US Medical Exams Sign Up

Build software that moves green cards forward.

We make I‑693 immigration medical exams simple for applicants, doctors, and attorneys — with a small team and an AI-native engineering culture.

See the open role

How we build

AI-native engineering, human-owned outcomes

We treat coding agents as part of the team — and hold everything they write to the same bar as our own work.

Agents are first-class teammates

Every engineer works with AI coding agents daily — directing, reviewing, and shipping alongside them is simply how we build.

Humans own every change

AI writes a lot of our code; it never ships unreviewed. An engineer is accountable for everything that reaches production.

Modern TypeScript, end to end

One language across the whole product, with type safety doing the heavy lifting from the data layer to the UI.

Real stakes, real people

Our software handles protected health information and supports immigration journeys. HIPAA compliance and care for the patient are engineering requirements, not afterthoughts.

Open position

Senior Full-Stack Engineer

  • Full-time
  • Remote
  • Engineering

You'll work across the whole product — from what applicants see to the systems behind it. Small team, high trust, direct impact on people's green card timelines.

What you'll work on

  • Patient-facing flows for the I‑693 journey, from first visit to a certified exam
  • Backend services and APIs in the cloud
  • The tools our medical team relies on every day
  • Privacy and compliance engineering for HIPAA-regulated health data
  • The AI workflows that make the whole team faster

Our stack

  • TypeScript
  • React
  • Node.js
  • PostgreSQL
  • Google Cloud
  • AI coding agents

What we're looking for

  • 5+ years building production web applications, with deep TypeScript and React experience
  • Comfort owning features end to end — database schema to API to UI to deploy
  • You work with AI coding agents natively: directing, reviewing, and correcting them is how you ship, not a novelty
  • Care for correctness in a regulated domain — testing instincts, security awareness, and respect for patient data
  • Clear written communication; our process runs on well-written specs, PRs, and docs (the agents read them too)

Bonus points

  • Healthcare, fintech, or other regulated-industry experience
  • Depth in Google Cloud or a comparable cloud platform
  • Spanish — our product is bilingual

Sound like you?

Email us what you've built and how you work. A short, specific note beats a long resume.

Apply by email

AI-assisted applications welcome — this page ships schema.org JobPosting data, and your agent can read /llms.txt.