Senior Software Engineer

Join a fast-moving team building technology that helps accelerate clinical trial startup and improve the path from protocol to patient enrollment. This is a full-stack engineering opportunity focused on creating modern user experiences, reliable backend services, and scalable cloud-based solutions in a healthcare environment.
Responsibilities

• Design and build responsive, user-friendly interfaces using React, JavaScript, and TypeScript.
• Develop and maintain backend APIs and services with Python and FastAPI.
• Document API endpoints clearly and support clean, consistent integration patterns.
• Contribute to scalable data workflows that support complex clinical trial operations.
• Containerize applications and help deploy services in Google Cloud Platform environments using Cloud Run.
• Work with PostgreSQL and Cloud SQL to support database design, queries, and application data needs.
• Support enterprise API management and integration using ApigeeX.
• Participate in infrastructure-as-code and CI/CD practices to improve delivery reliability and speed.
• Help implement secure authentication and identity workflows using OAuth and Microsoft Entra ID.
• Collaborate with teammates to deliver high-quality, well-tested solutions aligned to engineering best practices.

Skills

• Strong hands-on experience with modern React, JavaScript, and TypeScript.
• Solid background in Python and FastAPI, with experience building RESTful APIs.
• Experience working with Google Cloud Platform, Docker or Podman, and cloud deployment workflows.
• Proficiency with SQL, relational database design, and PostgreSQL.
• Experience using Terraform and supporting CI/CD pipelines.
• Understanding of secure identity and access management, including OAuth and Microsoft Entra ID.
• Commitment to clean architecture, unit testing, and code review practices.
• Experience working with healthcare data or regulated data environments.
• Strong communication and collaboration skills.

Preferred Skills

• Experience with ApigeeX or similar API management tools.
• Familiarity with clinical trial workflows or life sciences technology.
• Exposure to AI-assisted development tools that support productivity and code quality.
• Experience contributing to full-stack solutions across both frontend and backend layers.
• Comfort working in a cross-functional environment with evolving priorities.

Horizontal is committed to fostering a diverse, equitable, and inclusive workplace where everyone is welcomed, respected, and supported. We value different perspectives and backgrounds and encourage candidates of all identities and experiences to apply.
By applying for this position, you acknowledge and agree that Horizontal Talent may contact you regarding your application using automated technology, including phone calls, SMS/text messages, or email, which may be delivered by our virtual AI recruiter, Alex.
Please apply through this online posting or by visiting our Job Board at Applications will be accepted for 4 weeks. For those that join the team, we offer competitive compensation and benefits including medical, dental, vision, and retirement. Check out all we have to offer and how you can become part of the Horizontal Talent Team. The pay range for this role is $51 - $89 per hour based on qualifications and experience.