Phoenix, Arizona, United States · Hybrid
Job DetailsJob Location: USA Managed Care Organization Phoenix - PHOENIX, AZ 85020Position Type: Full TimeJob Category: EducationSenior Full-Stack Engineer Early-stage startup · Hybrid — Phoenix · Ful…
Skills: TypeScript, React, Node.js, PostgreSQL, Fastify
Phoenix, Arizona, United States • Hybrid
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
The engineer will own end-to-end feature development from the React UI and Fastify APIs to the Postgres data model. They will also be responsible for hardening the platform's foundations, including tenant isolation, test coverage, and CI/CD pipelines.
Requires 6+ years of full-stack experience with strong proficiency in TypeScript, React, and Node.js. Candidates must have deep PostgreSQL knowledge and experience with multi-tenant data isolation and cloud deployments.
Job DetailsJob Location: USA Managed Care Organization Phoenix - PHOENIX, AZ 85020Position Type: Full TimeJob Category: EducationSenior Full-Stack Engineer
Early-stage startup · Hybrid — Phoenix · Full-time ·
About us
We're an early-stage startup building a multi-tenant SaaS platform for regulated and public-sector customers.
The role
We're building a multi-tenant platform on Google Cloud, and we need a senior full-stack engineer who can own features end-to-end—from the React UI, through tenant-aware Fastify APIs, down to the Postgres data model—and who helps harden the foundations as we grow: tenant isolation, test coverage, and our CI/CD safety net. You'll join a small, high-ownership team where your architectural decisions stick. Compliance is part of the landscape here (audit trails, access controls, regulated customers), so you'll build with that in mind—but this is a broad full-stack role, not a single-domain specialty.
What you'll do
Build features end to end—Postgres schema and Prisma models, Fastify APIs, and the React UI that consumes them.
Design and evolve our multi-tenant data model and access controls (Postgres RLS, role-based permissions) with isolation we won't regret in two years.
Use Zod and strong typing throughout to keep API contracts and runtime validation honest.
Own features through to production on Google Cloud Run, including observability and debugging in a live environment.
Raise the quality bar: grow automated test coverage (Vitest, Playwright) and wire quality gates into CI/CD.
Review PRs, mentor, and help set technical direction as the team grows.
Bring a modern approach to end-to-end testing.
Be comfortable with AI-assisted development and help build out agents to increase team productivity.
What you bring
6+ years building production web applications full-stack, with meaningful time as a senior or staff engineer.
Strong TypeScript across both front end and back end—equally at home in a React component and a backend service.
Solid React (hooks, modern patterns) with a fast build toolchain (Vite or equivalent).
Server-side Node.js with Fastify, Express, NestJS, or similar—API design and architecture.
Strong PostgreSQL and data-modeling instincts, plus an ORM (Prisma ideal) and migrations at scale.
A feel for multi-tenant data isolation—row-level security, tenant-scoped access, the common footguns.
Good judgment on trade-offs: schema-per-tenant vs. row-level isolation, build vs. buy, where to draw the line on abstractions.
Comfort with Docker for local development.
Clear communicator who writes things down.
Nice to have
FedRAMP or equivalent regulated experience (FedRAMP Moderate/High, DoD IL4+, NIST 800-53)—and a working sense of what those controls mean for how you write code.
PostgreSQL depth—RLS and multi-tenant patterns.
Multi-tenant identity depth—OIDC, SAML, SSO, MFA, session handling (helpful, not the focus of the role).
Tailwind CSS, TanStack Query / React Query, Firebase / Google Identity Platform auth.
Google Cloud (Cloud Run, Cloud Storage) and GitLab CI/CD.
Background in compliance, GovCon, or other regulated/document-heavy domains.
Our stack
Backend: TypeScript · Node.js 22 · Fastify · Prisma · PostgreSQL · Zod · Pino
Frontend: React 18 · TypeScript · Vite · React Router · React Query · Tailwind CSS · Axios
Infra: Docker · GitLab CI · Google Cloud Run · Google Cloud Storage · Nginx · pnpm monorepo
Auth: Firebase / Google Identity Platform · session-based RBAC
Testing: Vitest · React Testing Library · Playwright
What we offer
Competitive salary
Health, dental, and vision insurance
PTO and 401(k)
A small team, real ownership, fast decisions
Hybrid role based out of our Phoenix office
401(k)
401(k) matching
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Parental leave
Retirement plan
Vision insurance
Confidential (Required)
Work Location: Hybrid remote in Phoenix, AZ 85020
QualificationsNice to have
FedRAMP or equivalent regulated experience (FedRAMP Moderate/High, DoD IL4+, NIST 800-53)—and a working sense of what those controls mean for how you write code.
PostgreSQL depth—RLS and multi-tenant patterns.
Multi-tenant identity depth—OIDC, SAML, SSO, MFA, session handling (helpful, not the focus of the role).
Tailwind CSS, TanStack Query / React Query, Firebase / Google Identity Platform auth.
Google Cloud (Cloud Run, Cloud Storage) and GitLab CI/CD.
Background in compliance, GovCon, or other regulated/document-heavy domains.
Our stack
Backend: TypeScript · Node.js 22 · Fastify · Prisma · PostgreSQL · Zod · Pino
Frontend: React 18 · TypeScript · Vite · React Router · React Query · Tailwind CSS · Axios
Infra: Docker · GitLab CI · Google Cloud Run · Google Cloud Storage · Nginx · pnpm monorepo
Auth: Firebase / Google Identity Platform · session-based RBAC
Testing: Vitest · React Testing Library · Playwright
What we offer
Competitive salary
Health, dental, and vision insurance
PTO and 401(k)
A small team, real ownership, fast decisions
Hybrid role based out of our Phoenix office
401(k)
401(k) matching
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Parental leave
Retirement plan
Vision insurance
Confidential (Required)
Work Location: Hybrid remote in Phoenix, AZ 85020
The National Networks of Choice.
Created in 1984, USA Managed Care Organization (USA MCO) is the largest privately held self-developed PPO in the US. USA MCO has over 535,000 contracted group health PPO provider sites, 250,000 provider locations in our workers' compensation PPO, and 285,000 provider offices participating in our motorist medical injury PPO. USA MCO also has Centers of Excellence Network with 30 contracted facilities. In addition, USA MCO owns a TPA for health claims. USA MCO is the first and only PPO to be awarded network accreditation by JCAHO, and we did it 3 times! In 1992, USA MCO launched a unique hospital network, USA Senior Care Network (USA SCN), for insurance carriers that sell standardized Med Supplement policies. The USA SCN network is now accessed by 95 carriers representing 9 million individuals who enjoy decreased cost of Medicare Supplement insurance.
Offices: 7301 N 16th St, Phoenix, Arizona, US · 4609 Bee Caves Road, Suite 200, Austin, Texas 78746, US
The National Networks of Choice.
Created in 1984, USA Managed Care Organization (USA MCO) is the largest privately held self-developed PPO in the US. USA MCO has over 535,000 contracted group health PPO provider sites, 250,000 provider locations in our workers' compensation PPO, and 285,000 provider offices participating in our motorist medical injury PPO. USA MCO also has Centers of Excellence Network with 30 contracted facilities. In addition, USA MCO owns a TPA for health claims. USA MCO is the first and only PPO to be awarded network accreditation by JCAHO, and we did it 3 times! In 1992, USA MCO launched a unique hospital network, USA Senior Care Network (USA SCN), for insurance carriers that sell standardized Med Supplement policies. The USA SCN network is now accessed by 95 carriers representing 9 million individuals who enjoy decreased cost of Medicare Supplement insurance.
Offices: 7301 N 16th St, Phoenix, Arizona, US · 4609 Bee Caves Road, Suite 200, Austin, Texas 78746, US
