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Staff Fullstack Engineer at Xella Health
Xella Health is a US-based startup building the first precision healthcare platform designed specifically for women, combining multi-omic testing with GenAI-powered interpretation and personalized care.
As a Staff Fullstack Engineer you will:
- Architect and maintain a scalable, HIPAA-compliant infrastructure using AWS or GCP
- Develop and document secure REST/GraphQL APIs for core services, data flows, and partner integrations
- Build a design system and reusable frontend components for patients, clinicians, and admins
- Lead deployment and DevOps processes, including CI/CD pipelines and infrastructure-as-code
- Design and integrate GenAI models for molecular interpretation, health education, and clinical triage
- Translate complex biological and clinical insights into elegant, accessible visualizations
- Collaborate cross-functionally with design, product, and clinical stakeholders to align on user needs and priorities
- Establish engineering best practices and mentor future team members as the team grows
You’ll be a great fit if you have:
- At least 6 years of experience as a fullstack engineer
- Direct experience in HIPAA environments, healthcare, LIMS, wellness, or telehealth
- Proficiency in React, TypeScript, and Node.js (NestJS) or Python (FastAPI), with SQL database experience
- Strong experience designing and maintaining cloud infrastructure (AWS/GCP), including DevOps, CI/CD, and monitoring
- Hands-on experience with authentication/authorization systems (Auth0, Firebase) and familiarity with HIPAA/SOC2 compliance best practices
- Exposure to AI/ML/LLM pipelines (building in-house or integrating APIs like OpenAI, LangChain)
- A proven track record of shipping secure, scalable, and elegant products from the ground up
Bonus points if you:
- Have experience on consumer-facing platforms in regulated or clinical environments
- Bring personal passion for women’s health, chronic conditions, or fertility care
Visa Sponsorship: Not Available
must have
React NodeJS SQL FastAPI AWS NestJS
nice to have
AI Machine Learning Firebase LLM
about : Xella Health Mission
Xella Health is building the first precision healthcare platform designed specifically for women. They combine multi-omic testing (genomics, proteomics, hormones, and more) with GenAI-powered interpretation, personalized education, and clinical coaching to deliver actionable insights and proactive care plans.
What they are solving:
Women make up over half the population, yet their most foundational biological needs are often overlooked in healthcare. Conditions like infertility, endometriosis, PCOS, and perimenopause are widely misdiagnosed, poorly managed, or ignored. Xella addresses this by combining advanced molecular sequencing with digital health/AI, giving women and clinicians access to more data than ever before in a way that is clinically actionable and supportive.
Why you’ll love working at Xella Health
The Xella Health team:
- Is mission-driven, working to transform women’s health from prevention to treatment.
- Operates at the intersection of biology, data, and technology.
- Is small, ambitious, and collaborative, with opportunities to shape a platform from the ground up.
- Builds meaningful products that directly impact the lives of millions of women.
- Offers a remote-first environment with autonomy, trust, and deep work.
