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Senior Full Stack Engineer

Rockstar is recruiting for a mission-driven healthcare company dedicated to improving the lives of autistic and neurodivergent adults. This client is committed to transforming healthcare outcomes by providing specialized, virtual mental health services covered by insurance. Their innovative approach includes autism assessments and individualized therapy, fostering a sense of community and belonging for their clients.

The company is on a mission to make life happier and healthier for autistic and neurodivergent adults. Despite rapid growth in known autism prevalence (up >5x in the last 25 years), autistic adults have been ignored by the healthcare system, leading to extremely poor outcomes across mental and physical health. This company is changing this by providing specialized, virtual mental health services for autistic adults, covered by insurance. Their innovative autism assessment diagnoses many clients for the first time in their lives. They pair that with individualized therapy that is tailored to the needs of autistic adults, and community to help clients find belonging and remain engaged.

In just 18 months since founding, they have grown to double digit millions of run-rate revenue, thousands of active clients, and 150 clinicians on their team. They have done this all with a lean, ambitious team, and recently raised a Series A from leading investors and healthcare operators.

Their ambition is bold: to reach and transform the lives of millions of autistic and neurodivergent adults.

The Role

As the fourth member of the engineering team, the work will serve as the foundation for the telehealth platform for years to come. The role involves writing Typescript across the stack, using best-in-class healthcare APIs, tackling messy healthcare problems, and driving product direction. The candidate will work closely with the Head of Engineering, the world-class engineering team, the rest of the founding team, clinical providers, and clients.

What types of things the candidate will work on:

- Clinician tooling – provide the tech stack so that clinicians can deliver best-in-class care that is driven by data and metrics.

- AI appointment transcript analysis – improve client care and automatically follow up on pressing issues.

- Easy client intake – the client experience should be seamless, and clients should only talk to a human if they want to.

- Automatic cost estimates for clients – they believe in pricing transparency and hate surprise bills.

- Iterating on the CI/CD pipeline, observability tools, and creating a delightful developer experience – they’ll continue to invest in best-in-class tools for productivity and product’s reliability.

Their tech stack:

- Typescript monorepo

- Node.js / Fastify

- React (and eventually React Native + Expo)

- Supabase for Postgres, auth, and storage

- tRPC for their typesafe API

- Prisma for their ORM

About You

- Experience building successful software, independently or as a part of a small team / early-stage startup

- Excited by an early stage environment and being one of the first engineering employees

- Scrappy, self-directed, detail oriented, and with strong communication skills

- In-person 2-5 days per week in their Chelsea (NYC) office preferred but open to virtual for the right candidate

- 3+ years of experience, ideally with some experience at a startup

The Team

They are building a world class team of thoughtful, action-oriented problem-solvers, and pairing them with subject-matter experts from their field (e.g., clinicians, autistic self-advocates). Their operations team is concentrated in New York but spread across the country, and consists of members from places such as Bain, McKinsey, BCG, FirstHand Health, SeatGeek, Harvard, Northwestern, Dartmouth, Vanderbilt, Yale, Penn, and more.

The Culture:

- Clients first - when making decisions, they optimize for their clients; they stay extremely close to their community so they know their needs better than anyone

- Honesty and transparency - startups run into trouble when they delude themselves from reality; they are honest with themselves and with each other in pursuit of their mission

- Desire to win - their work is hard, and they want people that are excited by conquering great challenges

- Enjoy the journey - have fun with each other and enjoy the day to day moments

- Growth mindset - they will not get everything right the first time, but they seek feedback, they iterate, and they improve

- Bias for action - they move quickly, decisively and drive results

Average salary estimate

$110000 / YEARLY (est.)
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$90000K
$130000K

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What You Should Know About Senior Full Stack Engineer, Rockstar

Rockstar is excited to introduce a fantastic opportunity for a Senior Full Stack Engineer to join a mission-driven healthcare company that is truly making waves in improving the welfare of autistic and neurodivergent adults. This company is committed to transforming healthcare outcomes through specialized, virtual mental health services, making top-notch care accessible and tailored like never before. As the fourth member of the engineering team, your contributions will directly impact the development of their groundbreaking telehealth platform. Imagine coding in Typescript, navigating through intricate healthcare challenges, and designing tools that allow clinicians to deliver exceptional care to thousands of active clients. You'll collaborate closely with the Head of Engineering and talented colleagues to ensure client interactions are smooth and transparent. Picture yourself creating AI solutions that enhance client care, iterating on CI/CD pipelines to make the developer experience delightful, all while ensuring the services remain covered by insurance. If you're passionate about using technology for social impact and have a scrappy, growth-oriented mindset, this role might just be your perfect fit. The environment here is dynamic, filled with ambitious minds who are eager to solve real-world problems. This is not just a job; it’s a chance to be part of a team that is dedicated to transforming lives. So, if you’ve got at least 3 years of experience and are excited to join an early-stage startup, we can’t wait for you to apply!

Frequently Asked Questions (FAQs) for Senior Full Stack Engineer Role at Rockstar
What are the main responsibilities of a Senior Full Stack Engineer at Rockstar?

As a Senior Full Stack Engineer at Rockstar, you will be instrumental in developing the telehealth platform by writing Typescript across the stack. Your responsibilities will encompass building clinician tooling, implementing AI solutions for appointment analysis, streamlining client intake processes, and ensuring transparency with automatic cost estimates. You will also iterate on the CI/CD pipeline and enhance observability tools to create an efficient and pleasant developer experience.

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What qualifications are needed for the Senior Full Stack Engineer position at Rockstar?

To be considered for the Senior Full Stack Engineer role at Rockstar, candidates should have a minimum of 3 years of experience, ideally within a startup environment. We're looking for someone who is detail-oriented, self-directed, and has strong communication skills. Familiarity with the tech stack including Typescript, Node.js, React, and tools like Prisma and tRPC is essential for success in this role.

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What is the working environment like for the Senior Full Stack Engineer at Rockstar?

The working environment at Rockstar is vibrant and collaborative. As a Senior Full Stack Engineer, you will work closely with a world-class engineering team and clinicians, contributing to a culture that placed clients at the forefront. While the preference is for in-office work in Chelsea, NYC, they are open to remote arrangements for the right candidate, particularly in an early-stage startup atmosphere where creativity and innovation thrive.

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What technologies does the Senior Full Stack Engineer utilize at Rockstar?

In the role of a Senior Full Stack Engineer at Rockstar, you will work with a modern tech stack that includes Typescript, Node.js, Fastify, and React. You will also engage with Supabase for database management, tRPC for building typesafe APIs, and Prisma for ORM. This combination ensures a highly efficient workflow while delivering impactful solutions for the healthcare space.

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How does Rockstar support career growth for their Senior Full Stack Engineers?

Rockstar believes in fostering a growth mindset among its employees, especially Senior Full Stack Engineers. This includes encouraging feedback and iteration on work processes, offering opportunities for meaningful projects that make a real difference, and creating a collaborative atmosphere where learning and professional development are prioritized. You'll be part of a world-class team filled with subject-matter experts, offering valuable insights for your career growth.

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Common Interview Questions for Senior Full Stack Engineer
What experience do you have with Typescript in your previous roles?

When answering this question, highlight specific projects you worked on where you utilized Typescript, focusing on your contributions and the outcomes. Mention any challenges you faced and how you overcame them, and demonstrate your understanding of why Typescript is beneficial, especially in a dynamic startup environment.

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Can you describe a time when you had to create a seamless client experience in a previous project?

In your response, provide a structured story from a past project where your team transformed the user experience. Discuss the steps taken to gather client feedback, implement improvements, and the overall impact it had. This shows your awareness of client needs and your proactive approach to solving problems.

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How do you approach working in a fast-paced, startup environment?

Express your enthusiasm for dynamic environments and provide examples of how you've thrived in such settings. Discuss your adaptability, willingness to take initiative, and how you prioritize tasks. Mention your ability to stay client-focused while delivering high-quality work under tight deadlines.

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What tools do you prefer for CI/CD, and why?

Talk about specific CI/CD tools you have experience with, such as Jenkins, GitLab, or CircleCI. Highlight how these tools enhance efficiency and quality in the deployment process. Offer examples of how you’ve implemented CI/CD practices in your past roles and their impact on product reliability.

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Describe a project where you utilized AI in improving client care.

Discuss a specific instance where you applied AI technologies for client solutions. Frame your answer around the problem you were solving, the AI approach you took, and the measurable results. This illustrates your technical acumen and understanding of healthcare applications.

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What strategies do you implement for effective communication within teams?

Effective communication is key, especially in engineering teams. Discuss your regular methods for check-ins, updates, and feedback loops that you’ve used. Highlight your ability to tailor communication styles to different audience needs, ensuring clarity and inclusiveness.

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How do you ensure transparency in your work, especially regarding pricing?

Discuss the importance of pricing transparency in a healthcare context and share methods you have used to align client expectations with actual services delivered. Showcase how you facilitate clear communication about costs and the value provided, ensuring that clients feel informed and valued.

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What is your experience with building scalable applications?

When discussing your experience, cite specific examples of projects where scalability was a priority. Discuss the architectures you used, any challenges faced, and how you ensured future growth was manageable. Highlight your understanding of scalability issues pertinent to healthcare applications.

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How do you stay updated with the latest technology and industry trends?

Explain your routine for keeping current, whether it includes attending conferences, reading technical blogs, participating in forums, or taking online courses. Emphasize your commitment to continuous learning to remain competitive and innovative in your field.

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What was your role in a project that directly affected client outcomes?

Provide a specific example showcasing your involvement in a project that had a measurable impact on client outcomes. Discuss your contributions, teamwork, and the importance of client feedback incorporated into your work. This will illustrate your ability to connect technology with human experiences.

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Rockstar games was founded in 1998. This company manufactures complex living world games such as grand theft auto. Their headquarters are located in New York City, New York.

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Full-time, hybrid
DATE POSTED
April 10, 2025

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