# Senior Full-Stack Engineer at MedThread

- Company: MedThread
- What the company does: Parambil delivers AI-assisted medical record review software that accelerates and improves accuracy in mass tort and complex litigation workflows. Backed by Techstars.
- Company website: https://parambil.com
- Type: Startups
- Level: Senior
- Location: New York City
- Work setup: On-site
- Pay: $150K to $220K base salary per year (USD)
- Posted: 2025-09-04
- Apply by: 2026-10-08
- Apply: https://jobs.ashbyhq.com/parambil/cc708973-ee67-459b-aba0-9c85ac189a00
- Page: https://www.1752.vc/careers/jobs/medthread-senior-full-stack-engineer/

## About the role

We’re looking for a builder - someone who can model complex problems, design elegant systems, and ship production-grade features end to end. You’ll work closely with designers, engineers, and product leaders who care deeply about the craft of software and solving meaningful problems. Ownership & Impact: You’ll build meaningful features that go live quickly

## What they're looking for

- 6+ years building and shipping full-stack web apps - experience with Next.js, React, TypeScript, or PostgreSQL is a plus
- Strong backend experience - comfortable designing APIs, managing authentication, handling data migrations, and integrating third-party services (we use tools like Prisma, Auth0, OpenAI, and Stripe)
- Deep AWS and infrastructure expertise - designing, deploying, and monitoring production systems using Terraform, ECS, EC2, and supporting services like Lambda, RDS, and CloudWatch
- Solid understanding of data modeling, performance optimization, and secure infrastructure
- Excellent communicator who thrives in collaborative, cross-functional teams and values clear thinking and craftsmanship

Tags: Engineering