Careers

Build the operating software behind Symmvia.

Symmvia is building a doctor-first care platform. We are looking for a founding engineer who can ship product quickly, reason clearly about systems, and treat trust, permissions, and operational rigor as part of product quality.

This is not a marketing-site role. The work spans patient accounts, provider workflows, subscriptions, secure messaging, billing operations, and the first clinical systems layer.

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Senior role · full-time preferred · high-trust systems

Current opening

Founding Senior Full-Stack Engineer

A founding role for an engineer who wants ownership across product, backend architecture, and security-sensitive workflow design.

Role: Founding Senior Full-Stack Engineer
Scope: Patient, provider, and operations software
Model: Full-time preferred
Stack: Next.js, TypeScript, PostgreSQL, AWS, Stripe

Open role

What you will own

The next phase of Symmvia is deeper than a landing page. We are building the product surfaces patients, providers, and operations teams actually run on.

Core ownership

Build core product surfaces across patient accounts, provider workflows, subscriptions, billing operations, and admin tooling.
Design APIs, relational data models, integration boundaries, and background jobs for workflow-heavy product areas.
Implement authentication, RBAC, auditability, and secure messaging with hard clinical and support domain separation.
Help shape the first structured clinical systems layer for medications, allergies, problems, notes, and documentation primitives.
Raise the engineering bar across architecture, testing, observability, and delivery discipline.

First phase

What success looks like

Patient and provider authentication with strong access control
Workflow primitives for queues, booking state, and operational timelines
Secure dual-domain messaging and audit logging
Subscription controls and billing infrastructure that can hold up under real operations

Working style

Small team, direct decisions

Product and architecture decisions stay close to the code. The right candidate wants real ownership, clear standards, and a high-trust environment where system design decisions matter.

Architecture-heavyDirect founder collaborationWorkflow-rich product

Candidate profile

Who thrives here

We care more about ownership level than raw years. In practice, the right candidate usually has around five or more years of relevant experience, or unusually strong evidence of end-to-end ownership in a shorter period.

Required

Signals we need to see

Strong full-stack experience shipping production applications end to end
Deep TypeScript, modern React, and server-rendered web application judgment
Clear backend instincts around APIs, relational schema design, stateful workflows, and webhooks
Real experience with authentication, permissions, and software where trust and correctness matter
Comfort operating directly with a founder in an early-stage environment

Strongly preferred

Experience that maps especially well

Healthcare, fintech, identity, infrastructure, or another high-trust domain
HIPAA-aware or SOC 2-minded engineering discipline
PostgreSQL data-modeling strength for workflow-heavy systems
Experience with AWS, Stripe, secure messaging, or operational tooling
Exposure to clinical tooling concepts such as documentation workflows or interoperability boundaries

Not a fit if

You are primarily a UI-only engineer and do not want backend or data-model ownership.
You work best from tightly pre-scoped tickets and do not want ambiguous product and architecture decisions.
You treat compliance, permissions, or auditability as paperwork instead of system constraints.
You optimize for novelty over reliability and operational clarity.

Apply

How to apply

Send your materials to support@symmvia.com with the subject "Founding Senior Full-Stack Engineer."

Resume or LinkedIn
GitHub, portfolio, or relevant technical work samples
A short note on why this role is a fit
One example of a production system you built where trust, permissions, or workflow correctness mattered

Why join now

A meaningful systems problem at company-forming stage

Symmvia is still early enough that foundational decisions will shape the product and engineering standard for years. The upside of the role is not just shipping features. It is helping define the operational software and technical bar of the company.

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