(Remote) Fullstack Software Engineer (Special Projects Team) at Aeroflow Health

Aeroflow Health – Fullstack Software Engineer (Special Projects Team)

Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country, and are recognized on Inc. 5000’s list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We’re working hard to ensure that Aeroflow remains a premier employer in Western North Carolina, thus bettering the everyday lives of the employees that work so hard to service our patients.

The Opportunity

Within Aeroflow, the Innovation Engineering (Special Projects) team is comprised of a highly skilled group of forward-thinking builders focused on solving the business’s most unique and impactful challenges. This team sits inside our broader 80+ engineer organization that includes internal/SQL, middleware, product, and platform teams.

The Innovation Engineering team focuses on:

• Designing and delivering cutting-edge applications using Next.js, React, Node.js, TypeScript, AWS Lambda, and infrastructure-as-code (sst.dev, Pulumi/Terraform).
• Rapid experimentation, AI-driven solutions (LLMs, prompting, RAG/vector storage, model training), and mission-critical engineering accelerators.
• Supporting internal engineering teams with scalable frameworks, modern architecture, and hands-on DevOps and CI/CD enablement.
  
  

We support internal product teams, business stakeholders, and engineering leadership, helping unlock automation, improve patient experiences, and increase operational efficiency across Aeroflow.

What makes this team special?

• High autonomy, rapid delivery, and high visibility work.
• Opportunity to build greenfield tools that directly impact patient care, operational excellence, and organizational scalability.
• A collaborative, no-ego culture that values experimentation, creativity, and engineering craftsmanship.
  
  

Your Primary Responsibilities

We are currently seeking a Hybrid Fullstack Software Engineer.

This role is responsible for developing highly performant fullstack applications while helping maintain and evolve the infrastructure that supports our engineering ecosystem.

In this role, you can expect to:

Design & Development

• Architect, design, and build fullstack applications and microservices that are scalable, performant, and maintainable.
• Develop modular, serverless microservices within a cloud-native environment.
  
  

Innovation & Collaboration

• Participate in ideation and innovation sessions, contributing creative technical solutions that drive business value.
• Collaborate with stakeholders, designers, product owners, and engineers to deliver high-quality software.
  
  

Quality & Testing

• Write clean, well-documented, testable code.
• Build unit and integration tests; debug, troubleshoot, and resolve production issues.
  
  

DevOps & Infrastructure

• Implement and optimize CI/CD pipelines.
• Support infrastructure-as-code using dev, CloudFormation, Pulumi, or Terraform.
• Monitor, maintain, and optimize deployed applications in high-volume production environments.
  
  

Continuous Improvement

• Stay current with emerging trends, tools, and technologies.
• Share best practices, improve engineering standards, and mentor peers as needed.
  
  

Compliance

• Maintain HIPAA/patient confidentiality.
• Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and an element of job performance.
• Other job duties as assigned.
  
  

Skills For Success

Candidates who stand out will demonstrate:

• Strong end-to-end ownership of engineering deliverables.
• Ability to build scalable systems in cloud-native/serverless architectures.
• Excellent communication and collaboration with both technical and non-technical stakeholders.
• Curiosity, creativity, and a passion for innovation.
• Ability to simplify complexity, move quickly, and operate with minimal friction.
• A team-first mindset with no ego and a desire to elevate those around you.
  
  

Required Qualifications

• 3+ years fullstack engineering experience.
• Strong proficiency in React, TypeScript, Node.js. js experience is a plus.
• Proven experience designing and building production-grade fullstack applications.
• Deep understanding of microservices, especially in serverless AWS environments.
• Experience with AWS services such as Lambda, SNS, SQS, DynamoDB, RDS, S3, CloudFront.
• Experience supporting and debugging systems in high-volume production.
• Familiarity with Git, Jira, and general system/network administration.
• Experience with infrastructure-as-code.
• Bachelor’s degree in Computer Science or related field preferred (not required).
  
  

You Might Also Have

(These are not required, but would be strong differentiators.)

• Pulumi, Terraform, or CloudFormation experience (highly recommended for backend focus).
• Fax technology, OCR, or document extraction experience.
• RAG, vector databases, or model training experience.
• Healthcare, DME, or insurance familiarity.
• Snowflake data platform and data science methodologies.
  
  

What We Look For

We are looking for highly motivated, talented individuals who:

• Are inquisitive and eager to learn.
• Think creatively and solve problems with a builder’s mindset.
• Communicate clearly and partner effectively across teams.
• Thrive in fast-paced environments with shifting priorities.
• Demonstrate humility, adaptability, and collaboration.
• Bring strong engineering rigor coupled with innovation.
• Value autonomy, ownership, and opportunities for growth.
  
  

You can expect:

• A collaborative, supportive team environment.
• Opportunities to build high-impact tools across the organization.
• Autonomy and space to innovate.
• Ongoing investment in your growth and engineering potential.
  
  

What Aeroflow Offers

Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent / 4 weeks for non-birthing parent(s), Additional parental benefits including fertility stipends, free diapers, breast pump, Paid Holidays, PTO accrual from day one, Employee Assistance Programs, and so much more!

Here at Aeroflow, we are proud of our commitment to our employees. Aeroflow Health has been recognized both locally and nationally for:

• Family Forward Certified
• Great Place to Work Certified
• 5000 Best Place to Work Award Winner
• HME Excellence Award
• Sky High Growth Award
  
  

If you’ve been looking for an opportunity where you can make an impact — and join an organization with unlimited growth potential — we want to hear from you!

Aeroflow Health is an equal opportunity employer committed to diversity and inclusion. We prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.