Senior Fullstack Engineer

We can only consider candidates in EST, CST, MNT within US.

About Rialtic

Rialtic is an innovative enterprise software platform that enhances the capabilities of health insurers and healthcare providers, allowing them to manage their most crucial business operations efficiently.

Established in 2020, Rialtic is supported by prominent investors such as Oak HC/FT, F-Prime Capital, Health Velocity Capital, and Noro-Moseley Partners. Our flagship payment accuracy solution centralizes previously outsourced functions, empowering health insurance companies to take full command of their operational processes. We collaborate with leading healthcare insurers and providers, addressing a critical $1 trillion challenge to reduce expenses, boost efficiency, and elevate the quality of care. To learn more about how we're driving innovation in healthcare, visit us at

Our Commitment

Rialtic champions diversity, believing our collective strength is harnessed through inclusivity. We encourage applications from individuals of all backgrounds, as part of our commitment to creating an environment where diverse perspectives are valued and nurtured.

We prioritize innovation, problem-solving, and the tangible value each team member brings to our mission. Here, you won't find rigid career ladders or title inflation — instead, we focus on creating opportunities for growth.

The Role

We are seeking a Senior Fullstack Engineer to join our dynamic Workflows Team, the driving force behind the products our internal and external users interact with daily.

The Workflows team is responsible for our web apps from DX to UX and everything in between.

As a small team, we're all generalists constantly picking up new challenges. We are all makers at heart and care deeply about the quality of our work. We use TypeScript and build scalable systems so we can continuously make progress on a solid foundation. With our web apps being used for demoing to prospective clients and used daily by both internal & external users on any given week, you might:

1. Work with Product & Sales to improve our demo environment
2. Lead a release in collaboration with Cloud Engineering to deploy the latest version of our apps
3. Join Client Success & Product to solve a challenge our users are facing
4. Collaborate with Design on solving a UX issue
5. Work with Product to lead the technical implementation of a Roadmap feature

If you thrive in a collaborative environment and are passionate about building high-quality products, we would love to hear from you!

In this role, you will:

1. Build new user-facing features with everything from database models to REST endpoints and UI components
2. Have ownership over core features in collaboration with Product and Design
3. Make simplicity out of complexity (and don't mind refactoring to clean things up)
4. Collaborate on API & Database architecture, prioritizing security, scalability & performance
5. Add analytics, monitoring, and alerts to our service so that we can better respond to operational incidents
6. Redefine best-in-class software development processes so that we can build the next generation of Health Tech products

You have:

1. 7+ years experience with Typescript, SQL (Postgres, SQLite), NoSQL (Document, KV)
2. 5+ years of experience with REST API design, data modeling and build web apps
3. 3+ years of experience with Vue.js or similar frontend frameworks (React or Angular)
4. Event driven architecture and immutable data
5. Testing strategies using Typescript (Jest, Playwright or similar testing frameworks)
6. A strong, loosely held opinion about what a modern data stack looks like and what belongs or doesn't belong in it

Nice to Haves:

1. Nest.js, Nuxt, Prisma, Cloudflare Workers, Tailwind

Continuous Integration, Monorepos, AWS, Cloudflare Workers, a plus

1. Health Tech (payer side), a plus

Our Tech Stack:

1. Node.js/NestJS REST API, with Prisma ORM & Postgres, Kafka (MSK), hosted on AWS with k8s
2. Nuxt/Vue.js PWAs, hosted on Cloudflare with Cloudflare Workers/Pages
3. Testing with Jest, Vitest, Playwright and Cypress
4. Auth0, JWT for authentication/authorization
5. Gitlab, Slack, Notion, Figma, Datadog, AWS Athena, Jira
6. Design system with Vue/Tailwind(Unocss) component library

Rialtic Values:

1. High Integrity - Do the right thing. Provide candid feedback. Be humble and respectful.
2. Customer Value Comes First - Delivering value to customers is our North Star.
3. Work as One Team - Collaborative, inclusive environment to advance our mission.
4. Be Bold & Accountable - Speak up. Take accountability. Continually improve.
5. Pursuit of Excellence - Innovate, iterate and chase the best possible outcomes.
6. Take Care of Self & Others - Prioritize health & well-being for yourself and teammates.

Benefits Include:

We value the health, happiness, and continuous growth of our employees. Our comprehensive benefits package is designed to provide dynamic support across various aspects of our employees' lives, ensuring they can thrive both professionally and personally.

1. Competitive Salary and Meaningful Equity.
2. Comprehensive Health Plans covering medical, dental, and vision needs.
3. Wellness Reimbursements for maintaining physical health.
4. Access to top-tier mental health services.
5. Flexible Vacation Policy with Flexible PTO.

For more details about our benefits or to discuss how we can accommodate your needs, please contact us at for accommodations.

Salary Transparency:

We are committed to equitable compensation and regularly review our salary ranges to ensure they reflect market standards and internal fairness.

Non-Discrimination Policy:

Rialtic is dedicated to fostering a workplace where everyone is treated with respect and dignity. We do not discriminate on any basis protected by law.

Join Our Team:

If you're passionate about using your skills to make a tangible impact in healthcare technology, we'd love to hear from you. Embrace the opportunity to grow professionally and personally in a company that values your well-being and professional development.

Don't meet every single requirement?

Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. If you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.