Full Stack Engineer

About Tiny HealthTiny Health is advancing lifelong health, from the first 1,000 days to the last, and addressing chronic disease through precision microbiome science. Founded in 2020 and built by microbiome scientists and physicians, our testing platform reveals whether your microbiome is trending toward resilience or imbalances using shotgun metagenomics, proprietary AI, and one of the world's largest longitudinal datasets. Trusted by families and health practitioners alike, our research-backed gut and vaginal tests are redefining the microbiome as a cornerstone of personalized health through every life stage.

Learn more at tinyhealth.com and poweredbytiny.com. The OpportunityWe are looking for a Full Stack Engineer to join our Product & Engineering team. This role will have a strong backend focus, but with the ability to contribute across the stack as needed. You'll work closely with our co-founder, product/design lead, and a tight-knit engineering team to build and maintain our customer-facing products, internal tools, and data platforms.

We are seeking someone who can bring strong database expertise to help strengthen the team's backend capabilities as we continue to scale and evolve our product.

What You’ll Do

• Design, build, and maintain backend services, APIs, and databases that power our product. Collaborate with our team to deliver full-stack features end-to-end. Lead and improve database architecture, performance, and reliability. Participate in DevOps and infrastructure projects, including CI/CD, deployments, and monitoring. Contribute to architectural decisions as we evolve our stack and scale our systems. Work closely with product, design, and leadership to scope and deliver high-impact features.

Qualifications

• RequiredStrong backend engineering experience with serverless architectures.
• Solid experience with relational databases (e.g.
• PostgreSQL, MySQL, RDS) and data modeling.
• Ability to assess and optimize database performance, scaling, and migrations.
• Experience with AWS (Lambdas, EC2, S3, RDS, etc).
• Strong understanding of backend system design and REST API development.
• Familiarity with CI/CD pipelines and infrastructure as code (Terraform, CloudFormation, or similar).
• Comfortable working independently in a fast-paced, remote startup environment.
• PreferredFrontend experience with React and Vite.
• Backend experience with Node.js.
• Experience with TypeScript.
• Experience with observability, monitoring, and alerting systems.
• Previous experience in healthtech, biotech, or handling sensitive health data.
• Startup or small-team experience where you've worn multiple hats.
• How we workA mission that actually pulls people in We make the microbiome measurable and actionable at every life stage, and real people write in to say it's life-changing.
• Remote-first, real overlap Our FTEs are based in North America and work core hours from 9am–6pm CST, shiftable by up to two hours either way — start at 7am or 11am, wrap at 4pm or 8pm.
• Written first, huddle second, meet last Default to a clear Slack post, huddle when a thread stalls, and meet only to make a real decision.
• Fast, but never sloppy Do the two-month thing in two weeks, then check the work—shipping errors is rework, not speed.