Senior Software Engineer

Craniometrix has raised over $21 million to help make dementia suck less.

Dementia is tough – but it can be easier. Turns out, if you give families the right non-clinical coaching and support, you can avoid 30% of hospitalizations for these patients. And Medicare has recently started paying for that coaching.

We launched our care navigation service for dementia patients in July of 2025, leveraging AI to provide best-in-class care, allowing us to quickly hit $4M of ARR and raise a $15M Series A.

Come help us build!
Craniometrix delivers care navigation for patients and families who need support with complex long-term conditions, starting with dementia.
We’re looking for a Senior Software Engineer to join our small engineering team and help build the product our operations team uses every day. This is a full-stack product engineering role for someone who is flexible, autonomous, and excited to own work from idea to production.
You will work closely with Product, Operations, and leadership to shape what we build, ship new features across the stack, and improve the reliability and quality of the product over time. This role is a strong fit for an engineer who has good product taste, moves with agency, and is comfortable wearing many hats in a fast-moving environment.
We care a lot about people who can operate independently, make good product decisions, and are genuinely on the cutting edge of AI-enabled software development. You should already be using AI deeply in your day-to-day workflow, whether for exploring solutions, scoping work, writing and refactoring code, debugging issues, improving tests, or accelerating iteration without lowering the quality bar.
We are especially excited about engineers who actively seek out new tools and workflows, separate signal from hype, and turn the best new AI capabilities into real execution leverage.
What You’ll Do
Partner closely with Product and Operations teams to shape product direction and turn ambiguous problems into clear solutions
Own features end-to-end across the full development lifecycle, including scoping, implementation, code review, deployment, and iteration
Build across the stack using React and NodeJS to ship product improvements that make our internal teams more effective
Work directly with the Operations team, including care navigators, to understand friction points and improve the tools they use every day
Monitor production through metrics, logs, and Sentry, identify issues quickly, and drive fixes through to resolution
Take clear ownership of the product in production: you build it, you monitor it, you improve it
Help raise the quality bar for engineering, product thinking, execution, and modern AI-assisted software development as we continue to grow
Use AI deeply across the engineering workflow, including planning, implementation, debugging, code review, testing, and incident response
Stay current with the rapidly evolving AI tooling landscape and bring practical new workflows, patterns, and tools into the team when they meaningfully improve speed or quality
What We’re Looking For
5+ years of professional software engineering experience
Strong experience building product features across the stack
Hands-on experience with React and NodeJS
Strong product taste and good judgment about what makes a product useful, clear, and high quality
High autonomy, agency, and comfort operating with ownership in a small team
Strong communication and collaboration skills across engineering, product, and operations
Deeply comfortable using AI as part of your engineering workflow, and excited to stay at the frontier of how great engineers use it in practice
Strong judgment about when AI increases speed and quality, and when deeper manual thinking or validation is needed
Curiosity and enthusiasm for adopting new AI tools and workflows early, with the discernment to focus on what is actually useful
Excited to work in a fast-paced startup environment where priorities can evolve and everyone contributes beyond a narrow job description
Preferred Qualifications
Experience with Postgres
Experience in a startup environment
Experience in healthcare or other operationally complex or regulated environments
A track record of thoughtfully adopting new AI tools or workflows to improve engineering velocity, quality, or leverage
About the interview
Intro chat
Technical deep dive
Onsite project and conversation with leadership