based telehealth startup focused on weight management and long-term metabolic health. We are building the next generation of e-commerce and clinical infrastructure from the ground up. As an early-stage company, we move quickly, operate with limited layers, and expect high ownership from every team member.

We are a remote-first, globally distributed team that values clarity, accountability, and people who take initiative rather than wait for direction. Platform & Product Engineering — LumiMeds Location: Remote / Hybrid Seniority: Mid-Level / Senior (Individual Contributor) Role Overview LumiMeds is a high-growth telehealth platform building the next generation of virtual telehealth infrastructure. We are looking for an AI-First Full-Stack Engineer who treats AI not as a tool but as a core part of how they think, build, and ship.

You are an engineer who has rebuilt how you work around AI— using LLMs to generate scaffolding, reason through architecture, write tests, debug production issues, and ship faster than a team twice the size. You will balance 90% hands-on coding with 10% knowledge sharing, and you are expected to push the velocity ceiling of what one engineer can deliver.

EMR & Clinical Data Engine: Implementing high-availability Electronic Medical Record (EMR) systems with complex data modeling for patient history and clinical notes.

Virtual Care Infrastructure: Implementing real-time patient-provider interfaces, including WebRTC video, secure messaging, and async consultation flows. E-commerce & Checkout: Engineering high-conversion storefront experiences, including complex product catalogs, subscription billing models, and dynamic pricing engines. Full-Stack Feature Ownership: Drive end-to-end delivery across Node.js backends and Next.js frontends, from schema design to production deployment.

Production Quality:



Maintain high standards for API contracts, database schema migrations, CI/CD pipelines, and observability.

Compliance & Security: Ensure all systems meet HIPAA/SOC2 standards, focusing on data encryption, audit logs, and PII protection.

Required Hard Skills & Tech Stack Backend & API: Node.js & TypeScript: Strong command of async patterns, event-driven architecture, and runtime performance.

API Design: Proficiency in RESTful, GraphQL, and TypeSafe APIs (tRPC).

Database: Solid PostgreSQL fundamentals (joins, indexing, migrations) and Redis for caching.

Frontend: Next.js & React: Working knowledge of App Router, Server Components (RSC), and client/server data flow. Daily active use of Cursor, GitHub Copilot, or equivalent.

Cloud & DevOps: Familiarity with AWS (EC2, RDS, Lambda, S3), Vercel, and GitHub Actions.

Candidate

Qualifications 3+ years of professional software engineering experience. AI-Native Workflow: You can demonstrate, concretely, how AI has changed the way you write and ship software. Full-Stack Range: Comfortable moving between backend logic and frontend implementation without hand-holding.

High Agency: Ability to operate in ambiguous environments, self-direct, and make high-leverage decisions without constant supervision.

Communication: Professional proficiency in English for technical documentation and async collaboration.

AI as Infrastructure: We don't treat AI as a feature — it's woven into how we build, test, document, and ship.

High Complexity: Work on hard engineering problems involving real-time data, complex clinical state machines, and high-stakes reliability. Please submit your application in English and ensure your resume reflects relevant experience for the role. Qualified applicants will be contacted for next steps. This role requires professional-level English communication and availability to work U.

📌 Senior Full-Stack Engineer (Node.js & Next.js, AI-Native) (Playa del Carmen)
🏢 Lumi Meds
📍 Playa del Carmen