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Sr. Full Stack Software Engineer

Carlsmed

Carlsmed

Software Engineering
Carlsbad, CA, USA
Posted on Nov 14, 2025

Position Overview

The Senior Full Stack Software Engineer will design, build, and maintain high-performance web applications and services that support Carlsmed’s surgical planning and imaging technologies. This role involves full-stack development across UI, backend services, cloud infrastructure, data management, and 3D visualization. The engineer will collaborate closely with product, operations, software, and imaging/AI teams to deliver robust, scalable, and clinically impactful solutions.

The ideal candidate has deep technical expertise across modern web stacks, cloud platforms, and 3D rendering technologies, with a passion for building reliable software in a regulated medical environment.

Key Responsibilities

Full-Stack Development

  • Design, develop, and maintain web applications using TypeScript, React, Node.js, and modern frameworks.
  • Implement scalable backend APIs and microservices using Node.js, Java, and/or C#.
  • Build 2D/3D medical visualization components using Babylon.js, VTK.js, ITK.js, and WebGL.
  • Design data models and interact with relational databases using PostgreSQL and Prisma (ORM).

Cloud & Infrastructure

  • Develop and deploy applications in AWS environments (Lambda, S3, EC2, API Gateway).
  • Integrate CI/CD pipelines using TeamCity, Git, Bitbucket, and automated build/test workflows.

Medical Imaging & Data

  • Work with DICOM, 3D volumes, segmentation files, and imaging toolkits.
  • Implement interactive features for 3D reconstruction, rendering, and manipulation of CT/MRI/X-ray datasets.

Software Quality & Architecture

  • Apply best practices using Dependency Injection, Inversion of Control (IoC), SOLID principles, and modular design.
  • Write clean, maintainable code using unit testing, integration testing, and TDD.
  • Participate in architecture discussions, code reviews, and technical design sessions.

Agile Collaboration

  • Participate in Agile/Scrum ceremonies, sprint planning, and backlog refinement.
  • Collaborate with cross-functional teams including Imaging/AI, Operations, Product, UX, and V&V.
  • Use Jira and Confluence for planning, tracking, and documentation.

Regulated Environment

  • Contribute to design and documentation practices aligned with medical device software standards (IEC 62304, ISO 13485).
  • Support traceability, risk assessment, and validation documentation when needed.

Qualifications

Required

  • Bachelor’s or Master’s degree in Computer Science, Software Engineering, or related field.
  • 5+ years of full-stack software development experience.
  • Strong proficiency in:
    • TypeScript, Node.js, React
    • Java or C#
    • PostgreSQL and Prisma (ORM)
    • RESTful APIs and backend services
  • Experience with AWS and/or Azure cloud platforms.
  • Experience with unit testing, TDD, and CI/CD.
  • Strong command of Git, Bitbucket, and modern DevOps tooling.
  • Experience with Agile/Scrum environments.

Preferred

  • Experience with Babylon.js, VTK, ITK, WebGL, 3D rendering.
  • Experience with DICOM and imaging workflows.
  • Background in regulated industries, particularly medical devices.
  • Knowledge of 3D geometry, computational graphics, or CAD-like systems.