Posted today · be early
Senior Full Stack Engineer - Future Openings
Outlive
WorldwideremotePosted today
Skill Required
Software-EngineerFull-Stack-EngineeringMobile-DevelopmentWeb-DevelopmentHealth-TechnologySenior-Full-Stack-EngineeringFull-Stack-EngineerSenior-Fullstack-DeveloperSenior-Full-Stack-Engineer-(React-Node.Js)Full-Stack-Web-DeveloperFull Stack Developersoftware engineeringSystem DesignDesign PatternsReact NativeObservabilityGCPWeb AccessibilityEngineeringTypeScriptPlaywrightdevelopingdesigninganalyticsNext.jsNode.jsFirebasesecuritybuildingPostgreSQLOpenAPITestNGdesignDevOpsExpressJestFulltime
Key highlights
- Salary: $125,000–$200,000 USD
- Required experience: 6+ years of professional software engineering experience
- Fully employer-paid medical, vision, dental, life, short-term, and long-term disability insurance
- Must have strong experience across both frontend and backend development
- Company-issued technology and work-from-home stipend
- 401(k) with a 5% company match
Role overview
Outlive is translating the principles of Medicine 3.0 into a practical, evidence-based digital health platform focused on long-term risk reduction, personalized health intelligence, and sustainable behavior change. As a Senior Full Stack Engineer, you'll play a critical role in shaping and delivering product experiences across mobile, web, and backend services, owning features end-to-end—from user experience and data modeling to API design and deployment—while helping establish high engineering standards in a HIPAA-aware environment. This role is ideal for a senior engineer who is strongest in one area but highly capable and opinionated across the stack.
Responsibilities
- Own end-to-end implementation of product features spanning mobile (React Native / Expo), web (Next.js App Router), and backend services (NestJS / Node.js)
- Collaborate closely with product and design to translate complex health concepts into clear, usable experiences
- Drive technical decisions that balance speed, quality, and long-term maintainability
- Build and maintain shared UI and interaction patterns using Tamagui across mobile and web
- Implement mobile experiences using React Native (Expo), expo-router, TanStack Query, and offline/background sync patterns
- Build web experiences using Next.js (App Router) and React
- Integrate payments using Stripe.js and react-stripe-js
- Integrate frontend applications with custom authentication hooks backed by Firebase and backend identity services
- Consume and evolve REST APIs
- Implement analytics (PostHog), error tracking (Sentry), and accessibility best practices
- Write and maintain frontend tests using Jest, Vitest, React Testing Library, Playwright, and Detox as appropriate
- Design and implement backend services using NestJS (v11) and TypeScript
- Build secure, well-validated REST APIs using zod, class-validator, and OpenAPI
- Implement authentication and authorization using Google Identity JWT validation and role-based access control
- Model relational data using Prisma and Postgres (Cloud SQL)
- Implement async and background workflows using Google Cloud Tasks
- Integrate with external services such as OCR, scheduling APIs, and third-party data sources
- Ensure observability through structured logging, metrics, and Sentry
- Write unit and integration tests using Jest
- Act as a senior individual contributor, setting quality bars through code, reviews, and architectural decisions
- Partner closely with infrastructure and DevOps engineers to ensure reliable deployments
- Identify opportunities to simplify systems and reduce operational overhead
- Contribute to evolving engineering standards, patterns, and best practices
- Mentor mid-level engineers as the team grows
Requirements
- 6+ years of professional software engineering experience
- Strong experience across frontend and backend development
- Production experience with React (web and/or React Native)
- Strong experience with Node.js and TypeScript
- Experience designing and consuming REST APIs
- Solid understanding of relational data modeling and ORMs
- Strong grasp of authentication, authorization, and security fundamentals
- Comfort working in small teams with high ownership and autonomy
- Ability to lead or follow as the moment calls for
- Familiarity with design patterns of distributed systems
Nice to have
- Hands-on experience with React Native (Expo)
- Production experience with NestJS
- Familiarity with Google Cloud Platform
- Experience in healthcare, wellness, or other regulated domains
- Experience implementing offline-first or background processing features
- Strong accessibility and UX quality sensibilities
Benefits
- 100% employer-paid medical, vision, and dental insurance (multiple plans available)
- 100% employer-paid life insurance, short-term, and long-term disability insurance
- Employer-sponsored HSA contributions for HDHP medical plans
- Additional HSA and FSA spending account plans for employees
- 401(k) with a 5% company match
- Generous PTO and holiday schedule
- Company-issued technology and work-from-home stipend
- A chance to shape a product, and a company, from the ground up
- The opportunity to work at the forefront of health and longevity science with a team of world-class professionals dedicated to precision, mastery, and excellence
Additional details
- Outlive is translating the principles of Medicine 3.0 into a practical, evidence-based product that helps people change the trajectory of their health, grounded in the ideas Peter Attia has spent his career developing
- The product is a mobile-first digital health platform focused on long-term risk reduction, personalized health intelligence, and sustainable behavior change
- Join our candidate pool to be considered for future openings on our team!
- Note: We are not actively hiring for this role at this time. We are collecting candidate interest for future openings once we move forward with this position.
- We're in the earliest stages of building something that doesn't exist anywhere else. There are no templates. No inherited systems. The work requires people who want to solve first-principles problems and create frameworks built to last.
- Science and design sit at the center of everything—aiming to convey complex ideas with clarity and precision by pairing rigorous scientific thinking with thoughtful, intuitive design
- AI is part of how the team works—a tool that enhances judgment and craftsmanship, not a replacement for either
- The team is small, driven, and aligned around a shared goal: build something that meaningfully improves long-term health. They challenge ideas respectfully, expect clear reasoning, and operate with a bias toward action
- What success looks like in the first 6–12 months: ships meaningful product features end-to-end across mobile, web, and backend; improves consistency and quality across shared frontend patterns; strengthens API design, validation, and error handling; reduces friction between frontend and backend integration; raises the overall engineering bar through thoughtful execution and mentorship; measures and utilizes product metrics to drive real customer value
- Originally posted on Himalayas
