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Lead Full-Stack Engineer (NodeJS / NestJS / React / TypeScript)

📍 India

Technology Script Assist

Job Description

Why Script Assist — and Why Now

We’re building the

operating system for next-gen private healthcare.

Script Assist already powers a large share of the UK medical-cannabis market — and we’re expanding fast into

GLP-1s, TRT, ADHD, and more.

The pace is real: we’re compounding

10–20% month-on-month growth

and scaling our engineering team to keep up.

Join a

product-obsessed, high-ownership team

where you’ll lead a critical domain end-to-end and still write a ton of code. This is

leadership without the slides

— real scope, real decisions, real users.

The Role

We’re hiring

three Lead Full-Stack Engineers

to take ownership of key platform domains: 1️⃣ Clinic Lead

→ Eligibility, onboarding, consult flows, scheduling, consent, RBAC, and audit-grade trails. 2️⃣ Pharmacy Lead

→ Prescribing and dispensing, inventory / batch / expiry tracking, controlled-drug checks, reconciliation, reporting. 3️⃣ Cross-Cutting Lead

→ Payments, idempotent order flows, retries / queues, notifications, observability, and platform tooling.

The Stack

NodeJS · NestJS · React · TypeScript

What You’ll Lead and Build

Ownership (30–50%)

Own the roadmap, architecture, and delivery for your domain. Lead 4–6 engineers: hiring, mentoring, quality bar, and incident posture. Run RFCs, design reviews, PR standards, and post-mortems. Partner with Product, clinical / pharmacy SMEs, and Compliance to ensure safety, scalability, and impact.

Hands-On Coding (50–70%)

Design and implement backend services in

NodeJS + NestJS (TypeScript)

— clean modules, DI, guards, interceptors, robust error handling. Build

REST APIs

with OpenAPI/Swagger, OAuth2/JWT, RBAC, rate-limiting, idempotency, and observability (logs / traces / metrics). Ship

end-to-end features

in

React + TypeScript

(forms, validation, state management, accessibility, performance). Champion

testing (Jest / Supertest / Playwright) , CI/CD, and

OWASP-grade security.

Must-Haves

5+ years

with

NodeJS 5+ years

with

TypeScript 5+ years

with

React 2+ years

with

NestJS

(providers, modules, guards, interceptors) Experience leading or mentoring teams

on production systems Clear, confident English communication Decisive ownership mindset

— raise the bar, don’t wait for instructions Notice period under 30 days preferred

(we can buy out up to 60 for the right person)

Nice-to-Haves

Experience in multi-tenant SaaS or healthcare systems Familiarity with PostgreSQL, Redis, and message queues Cloud-native mindset (Docker, ECS/Fargate, load balancers, queues) Prior startup or 0→1 product ownership experience

Why You’ll Love It Here

Real scope: lead architecture and delivery for your own domain Hands-on engineering culture — technical depth valued above titles Direct collaboration with ex-BCG / ex-Goldman leadership Remote-first setup, async-friendly, outcome-driven Competitive pay, fast growth, and the opportunity to build the backbone of modern private healthcare

Ready to Apply?

Don't miss this opportunity! Apply now and join our team.

Job Details

Posted Date: January 9, 2026
Job Type: Technology
Location: India
Company: Script Assist

Ready to Apply?

Don't miss this opportunity! Apply now and join our team.