Senior Fullstack Engineer - Remote - US Based Who We Are Orchid Software Solutions is an ecosystem of health-tech products for the assisted reproduction industry. Each product serves a different niche: - SeedTrust — Fintech / Escrow. The escrow and payments platform for surrogacy. - IDRE (formerly Veratru) — Gov-Tech / Healthcare. A platform for independent dispute resolution (IDR) in healthcare — managing the arbitration process between providers, payers, and patients, including the transaction and settlement-payment workflows tied to disputed claims. - Gather Records — Health-Tech / AI. AI-powered processing of sensitive medical records. - Orchid JMS — Core SaaS Platform. Our Journey Management System, the backbone that ties the ecosystem together. We're hiring a Fullstack Engineer to join the IDRE team — owning features end-to-end, with particular depth in the transactional and payment/settlement logic that drives our dispute resolution engine. The Role You'll join IDRE as a hands-on senior fullstack engineer and own your work end-to-end. This is a builder role, not an architect role — we want senior engineers who live in the code and own their product area, not people who design from a distance. You're comfortable in ambiguity, you're a fast-learning generalist, and you drive your work to done. Responsibilities - Build & Ship: Own features end-to-end — frontend (React/Next.js, TypeScript) and backend (Node.js/TypeScript, Python) on AWS. - Own the Transaction Layer: Build and maintain the logic that handles disputed-claim transactions, settlement calculations, and payment records tied to arbitration outcomes. - Improve What You Own: Refactor toward maintainable services, add observability (CloudWatch + Grafana), and strengthen CI/CD within your product. - Quality & Compliance: Uphold PII and HIPAA-grade standards for sensitive health and financial/transactional data. - Ownership in Ambiguity: Break down loosely-defined work, clarify with your lead, and ship without waiting for a perfect ticket. Qualifications - Demonstrated Senior Capability: 5+ years building production-scale web apps. We prioritize demonstrated technical capability and ownership over raw years. - Fullstack Core: Strong with React/Next.js + TypeScript and Node.js/TypeScript + Python, comfortable across the whole stack. - Generalist & Fast Learner: You pick up new domains, codebases, and tools quickly and thrive as a hands-on generalist. - Cloud & Reliability: AWS (S3, CloudWatch), observability, and CI/CD. - Startup Experience: Proven track record thriving in fast-paced, ambiguous startup environments. Bonus / Roadmap - Go (Golang): On our backend roadmap — experience or a strong appetite to learn it is a plus, not a gate. - AI / LLM: Hands-on experience integrating LLMs into products (document processing, embeddings, provider abstraction). - Domain exposure in payments/transactions, fintech, or healthcare claims/billing systems (HL7/FHIR) is a strong plus given IDRE's settlement-transaction core. Why Join Us - Real Ownership: Deep, hands-on ownership of a real product in a meaningful industry. - Modern Stack: React/Next.js, Node, Python, AWS, and production AI — with Go on the horizon. - Meaningful Purpose: Your work helps resolve healthcare disputes fairly and transparently. - High Autonomy: Fully remote, ownership over micromanagement. Location: Remote — US-based. Must be authorized to work in the United States.