Job Description
Senior Full Stack Software Engineer: Telehealth + Ecommerce (Startup, High Ownership, AI-Forward)
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About the Role
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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.
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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.
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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.
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What You’ll Work On
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1. Building New Features
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- 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
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2. Stabilizing & Improving the Existing Platform
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- 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
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3. Creating Engineering Structure
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Define and implement:
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Development workflows
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Code quality standards
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Definition of Done
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- Automated testing practices
- Bring consistency across frontend, backend, and APIs
- Improve how the team delivers, not just what it builds
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What We’re Looking For
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Leadership & Ownership
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- You take responsibility for outcomes
- You can set direction without overcomplicating things
- You introduce structure that increases speed
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Execution & Business Thinking
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- 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
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Technical Judgment
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- 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
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AI & Development Style
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We move fast and use AI to do it. We are looking for someone who can:
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- 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
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Technical Skills
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Core Stack
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- 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
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Software Engineering Skills
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- 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
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Security & Compliance
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- 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
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Success Criteria
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You’ll know you’re succeeding when:
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- 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
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Why Join
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- 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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