Sr. Software Engineer (San Diego)

Carlsmed

Carlsmed

Software Engineering

Carlsbad, CA, USA

Posted on Apr 17, 2026

About Carlsmed

Our mission is to improve outcomes and decrease the cost of healthcare for spine surgery and beyond. The Carlsmed aprevo® personalized surgery platform is designed to improve the standard of care for spine surgery one patient at a time.

Position Description

The Senior Software Engineer (Platform) will work on projects related to proprietary implants, instrumentation, and design automation systems to enable personalized surgery. This role will work on our full-stack applications, with a strong focus on building engaging, performant frontend experiences powered by robust Node.js and GraphQL backend services. This role offers the opportunity to work with modern technologies and shape the technical direction of our products.

Responsibilities

  • Build and maintain responsive, performant frontend applications using React, with a focus on component architecture, state management, and user experience
  • Design and implement scalable backend services using Node.js/GraphQL and Kotlin/REST
  • Collaborate with designers and product managers to translate requirements into polished, intuitive interfaces and define requirements and delivery timelines
  • Lead technical design discussions, architecture reviews, and code reviews
  • Mentor junior engineers and champion engineering best practices
  • Troubleshoot and debug complex issues across the full stack

Qualifications

  • Education: Bachelor’s degree in Computer Science or related field
  • 5 – 10 years of frontend, backend and database experience required. Experience with spine or orthopedics highly desired
  • Expert React experience, including component design, state management, and performance tuning
  • Strong proficiency in Node.js and server-side JavaScript
  • Expert knowledge of GraphQL, including schema design and performance optimization
  • Backend experience with Kotlin (Spring Boot) and RESTful API design
  • Strong grasp of software design patterns and engineering principles
  • Strong communication, problem-solving, and debugging skills
  • Remix or React Router (preferred)
  • Java interoperability with Kotlin (preferred)
  • PostgreSQL and database fundamentals (preferred)
  • Prisma ORM, JPA, and database migrations (preferred)
  • DevOps and cloud platforms (AWS/GCP/Azure) (preferred)
  • CI/CD pipelines and testing frameworks (preferred)

Equal Opportunity Employer

Carlsmed is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Carlsmed is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know.

Compensation

We are pleased to provide a competitive salary and benefits. Our benefits reflect our investment in the overall health and well-being of our employees and their families, including paying 100% of monthly healthcare, dental & vision insurance premiums, a 401(k) plan with employer matching and unlimited PTO. The expected salary range is $125,000 to $145,000 annually. Compensation may vary based on related skills, experience, and relevant key attributes.