Senior Full-Stack Engineer -Database-Focused (Remote)

 

Help us build and scale data-driven systems that make a difference.

We’re looking for a Senior Full-Stack Engineer who is deeply passionate about databases—specifically PostgreSQL—and excited to help refactor, optimize, and scale our data architecture. While strong backend skills in Node.js are highly desired, your ability to bring structure, performance, and insight to our data layer is what will set you apart.

Keep reading to learn more about the role, our team, and why this is an exciting opportunity for someone who thrives at the intersection of full-stack development and robust database design.

About the Role
As a Senior Full-Stack Engineer with a specialization in PostgreSQL, you will be the go-to person for improving and maintaining our database infrastructure. You’ll also support API development, data modeling, and backend services using Node.js, and—if you’re comfortable—contribute to our frontend stack as well. This role is perfect for someone who finds joy in writing elegant queries, improving schema design, and helping the team ship production-ready features faster using smart, scalable practices.

What You’ll Do

• Design, refactor, and optimize PostgreSQL database schemas, queries, and indexes to support scalable application growth
• Lead and contribute to backend development using Node.js and Typescript
• Collaborate with product and engineering teams to architect data flows and APIs that meet business needs
• Proactively identify performance bottlenecks and implement database best practices
• Use AI-powered tools to enhance productivity, improve code quality, and accelerate development workflows
• Optionally contribute to the frontend (React/Typescript) if you’re full-stack inclined
• Share your expertise by mentoring teammates in clean database architecture and backend engineering best practices

About You

• 5+ years of experience as a full-stack or backend engineer
• Demonstrated mastery in PostgreSQL: schema design, optimization, migrations, complex query writing
• Strong backend development skills with Node.js and Typescript
• Experience designing, building, and scaling APIs
• Familiarity with using AI tools (e.g., Copilot, ChatGPT, Tabnine) in development workflows
• Strong attention to detail, with the ability to balance long-term architecture with immediate product needs
• Bonus: Experience with frontend frameworks (React) and a love for end-to-end ownership

Why You’ll Love Working With Us

• You’ll be solving meaningful problems that impact real users
• You’ll join a culture that respects deep expertise and encourages ownership
• You’ll work in a fast-paced, collaborative environment where ideas are welcome and growth is continuous
• You’ll be part of a team that values high standards, clear communication, and supportive mentorship

About the Product, Design, Engineering Team

At House Rx, we're driven by something special: making specialty medications more accessible and affordable. Our 25+ person product, design, and engineering (PDE) team, part of our broader 125+ person company, creates technology that helps patients access the life-saving drugs they need. We bring our hearts and minds to this meaningful work, fostering a caring, dedicated, and supportive environment.

Here's our amazing team that builds healthcare technology that matters:

• Software Engineering: 10 engineers+ from early career to staff/architect level
• Product & Design: 3 product managers, 1 designer
• Infrastructure: 2 IT specialists, 2 security engineers, 2 SREs
• Quality & Support: 3 QA engineers, 2 support specialists

Together, we build and maintain impactful solutions through our pharmacy management system and data insights platform. These tools enable our internal teams — pharmacists, care coordinators, and clinical operations — to streamline medication access, while helping external healthcare providers and clinics deliver better patient care.

Our engineering work presents exciting technical challenges as we balance user-facing features with robust internal systems. We release updates daily, requiring thoughtful prioritization and technical excellence while maintaining high quality. This iterative approach means we're constantly innovating to deliver meaningful improvements to our healthcare platform.

We're a fully remote team, with our talented people spread across New York, Boston, San Francisco, and throughout the U.S. While we embrace the flexibility of remote work, we're passionate about strengthening connections through our bi-annual retreats — both company-wide and PDE-specific — where we plan, grow, and celebrate our succe