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Sr. Full-Stack Engineer

upperlinehealth

upperlinehealth

Software Engineering
Nashville, TN, USA
Posted on Mar 19, 2026

ABOUT US
A Specialty Path to Good Health

Upperline Health is the nation’s largest provider group dedicated to lower extremity, wounds, and vascular care. Founded in 2017 with the ambitious goal of transforming specialty care, Upperline Health is a pioneer in bringing value-based care models into specialty care. Upperline delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses.

Triage is temporary.
Treatment is transformative.

Upperline Health providers coordinate patients’ care among a team of specialists – physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients’ immediate and long-term health needs. We put patients at the center of value-based care.

About the Sr. Full-Stack Engineer
Upperline Health is looking for a Senior Full Stack Engineer responsible for delivering high quality product features and workflow migrations while maintaining strong operational standards. This role focuses on building maintainable backend services and user interfaces, writing automated tests, and ensuring production readiness through documentation, monitoring, and runbooks. The ideal candidate balances delivery velocity with long term maintainability and plays a key role in reducing technical debt, including the incremental retirement of Power Automate–driven workflows.

What You’ll Do

  • Implement application features and workflow migrations as scoped and prioritized by the Application Engineering Lead.
  • Design, build, and maintain backend services and frontend user interfaces with a focus on readability, testability, and long term maintainability.
  • Write unit and integration tests for new services and critical workflow paths.
  • Participate actively in code reviews, providing thoughtful feedback and upholding engineering standards.
  • Create and maintain technical documentation, including API documentation and operational runbooks.
  • Contribute to operational readiness for owned services by implementing logs, metrics, alerts, and dashboards.
  • Shared Responsibilities (Cross Team Collaboration)
  • Partner with Platform / DataOps on deployment workflows, environment needs, and incident response for owned services.
  • Partner with Data Engineering to ensure API to data contract alignment, validate upstream data availability, and confirm service level expectations.
  • Process and Standards
  • Work through pull requests with required reviews and passing automated checks.
  • Follow CI/CD best practices, including frequent integration and automated verification.
  • Apply appropriate Application Lifecycle Management (ALM) patterns for any Power Platform artifacts that are retained temporarily during migrations.

Qualifications of the Sr. Full-Stack Engineer

  • Strong experience building and maintaining full‑stack applications in a production environment.
  • Experience designing and implementing backend APIs and frontend user interfaces.
  • Hands‑on experience with automated testing practices, including unit and integration tests.
  • Familiarity with CI/CD pipelines and modern deployment practices.
  • Experience instrumenting applications with logs, metrics, and alerts for production support.
  • Strong ownership mindset with comfort being accountable for delivered features and services.
  • Ability to deliver at high velocity without increasing operational burden.
  • Clear written and verbal communication skills, particularly for documentation and runbooks.
  • Ability to collaborate effectively across Application Engineering, Platform/DataOps, and Data Engineering teams.
  • Pragmatic approach to technical debt reduction and incremental system improvement.
  • Bachelor’s degree in Computer Science, Software Engineering, or a related field, or equivalent practical experience.
  • Senior‑level experience as a Full‑Stack Engineer, Software Engineer, or closely related role.

Job Type: Full Time