Metric Tree Labs is hiring for our client — a US-based healthcare AI startup founded by Harvard Business School & UC Berkeley alumni. Their platform helps hospitals and clinical research teams find and engage patients for clinical trials: it connects to EHR systems, screens patient records against trial criteria using AI, and powers patient outreach through AI-driven SMS and voice calls. This is a live product on AWS with real customers. You'll work directly with the founder and a small engineering team, owning features end to end — from customer requirements through deployment and production support. What you'll build Product workflows for trial setup, patient screening, and eligibility review EHR integrations (Epic, e Clinical Works, athenahealth, Onco EMR) — authentication, bulk exports, recurring sync Reliable data pipelines — queues, workers, retries, and failure recovery at scale AI workflows — document parsing, patient matching, LLM-powered SMS and voice screening The stack: Type Script, Node.js (Nest JS), Next.js/React, Postgre SQL (+pgvector), AWS (SQS, ECS Fargate, CDK),



FHIR R4/HL7, Open AI APIs, Twilio, Eleven Labs What we're looking for5–6 years building production web applications, with clear examples of features or services you personally owned Robust Type Script/Node.js backend skills; hands-on React and Next.js Solid SQL and data modeling; experience with async processing, queues, or data pipelines Practical AWS and Docker deployment and debugging experience AI-native engineer — daily use of AI coding tools (Claude Code, Copilot, Cursor) with the judgment to ship AI-assisted code at production quality Strong pluses Healthcare software experience — EHR/EMR systems, clinical records, or FHIR/SMART/HL7 integrations Experience handling PHI within HIPAA or SOC 2 environments LLM APIs in production — structured outputs, retrieval, evaluation, cost/latency management Details: Full-time, dedicated engagement through Metric Tree Labs Remote (India) · 3–4 hou

📌 Senior Full Stack Engineer (Nellore)
🏢 Metric Tree Labs
📍 Nellore