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Senior Full-Stack Engineer

MedThread

MedThread

Software Engineering
New York, NY, USA
USD 150k-220k / year + Equity
Posted on Jan 8, 2026

Location

New York City

Employment Type

Full time

Location Type

On-site

Department

Engineering

About Parambil

The legal industry moves billions of dollars on the backs of antiquated, manual processes. Personal injury lawyers spend countless hours buried in medical records, trying to extract the critical details that make or break their cases. It's slow, expensive, and error-prone.

Parambil is changing that.

We've built an AI-powered platform that transforms how law firms review medical records — turning weeks of manual work into minutes of intelligent analysis. Our technology helps attorneys quickly identify key medical facts, build stronger cases, and serve their clients better.

We're trusted by top personal injury law firms and major enterprises like cruise lines to handle their most critical legal workflows. This year alone, we 10x'd our revenue and customer base — and we're just getting started.

Parambil is backed by $8M from leading investors including Bling Capital, NVP, and Daybreak (with $6M raised just this quarter). We're led by technical founders from McKinsey QuantumBlack, Yale/Stanford Medicine, and Emory CS, and advised by post-exit CTOs and AI professors. Our team is small, technical, and moving fast — and we're building the future of legal AI from our NYC office near Grand Central.

What We’re Looking For

We’re looking for a builder - someone who can model complex problems, design elegant systems, and ship production-grade features end to end. You’ll work closely with designers, engineers, and product leaders who care deeply about the craft of software and solving meaningful problems.

  • 6+ years building and shipping full-stack web apps - experience with Next.js, React, TypeScript, or PostgreSQL is a plus

  • Strong backend experience - comfortable designing APIs, managing authentication, handling data migrations, and integrating third-party services (we use tools like Prisma, Auth0, OpenAI, and Stripe)

  • Deep AWS and infrastructure expertise - designing, deploying, and monitoring production systems using Terraform, ECS, EC2, and supporting services like Lambda, RDS, and CloudWatch

  • Solid understanding of data modeling, performance optimization, and secure infrastructure.

  • Excellent communicator who thrives in collaborative, cross-functional teams and values clear thinking and craftsmanship

Your Role

  • Build features end-to-end - from system design to production delivery

  • Work directly with lawyers and domain experts to understand problems and model solutions using cloud, web, and AI infrastructure

  • Communicate technical ideas, constraints, and trade-offs clearly

  • Provide guidance to other engineers, ensuring smooth collaboration and delivery

  • Help shape and scale our engineering process as the product and team grow

What We Offer

  • Meaningful, challenging work solving a mission-critical problem in legal tech

  • Medical Insurance, 401K

  • A close-knit startup culture in our NYC office

  • Competitive salary range: $150K–$220K Base + Equity

  • Full-time, in-person role in New York City - we value real collaboration and spontaneous problem-solving

Why Parambil?

  • Ownership & Impact: You’ll build meaningful features that go live quickly

  • Elite Team: Build alongside the best talent in NYC

  • Fast Growth: Your work will directly shape our product and company trajectory

  • Equity: You’ll own a piece of what you’re building

  • Culture: We’re a tight-knit, no-ego team that values curiosity, speed, and execution