging workflows
- Ownership mindset with the ability to work independently in a remote first environment
Preferred Qualifications
- French language skills
- Experience building Chrome Extensions
- Background in MedTech or Healthcare SaaS
- Knowledge of end to end encryption
- Experience integrating SOAP services alongside REST APIs
- Mobile development experience, particularly with React Native
- Experience introducing AI assisted or agentic development workflows across engineering teams
AI First Engineering
- AI is an integral part of the engineering workflow.
- We're looking for engineers who use AI as a force multiplier for software quality, productivity, and problem solving.
Why Join Us
- Join a product focused engineering team building technology that supports healthcare professionals
- Take ownership of core backend systems and influence technical architecture
- Work across modern backend infrastructure, frontend applications, and complex integrations
- Help shape engineering best practices in a fast growing startup environment
- Collaborate with a highly technical, remote first team focused on shipping high quality software
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