Full Stack Engineer

Job Description

Company Description Sigmatic is building the first? AI-native operating system for Ambulatory Surgery Centers (ASCs) ?? combining multimodal AI, Vision AI, financial intelligence, and real-time workflow automation to transform how surgical centers operate. We need? exceptional engineers , not average ones! You will be joining at a formative stage and will directly influence our platform, architecture, and engineering culture. Role Description We are hiring? multiple Senior Full Stack Engineers ?who can build? end-to-end features ?across frontend, backend, and data layers with speed and precision. We are ONLY looking for: Offshore engineers With 8+ years experience Strong in BOTH frontend (React/Next.js) and backend (Node.js) Strong PostgreSQL experience Comfortable in fast-paced, high-pressure startup environments If you don?t like frontend work or prefer backend-only ? this role is not a fit. Responsibilities also include guiding the team through complex technical challenges, ensuring project milestones are met, and maintaining high standards in product quality and performance. Qualifications 8+ years+ ?professional engineering experience (required) Strong history building production-grade SaaS products Experience in? healthcare tech ?strongly preferred Experience with? financial or analytics dashboards ?is a plus Frontend Expert-level proficiency in? React.js / Next.js Strong component architecture Ability to translate PRDs + wireframes into functioning UI Comfortable working closely with Product Backend Node.js expertise is mandatory Building scalable REST APIs Authentication, RBAC, middlewares Error handling, logging, performance tuning Database PostgreSQL expertise Query optimization Schema design Migrations Data modeling These will put your application at the top of the list: Python for AI/ML Computer Vision (OpenCV, YOLO, etc.) OCR / Document AI LLM-based extractions or pipelines Data engineering / ETL AWS/Azure deployments Healthcare integrations (FHIR, HL7, EHR APIs) If you have? AI + full stack + healthcare , you are an? ideal candidate . Responsibilities Build full-stack features end-to-end Work side-by-side with product to convert PRDs into production code Build scalable backend services in Node.js Develop clean UIs in React/Next.js Collaborate with data engineering for KPI dashboards Participate in sprint planning, demos, and code reviews Ensure code quality, testing, reliability Move FAST ? we are a high-velocity engineering team Take ownership of features from concept ? deployment