Fullstack Software & AI Engineering Lead (Medtech)

TL;DR

Fullstack Software & AI Engineering Lead (Medtech): Leading the end-to-end development of an AI-native imaging platform with an accent on .NET/React architecture and cloud-native scalability. Focus on designing multi-tenant SaaS systems, integrating AI services, and ensuring high-performance, secure delivery in a healthcare environment.

Location: Must be based in the United States (US-based role with US-specific benefits like 401k and E-Verify participation).

Salary: $140,000 - $180,000

Company

Mosaic Clinical Technologies is an AI-native platform transforming radiology from reactive diagnostics to proactive, decision-driven care.

What you will do

• Lead the end-to-end AI and software development lifecycle, ensuring robust architecture and technical execution.
• Design and build full-stack applications using .NET, C#, and modern frontend frameworks like React or Angular.
• Develop and scale microservices, containerized clusters, and AI-powered backend systems on AWS.
• Architect multi-tenant, SaaS-based, and configurable systems with a focus on security and scalability.
• Optimize system performance, reliability, and cost-efficiency while integrating AI tools into the SDLC.
• Provide technical leadership through code reviews, documentation, and the promotion of Agile practices.

Requirements

• Must be based in the United States.
• 5+ years of experience in software development with a focus on product or platform delivery.
• Strong hands-on expertise in C#, .NET 8/9+, and .NET Framework 4.8.
• Proficiency in modern frontend development using TypeScript and React, Angular, or Blazor.
• Deep knowledge of containerization (Docker) and orchestration (Kubernetes).
• Experience with AWS cloud services, CI/CD pipelines, and version control (Git/GitHub).

Nice to have

• Knowledge of healthcare standards such as HL7v2, FHIR, and DICOM.
• Experience with PostgreSQL, data modeling, and vector databases (RAG).
• Familiarity with AI frameworks like LangGraph or MCP.
• Understanding of secure software development (OAuth2, OIDC, Okta).

Culture & Benefits

• Competitive benefits package including health and wellness coverage.
• 401k retirement benefits.
• Flexible remote work schedules.
• Generous PTO plans and paid holidays.
• Annual discretionary bonus eligibility.
• Commitment to an inclusive, safe, and diverse work environment.