Senior Full Stack Software Engineer

About the role

You will own the end to end delivery of complex features that define the future of outpatient therapy software. You will partner with clinical and operational stakeholders to translate ambiguous healthcare problems into robust technical solutions. You will shape the engineering roadmap by influencing strategy and defining product architecture for scalable and maintainable systems. You will mentor engineers across the stack, elevating the entire team through code reviews, technical guidance, and thoughtful retrospectives. You will ensure that every feature released meets the highest standards of reliability, security, and compliance for a healthcare environment. You will participate actively in design reviews and product ceremonies to align technical decisions with evolving business needs. You will conduct technical interviews to assess senior level talent and help build a high performing engineering culture. You will take ownership of the full lifecycle of your work, from initial discovery through deployment and ongoing optimization in production.

Key facts

What you'll do

Architect and implement new features for the Prompt Therapy Solutions Inc. product suite from initial concept through production deployment.

Translate complex business requirements into technical specifications that guide development and ensure alignment with enterprise standards.

Oversee engineering grooming sessions and refine backlog items to enable accurate estimation and efficient delivery.

Mentor up and coming engineers by providing hands on guidance, code reviews, and constructive feedback on implementation details.

Lead technical design reviews and contribute to product retrospectives to drive continuous improvement of the codebase and processes.

Participate actively in code review processes to maintain high quality, readability, and long term maintainability of the software.

Conduct technical interviews for senior and mid level candidates to assess both technical depth and cultural fit within the team.

Collaborate with cross functional stakeholders to identify new challenges in outpatient therapy and prioritize solutions that reduce waste and improve care.

Ensure technical decisions support scalability, performance, and compliance requirements inherent in healthcare software.

Champion smart work practices by owning your workload and focusing on sustainable, high impact delivery without unnecessary overtime.

Engage in ongoing learning and exploration of technologies that can enhance the rehab therapy experience for patients and clinical teams.

Support the migration and modernization of legacy workflows into streamlined digital experiences that reduce paper and administrative burden.

Verify that implemented features meet acceptance criteria and are validated through testing, observation, and feedback from real users.

Contribute to the long term product vision by identifying opportunities to differentiate Prompt in a rapidly evolving healthcare market.

Requirements

You bring a minimum of 5 years of professional software development experience with a strong focus on full stack web technologies.

You possess excellent communication skills and can comfortably articulate technical decisions, tradeoffs, and rationale to both technical and non technical audiences.

You have a genuine desire to contribute to the growth of the product, the engineering team, and the strategic direction of Prompt Therapy Solutions Inc.

You have a working knowledge of the technologies listed in the technology section, or equivalent experience in other modern stacks.

You have prior enterprise engineering experience, with a track record of building systems that handle real world scale and constraints.

You have experience working with model view controller (MVC) architectures and understanding of separation of concerns within web applications.

You are comfortable working in a fast moving, agile environment where priorities can shift based on clinical and operational needs.

You understand the importance of maintaining a healthy work culture and you align with the philosophy of smart work over hard work for sustainable productivity.

Nice to have

Experience contributing to open source projects or public repositories that demonstrate engineering best practices.

Familiarity with healthcare workflows, clinical documentation, or revenue cycle concepts in outpatient therapy settings.

Exposure to regulatory considerations such as privacy, security, and data integrity common in healthcare software.

Experience with automated testing strategies, including unit, integration, and end to end testing for critical user workflows.

Background in performance optimization and monitoring for web applications serving high concurrency.

Practical notes

This role is full time and remote, with no expectation of office attendance.

You are expected to work during U.S. business hours to facilitate collaboration and timely communication.

There are no time tracking tools required; emphasis is placed on output and measurable contributions.

The hiring process is designed to be efficient, with timely communication and clear expectations at each stage.

Your first quarter of work will focus on delivering production grade features that are integrated into the live product.

Technology

Please have a working knowledge of PHP, Laravel, Vue.JS, and MySQL or any equivalent such as Ruby, Node.JS, React, Angular, Ember, Postgres, MSSQL, or similar enterprise capable technologies.

The role requires a heavy contribution to codebases, and is not intended for engineering managers at this time, though growth opportunities may become available in the future.

Perks

What you can expect

Competitive salaries designed to reward impact and expertise.

A remote or hybrid environment that provides flexibility and supports a healthy work life balance.

Potential equity compensation for outstanding performance and long term contribution to the company.

Flexible paid time off to support rest, recovery, and personal commitments.

Company sponsored lunches to foster team connection and collaboration.

Company paid disability and life insurance benefits to provide financial security.

Company paid family and medical leave to support major life events and health needs.

Comprehensive medical, dental, and vision insurance benefits for you and your dependents.

Discounted pet insurance to help extend care to your companions.

FSA/DCA options and commuter benefits to reduce taxable income and support daily travel.

A 401k plan with company match to support long term financial goals.

Complimentary subscription to digital fitness classes and wellness content for holistic health.

A recovery suite at headquarters that includes a cold plunge, sauna, and shower for physical recovery.

FAQ's

You might want to know...

Do I have to come to an office to do a job that is accomplished on a computer?

No. This is a 100% remote position. Wear sweatpants, put your feet up, listen to music, whatever you fancy is.

Will I be working with a manager who has minimal insight into the complexities of engineering?

No. Come join our team of highly skilled and proven engineers who understand the nuances of building reliable software.

Do I have to install a time tracker on my computer because you do not trust my work ethic?

No. Prompt employees work around U.S. business hours in order to promote collaboration and communication. You are expected to be present and responsive within reason, and output is valued over hours logged.

Will I be working on tedious projects that never make it to production?

No. We do not have time to waste, and your work in the first quarter here will be integrated into the live product, we 100% guarantee it.

Will the hiring process be dragged out?

No. You will hear back quickly and the interviewing process is efficient and effective to respect your time.

Is Prompt growing quickly?

Yes. Over the past several years Prompt has rapidly emerged from a successful startup to the new industry standard in rehab therapy software, providing EMR 2.0 technology that handles every aspect of running a rehab therapy practice, optimizing and automating each role in the business.

Here at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their explicit consent.