Senior Fullstack Engineer (Remote)

• Start date: ASAP
• Languages: Fluent English required
• Industry: SaaS / MedTech

About the Role

Pragmatike is recruiting on behalf of a fast-growing SaaS company building a modern healthcare platform used by medical professionals. As the product continues to scale, the engineering team is expanding to support increasingly complex integrations, security requirements, and platform reliability.

We are looking for a Senior Full Stack Engineer with strong backend expertise in NestJS to help design, build, and scale the core platform. This is a highly technical, hands-on role where you'll own backend architecture, develop reliable distributed systems, and collaborate closely with frontend and product teams to deliver high-quality features.

The ideal candidate has a strong product mindset, thrives in startup environments, and actively leverages AI-assisted development to improve engineering velocity while maintaining high code quality.

Your Responsibilities

Design, develop, and maintain scalable backend services using NestJS

Architect APIs, caching layers, queues, and distributed services for high-performance SaaS applications

Build and maintain integrations with third-party systems using REST APIs (SOAP experience is a plus)

Collaborate closely with frontend and product teams to deliver end-to-end product features

Improve application performance, reliability, scalability, and maintainability

Contribute to engineering best practices, code quality, and technical architecture decisions

Leverage AI-assisted development workflows to accelerate implementation, testing, and debugging

Take ownership of features from design through production in a fast-moving startup environment

Required Qualifications

5+ years of experience building production SaaS applications

Strong expertise with NestJS (mandatory)

Experience with Redis , caching strategies, and queuing systems such as RabbitMQ or equivalent

Strong experience with TypeORM

Good knowledge of Next.js and Tailwind CSS

Proven experience designing and integrating REST APIs

Experience building scalable backend systems with asynchronous architectures

Fluent English with strong communication skills

Ability to effectively use AI coding assistants to accelerate development and debugging workflows. Familiarity with open-source AI frameworks and modern coding assistants such as Claude Code, Cursor, GitHub Copilot, Codex, or similar is a MUST .

Ownership mindset with the ability to work independently in a remote-first environment

Preferred Qualifications

French language skills

Experience building Chrome Extensions

Background in MedTech or Healthcare SaaS

Knowledge of end-to-end encryption

Experience integrating SOAP services alongside REST APIs

Mobile development experience, particularly with React Native

Experience introducing AI-assisted or agentic development workflows across engineering teams

AI-First Engineering

AI is an integral part of the engineering workflow. During the interview process, we'll explore how you use AI in real-world software development, including:

We're looking for engineers who use AI as a force multiplier for software quality, productivity, and problem-solving, not simply as an autocomplete tool.

Why Join Us

Join a product-focused engineering team building technology that supports healthcare professionals

Take ownership of core backend systems and influence technical architecture

Work across modern backend infrastructure, frontend applications, and complex integrations

Help shape engineering best practices in a fast-growing startup environment

Collaborate with a highly technical, remote-first team focused on shipping high-quality software

Pragmatike is committed to a fair, transparent, and inclusive recruitment process. We do not discriminate based on age, disability, gender, gender identity or expression, marital or civil partner status, pregnancy or maternity, race, religion or belief, sex, or sexual orientation.

In accordance with GDPR, your personal data will be processed lawfully, fairly, and securely, and used solely for recruitment purposes, including sharing it with our client(s) for employment consideration.