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Hundred Health

Senior Full-Stack Engineer

Hundred Health, Sacramento, California, United States, 95828

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Get AI-powered advice on this job and more exclusive features. Join us in building the future of AI-Driven Health At Hundred Health, were on a mission to democratize precision medicine - using AI, advanced data science, and a seamless, cloud-native product experience to help everyone achieve their GHOAT ( Greatest Health Of All Time). Our fast-moving team thrives on impact, curiosity, and building real solutions that matter. The future of healthcare is being reimagined by teams who move quickly, iterate daily, and arent afraid to try bold approaches. If youre energized by real-world impact, rapid feedback loops, and solving technical challenges with the latest tools, youll thrive here.

The Opportunity: Hundred Health is scaling rapidly, with our protocol at the heart of our product and business. As we expand, we need a Senior

Full-Stack Engineer

who can drive the quality and speed of iteration for our AI services, and interface seamlessly with our robust, modern tech stack. Youll work closely with backend, front-end, product, and data teams to: Rapidly prototype, validate, and iterate on new AI-powered features and workflows that integrate deeply with our AWS-native backend and data pipelines Orchestrate and optimize the end-to-end flow of data - across our TRPC-powered Next.js API, our high-volume NestJS API for third-party integrations, and our core Postgres SQL and S3 storage layers Proactively surface and deliver improvements to the quality, reliability, and transparency of our AI and data-driven outputs Collaborate across disciplines to ensure AI capabilities are leveraged to their full potential across web and mobile experiences This is a hands-on, high-velocity engineering role-ideal for someone who wants to see their work shipped and improved every day.

What You'll Do: Design and launch a cross-platform application for iOS, Android, and Web. Own and optimize the integration of AI workflows into our cloud-native AWS backend, ensuring rapid, reliable, and secure operation at scale. Work closely with our Next.js (TRPC) and NestJS API layers to build and refine endpoints that serve both user-facing and high-volume, data-ingest needs. Design, deploy, and iterate on AI and agentic workflows that leverage data from our Postgres (AWS RDS) databases and S3 storage-driving rapid, continuous improvement. Develop and run automated test suites, evaluation sets, and performance scoring for AI models and outputs, always focusing on reliability and transparency. Collaborate with front-end and mobile engineers (React/Next.js, React Native) to ensure AI-powered features are delivered seamlessly to users. Explore and recommend new models, tools, and approaches to optimize for RAG (retrieval-augmented generation) and leverage strengths of current frontier AI technologies. Document processes and edge cases, and share learnings to help the entire team move faster and more confidently. Champion a culture of daily iteration and continuous improvement-from model selection and prompt engineering to real-world deployment.

What Success Looks Like: New AI features and protocols are launched and improved on a rapid, predictable schedule - integrated tightly with our backend architecture. Our AI outputs are accurate, explainable, and robust - supported by strong testing, data pipelines, and storage/retrieval best practices. Our engineering, data, and product teams are deeply aligned and empowered to innovate, iterate, and deliver value. Bottlenecks are resolved quickly, and new opportunities for leveraging data and AI are surfaced and implemented. The reliability and sophistication of our AI protocol becomes a signature strength of Hundred Healths platform.

The right person for the role is: Someone driven by health, fitness, health-tech and inspired to help millions reach their GHOAT A hands-on engineer with a passion for rapid iteration and building systems that ship and improve every day. Skilled at integrating AI workflows with cloud-native architectures-especially AWS, scalable APIs (TRPC/Next.js, NestJS), Postgres, and S3. Experienced in: Understanding and leveraging the strengths of current-generation AI models, especially in healthcare Advanced prompt engineering, context management, and evals Using RAG and agentic workflows, with a focus on output quality and reliability is a plus Knowledgeable of software development approaches like DDD Knowledgeable of AWS as a developer Comfortable collaborating with front-end (React/Next.js) and mobile (React Native) engineers to deliver end-to-end solutions A strong communicator-able to document, share, and advocate for technical improvements across disciplines Energized by impact, motivated by curiosity, and committed to building systems that matter for real users Experience designing and architecting scalable, maintainable software systems Deep down you are a builder

Why Join Hundred Health: Your work is foundational:

Youll define the future of our AI and data-driven health protocols. Real freedom and ownership:

Minimal bureaucracy; if you have an idea, make it happen. Competitive salary, equity, and full benefits

(health, dental, vision, wellness perks). Remote-friendly, flexible culture:

Work where youre most productive. Build something extraordinary:

Help us change the future of health.

How to Apply: Send your resume - and, more importantly, why you want to work here: A portfolio, repo, or brief write-up of why you think you're the right person for the job A short note about what excites you about this role and what youd like to build with us Ready to build something extraordinary? Apply Here and message us at: careers@hundred.com Seniority level

Seniority level

Mid-Senior level Employment type

Employment type

Full-time Job function

Job function

Engineering and Information Technology Industries

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