Pelairo Inc. | Senior Full Stack Developer | REMOTE (US Only) | Full-time | $100-150k
At Pelairo we're building the most intuitive and flexible Laboratory Information Management System (LIMS) on the market. "Manage the lab, not the LIMS!"
After a successful hire from our post in November, we're back! We're looking for a hands-on Senior Full Stack Developer to help design and deliver core product experiences across our stack (TypeScript + NestJS on the backend and Next.js on the frontend.) You'll work on customer-facing workflows, turning ambiguity into shippable slices, and helping us level up reliability, security, and speed as we scale.
What you'll do:
- Build features: implement and ship production ready functionality across frontend and backend (TypeScript, Next.js, NestJS).
- Backend: contribute heavily to APIs, data models, and integrations that power questionnaire-driven workflows and FHIR pipelines.
- Frontend: build intuitive, configurable UI modules for complex healthcare workflows, collaborate closely with Product and domain experts.
- Quality & reliability: contribute to testing strategy (unit/integration/contract/E2E), safe migrations, and rollouts (feature flags).
- Observability & performance: instrument tracing/metrics/logging, improve dashboards/alerts, and participate in incident reviews and follow-ups.
- Engineering excellence: raise the bar through strong code reviews, pragmatic standards, and improvements to the developer experience.
- FHIR correctness: help ensure backend transformations produce valid FHIR resources in Medplum and support scalable data flows.
What makes you a great fit:
- 7+ years building production web applications (frontend + backend) in a fast-moving environment.
- Strong TypeScript + Node.js experience and solid production exposure to NestJS (or comparable backend frameworks with willingness to ramp quickly).
- Strong experience with modern React-based frontend development (React / Next.js) and comfort owning UI implementation details.
- Experience shipping ambiguous projects end-to-end with good judgment, pragmatism, and clear communication.
- Familiar with building secure systems and thoughtful about reliability, testing, and performance.
Bonuses:
- Experience with FHIR / Medplum, healthcare data workflows, or LIMS/clinical systems.
- Familiarity with HIPAA and/or SOC 2 practices.
- AWS experience (e.g., Cognito, Fargate) and comfort working in cloud-native environments.
How to apply: Email hiring [@] pelairo.com and mention "HN Who's Hiring January 2026." (We know our website needs some work, but the product is our priority right now.)
Pelairo Inc. | Principal Engineer / Tech Lead | REMOTE (US) | Full-time
At Pelairo we're building the most intuitive and flexible Laboratory Information Management System (LIMS) on the market. "Manage the lab, not the LIMS!"
We're looking for a hands-on Principal Engineer to lead the design and delivery of our backend—built on TypeScript + NestJS—and help our small team iterate quickly with confidence. You'll turn ambiguity into shippable slices, help set technical direction, and raise the bar on reliability, security, and speed.
What you'll do:
- Own the backend: spend meaningful time writing and reviewing production code.
- Architecture stewardship: keep the system coherent as we scale questionnaire-driven workflows and FHIR pipelines.
- Reliability & quality: Establish testing strategy (unit/integration/contract/E2E), migrations, rollouts (feature flags).
- Observability: Instrument tracing/metrics/logging, build dashboards/alerts; drive incident reviews.
- Raise the engineering bar: define and enforce code review policy, branching model, testing strategy, and CI/CD gates.
- Partner with Product & domain experts: translate healthcare workflows into configurable front-end modules; ensure back-end transforms to valid FHIR in Medplum.
What makes you a great fit:
- 8+ years building production systems, including principal/staff scope in a startup or similar pace.
- Deep TypeScript + Node.js and expert-level NestJS in production.
- Track record leading cross-team projects and influencing architecture without heavy process.
- Product sense and crisp communication; comfortable owning ambiguous problems and shipping quickly with guardrails.
- Bonuses: FHIR/Medplum, healthcare data workflows, HIPAA/SOC 2 experience, comfortable jumping into modern frontend (React/Next.js) when needed.
Stack: TypeScript (Next.js and NestJS), Medplum, AWS (Cognito, Fargate)
Visa/relocation: No
How to apply:
Email hiring [@] pelairo.com and mention "HN Who's Hiring November 2025". (We know the website needs some work, but the product is our priority right now.)
At Pelairo we're building the most intuitive and flexible Laboratory Information Management System (LIMS) on the market. "Manage the lab, not the LIMS!"
After a successful hire from our post in November, we're back! We're looking for a hands-on Senior Full Stack Developer to help design and deliver core product experiences across our stack (TypeScript + NestJS on the backend and Next.js on the frontend.) You'll work on customer-facing workflows, turning ambiguity into shippable slices, and helping us level up reliability, security, and speed as we scale.
What you'll do:
What makes you a great fit: Bonuses: Stack: TypeScript (Next.js + NestJS), Medplum, AWS (Cognito, Fargate) Visa/relocation: NoHow to apply: Email hiring [@] pelairo.com and mention "HN Who's Hiring January 2026." (We know our website needs some work, but the product is our priority right now.)