Job Description

Senior Full Stack Software Engineer: Telehealth + Ecommerce (Startup, High Ownership, AI-Forward) 

About the Role 

Enhance.MD is a telehealth company operating two consumer platforms: one providing GLP-1 weight management and longevity care, the other focused on women's health and biomarker-driven care. We’re a fast-paced startup building a team of passionate, self-starting, talented individuals who want to contribute to the telehealth + ecommerce space. 

We're bringing this role in-house to take direct, hands-on ownership of that codebase from our outside development team. You'll be the person who actually knows how the system works: everything from product SKUs, intakes, orders, subscriptions, dashboards, and the AI features layered on top of them. You will continue to build and ship new ecommerce and AI-powered features while maintaining what is already live for real patients. 

This is an individual contributor role. You won't be managing a team, but you will be trusted with real architectural judgment: knowing when to refactor and when to take a new approach – your ideas are welcome and will be relied on for decision making. 

What You’ll Work On 

1. Building New Features 

• Work alongside Product and Marketing teams to scope and prioritize high impact features 
• Design and implement a clean, scalable patient-facing featuring 
• Work within the core systems across ecommerce + telehealth workflows 
• Deliver strong foundations (APIs, data models, services) where they are missing 
• Integrate AI-powered features into real product workflows 

2. Stabilizing & Improving the Existing Platform 

• Work across a live system with real users and real complexity 
• Debug issues across services, data flows, and integrations 
• Partner with customer support and operations to resolve dev-related issues quickly 
• Identify root causes behind recurring issues and reduce requests through systemic fixes 

3. Creating Engineering Structure 

Define and implement: 

Development workflows 

Code quality standards 

Definition of Done 

• Automated testing practices 
• Bring consistency across frontend, backend, and APIs 
• Improve how the team delivers, not just what it builds 

What We’re Looking For 

Leadership & Ownership 

• You take responsibility for outcomes 
• You can set direction without overcomplicating things 
• You introduce structure that increases speed 

Execution & Business Thinking 

• You can translate business priorities into shipped features 
• You are able to effectively communicate with non-technical business partners 
• You understand that shipping matters more than perfection Strong analytical mindset: you break down problems, identify root causes, and make data-informed decisions 
• Business-aware: you understand tradeoffs between speed, cost, and impact, and prioritize accordingly 
• You think beyond single tasks: you understand how your work affects the business, operations, and customer experience 

Technical Judgment 

• Strong system design and architectural thinking 
• Comfortable working in evolving, imperfect environments 
• Able to push back on requirements when needed, clearly communicating tradeoffs and impact 
• Forward-thinking as you anticipate downstream effects and avoid decisions that create unnecessary complexity or risk 
• Comfortable calling out when a solution is too costly, too fragile, or negatively impacts other parts of the system, and proposing better alternatives 

AI & Development Style 

We move fast and use AI to do it. We are looking for someone who can: 

• Be comfortable using a variety of AI tools, open to adopting new ones 
• Know when to prototype quickly versus apply engineering rigor 
• Be excited about using AI to improve both development speed and product capabilities 

Technical Skills 

Core Stack 

• Microservices Architecture - FastAPI (Python) and ASP.NET Core (C#) 
• UI - React/NextJS, TypeScript 
• Backend Databases: Redis, PostgreSQL 
• Cloud Environment: GCP, Container Apps, IaaC (TF), GitHub Actions 
• AI Development: Azure Foundry with Azure OpenAI, Microsoft Agent Framework 
• AI Native Development Practices: Includes Skill development, AI Agent Development, Obsidian AI Brain 

Software Engineering Skills 

• You understand of Microservices architecture and multi-tenant platform design 
• You understand pub-sub and eventual consistency models 
• You understand DDD (Domain-Driven Design) and Software Architecture principles such as ACL (Anti-Corruption Layer), Events-Driven design, Ports & Adapter design 
• You understand AI-native development and can develop AI agents and skills to assist in daily workflows 
• You understand the 12 Factor Framework for Software Development 
• Nice to have: experience working with Saleor 

Security & Compliance 

• Experience or strong awareness of: HIPAA / healthcare data handling 
• Data privacy and security best practices 
• Understands how to: Handle sensitive data safely 
• Make pragmatic tradeoffs between speed and compliance 
• Design secure systems without over-engineering 

Success Criteria 

You’ll know you’re succeeding when: 

• Work is delivered with clarity, minimal rework, and aligned to business priorities 
• The new platform is being built cleanly and efficiently 
• The existing system becomes more stable and easier to work with 
• Architecture becomes simpler over time 
• Engineering workflows, standards, and testing are clearly defined and adopted 
• The team ships faster with fewer regressions 

Why Join 

• High ownership and high impact as you shape both the system and the team 
• Ability to closely work with business stakeholders and impact the direction of development 
• Work on real-world complexity across healthcare, ecommerce, and AI 
• Direct influence on architecture, standards, and product direction 
• A team that values speed, pragmatism, and getting things done 

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