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Staff Software Engineer, Product

Tono Health

$180K–275K/yrNew York, New York, United StatesFull-time5-10 yearsHybrid
Posted 11 hours ago· America/New_York· New York, New York, United States

✨ Why This Is a Good Vibe Coding Job

Tono Health is a premier destination for vibe coders because they explicitly embrace AI tools in their daily workflow while maintaining the 'Staff-level' discipline needed for regulated healthcare. Their stack—specifically TypeScript, Prisma, and tRPC—provides the rigorous type safety that allows AI-assisted developers to move incredibly fast without sacrificing production reliability.

Help Engineer an Autonomous Clinic

As a Staff Engineer at Tono Health, you will bridge the gap between software and specialty medicine. Working alongside doctors in a hybrid NYC environment, you'll be responsible for architecting the software that powers both telehealth and in-person care. This role isn't just about shipping code; it's about owning the entire lifecycle of features—from database migrations to agentic AI tools that automate clinical documentation and patient workflows.

A Stack Built for AI Velocity

Tono leverages a modern, highly-typed environment that is perfect for developers who utilize LLM assistance. You will work with:

  • Full-Stack TypeScript: Next.js, tRPC, and Fastify for seamless, type-safe development.
  • Agentic Infrastructure: Building with Mastra and LLM APIs to create self-improving clinical loops.
  • Reliable Data: Using Prisma and PostgreSQL to manage complex medical schemas.

Impact and Growth

This is a high-ownership role at a venture-backed startup where you will have direct access to the founders and a say in the technical roadmap. You'll be building the foundational primitives—like telemetry abstractions and durable workflows—that allow the company to scale specialty care across the country. If you take pride in your craft and want to see your code impact patient lives in real-time, this is your next move.

Benefits

Medical coverageDental coverageVision coverageEquityUnlimited PTO

Skills & Tags

TypeScriptReactNext.jsPrismaPostgreSQLtRPCFastifySystem designDatabase schema designAI/LLM integrationAgentic systemsCloudflareAWSGCPObservabilityData modeling

Keywords

TypeScriptReactNext.jsPrismaPostgreSQLtRPCFastifyInngestMastraOpenAIAnthropicVertex AICloudflareTurborepoDopplerAWSGCPPosthogMotherduckDuckDBdbtdltPrefectBigQueryLLMAgentic systemsEHRFull stackHealthcareDermatology

Categories

SoftwareTechnologyHealthcareEngineeringData & Analytics

Listing transparency: Job facts are based on the original employer or job-source listing. GoodVibeCode may use AI assistance to summarize and structure the description, followed by editorial checks.

Source: dover

Last reviewed: Oct 28, 2026. How we source and review jobs.