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

Why Script Assist — and Why NowWe’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 RoleWe’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 StackNodeJS · NestJS · React · TypeScriptWhat You’ll Lead and BuildOwnership (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-Haves5+ years with NodeJS5+ years with TypeScript5+ years with React2+ years with NestJS (providers, modules, guards, interceptors)Experience leading or mentoring teams on production systemsClear, confident English communicationDecisive ownership mindset — raise the bar, don’t wait for instructionsNotice period under 30 days preferred (we can buy out up to 60 for the right person)Nice-to-HavesExperience in multi-tenant SaaS or healthcare systemsFamiliarity with PostgreSQL, Redis, and message queuesCloud-native mindset (Docker, ECS/Fargate, load balancers, queues)Prior startup or 0→1 product ownership experienceWhy You’ll Love It HereReal scope: lead architecture and delivery for your own domainHands-on engineering culture — technical depth valued above titlesDirect collaboration with ex-BCG / ex-Goldman leadershipRemote-first setup, async-friendly, outcome-drivenCompetitive pay, fast growth, and the opportunity to build the backbone of modern private healthcare

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