Senior Full-Stack Engineer

🕒 September 23

🌐 United States, Brazil – Remote

🇺🇸 United States – Remote 🇧🇷 Brazil – Remote

💵 $175k - $200k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

👻 Ghost score 19%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Ascertain

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2022

🏥 Healthcare

💼 Consulting

🤖 Artificial Intelligence

💰 $10M Series A - Ascertain on 2025-04

Healthcare • Consulting • Artificial Intelligence

Ascertain is an agentic AI-powered healthcare operations platform that automates administrative workflows such as prior authorizations, eligibility verification, referral processing, discharge planning, and denials management. Designed for provider groups, health systems, and payers, Ascertain ingests unstructured data, automates forms, integrates with legacy systems, and includes human-in-the-loop review and traceability to improve approval rates, reduce administrative burden, and accelerate patient access while demonstrating ROI in weeks.

📋 Description

• Own product features end-to-end, from design through production • Build user-facing experiences in React and TypeScript • Design and ship backend services with Python and FastAPI • Partner with product, design, and engineering peers to turn ambiguous problems into shipped software • Raise the bar in code review and help shape engineering practices • Improve development processes, including testing, CI/CD, and observability

🎯 Requirements

• 5+ years of strong full-stack experience with Python (FastAPI or similar) and TypeScript with React • Comfort designing schemas and writing non-trivial SQL against relational databases • Working knowledge of Docker and CI/CD pipelines • Familiarity with Redis, queueing systems, or other parts of a modern production stack • Experience building and operating production systems in a cloud environment, especially GCP • Ability to communicate clearly in English, written and verbal • Background in ambiguous, early-stage environments with ownership and limited scaffolding • Meaningful overlap with U.S. Eastern business hours during the workday • Experience in regulated environments and a security-minded approach to design is nice to have • Infrastructure-as-code experience with Terraform is nice to have

🏖️ Benefits

• Competitive salary • Meaningful equity • Comprehensive health insurance • Work directly with the latest advancements in generative AI and automation • Significant opportunities for career advancement • Collaborative, talented, passionate, and supportive team • Work that directly impacts healthcare organizations and improves patient care

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