Overview

Lead Full-Stack Software Engineer (Node.js & React)

Responsibilities

• System Architecture & Scaling: Design and scale robust, event-driven microservices using Node.js and high-performance user interfaces using React.js to support multi-modal AI clinical tools.
• AI & Software Integration: Architect the data pipelines and APIs that wrap, serve, and orchestrate heavy AI models (voice-to-text transcription, NLP, and radiology reporting tools).
• Real-Time Data Streaming: Implement secure, low-latency, full-duplex communication protocols (WebSockets, WebRTC) to stream live audio and heavy medical data feeds seamlessly between the client and backend.
• Engineering Leadership: Manage, mentor, and inspire a hybrid team of 7 software developers and 5 QA engineers. Drive agile sprint planning, set high standards for clean code, and establish robust CI/CD pipelines.
• Production Stability: Ensure high availability, data security (HIPAA/healthcare compliance standards), and performance monitoring for a product already live and actively used in market.
• Cross-Functional Collaboration: Partner closely with the 6-member AI research team, design resources, and business stakeholders to translate complex clinical product requirements into technical roadmaps.

Qualifications

• Employment Type: Full-time, Permanent
• InnovXcare aims to play in an exciting space where advanced technologies and innovations
• meet the need to provide improved access to quality care in India and beyond. We are an
• early-stage startup aiming to tackle the challenges in the Imaging diagnostic reporting
• industry through novel applications of Artificial Intelligence and Deep Learning. As a part of
• this company, you will get a chance to work in a fast-paced environment with a team of
• passionate and high-performing individuals who are looking to make an impact in the
• healthcare space in India. We will look to you to own significant portions of our solution
• development and be a part of solving some of the most challenging problems in healthcare
• The Role & Impact
• As the Lead Full-Stack Software Engineer, you will be the core technical anchor of the company. You will bridge the gap between our state-of-the-art data science models and enterprise-grade production software. You will directly lead, mentor, and scale a high-performing 8-person software team team consisting of 7 software developers (in-house and full-time contractors), 6 AI/data scientists, 1 product designer, and 5 QA specialists.
• This is a hands-on architecture and leadership role. You will own the system design, enforce engineering excellence, and build low-latency, highly available pipelines that handle real-time clinical workflows.
• 10+ years of professional software engineering experience, with at least 3+ years in a Tech Lead or Engineering Manager capacity within a fast-paced startup or high-growth tech environment.
• Deep production-level mastery of Node.js (Express, NestJS, or similar) and React.js (including advanced state management like Redux, Context API, or Zustand).
• Proven experience building event-driven architectures and handling asynchronous workloads using message brokers like RabbitMQ, Kafka, or AWS SQS/SNS.
• Strong proficiency with real-time streaming tools, data processing, and protocol management (WebSockets, Socket.io).
• Heavy experience with cloud infrastructure (AWS, GCP, or Azure), containerization (Docker, Kubernetes), and automated testing frameworks.
• Solid understanding of database design, optimization, and scaling (SQL and NoSQL).
• Exceptional communication and decision making skills.
• Demonstrated ability to mentor teams and influence architecture direction.
• High ownership mindset and ability to deliver against clear plans.
• Strong adaptability and comfort operating in fast moving environments.
• Prior experience in the Health-Tech / Med-Tech domain, specifically dealing with medical imaging systems, electronic health records (EHR), or healthcare compliance.
• Familiarity with medical imaging/data standards or frontend medical web viewers (e.g., Cornerstone.js, OHIF Viewer, DICOM web protocols) is a massive plus.

Benefits

• Competitive Compensation: Highly attractive base salary aligned with top-tier Bengaluru tech standards.
• High Autonomy: Direct influence over technical stack decisions, product architecture, and engineering culture.
• Mission-Driven Work: The opportunity to build software that directly saves lives and transforms global healthcare via artificial intelligence.