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Full Stack Engineer - Development & Systems Integration

Are you a full stack engineer who enjoys working with data and developing solutions that integrate disparate systems? 

Are you an entrepreneurial self-starter who is motivated by solving challenging problems with innovative and efficient technical and operational solutions?

Do you share our passion for enabling positive change within healthcare and helping patients with chronic conditions like diabetes?

If so, you could be a perfect fit for our team of like-minded professionals who share a common mission and passion for helping others and a desire to build a great company.

Fit4D is a high-growth, venture-backed health tech services company based in New York City.  The company partners with pharmaceutical & device companies, payers and ACOs to deliver personalized, technology-based coaching to improve treatment adherence and health outcomes for people living with diabetes and other chronic conditions.  The company is a high-energy, results-oriented work place that believes our success, as well as the success of our customers and patients, relies primarily on a fantastic team with the passion, drive and skills to change the face of chronic condition management.

Fit4D seeks to hire a Full Stack Engineer to be based in the company’s midtown location in New York City.  

The Full Stack Engineer will join a strong technically-oriented operations team that continuously innovates and improves our internal facing technical solutions, ensures the successful implementation and enables our clinical team to efficiently engage a large patient population.  The Full Stack Engineer will be responsible for developing programs that integrate our workflow and rules based solution with our reporting and CRM solutions. The role is primarily backend development with integration of solutions however some front-end user interface development is required. The Full Stack Engineer will evaluate our integrated technical infrastructure, recommend coding improvements to our systems, and develop new insights for reporting and integration. This role will report to the Director of Technical Operations and be part of our high-energy, passionate team of innovators.


  • Participate in all aspects of our development and provide expertise on both front end and back end (75% of the development will relate to backend integration)
  • Design and implement solutions that improve functionality, performance and efficiency for our internal-facing applications
  • Design and implement workflow and business process solutions to improve efficiency
  • Develop integrated solutions to manage data flow and processes between systems
  • Create reporting solutions (SSRS and PowerBI) that provide data and access by reporting analysts for internal & external reporting
  • Build and modify user interfaces for our internal-facing applications
  • Adapt as needed within our rapidly growing startup culture


  • 5 -10 years’ work experience as a developer, systems analyst, solution architect or technical consultant
  • Hands-on experience coding with a variety of technologies –.NET, C#, ASP.NET, SDK Integration (.NET)
  • Strong understanding of MS SQL database and database integration concepts
  • Experience developing integration solutions to extract, transform and load data between different vendor systems
  • Experience with designing and implementing job process and controls to manage integration
  • Experience preferred with developing solutions in workflow and rule based applications, Telemarketing or Digital Marketing
  • Bachelor’s Degree – Computer Science, Systems Engineering or equivalent
  • Able to independently learn new systems and technology efficiently with limited direction
  • Strong initiative to improve solutions, systems, and processes
  • Love to learn and equally love to share knowledge with others
  • DESISIONS experience A+
  • We do not currently support visa sponsorship 
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