Join Outlive

Help Build the Operating System for Better Long-Term Health

Outlive is translating the principles of Medicine 3.0 into a practical, evidence-based product that helps people change the trajectory of their health. We focus on what matters most. Setting meaningful long-term goals, understanding the risks that can get in the way, and selecting the tactics that move the needle. Our approach is grounded in the ideas Peter Attia has spent his career developing. A deliberate practice with clear metrics and truly personalized plans that extend healthspan, not just lifespan.

We’re building a system that takes the essential pillars of long-term health and makes them actionable. Our goal is simple. Give people a structured way to understand where they are today, what levers truly matter, and how to make durable progress over time.

Why Outlive

You will shape the foundation, not optimize at the margins

We’re in the earliest stages of building something that doesn’t exist anywhere else. There are no templates. No inherited systems. The work requires people who want to solve first-principles problems and create frameworks built to last.

Science and design sit at the center of everything

We aim to convey complex ideas with clarity and precision. That means pairing rigorous scientific thinking with thoughtful, intuitive design; so users can understand why something matters and how to act on it.

AI is part of how we work

The product itself is grounded in science and behavior change. But as a team, we use AI to think, test, draft, explore, and accelerate our work. It’s a tool that enhances judgment and craftsmanship, not a replacement for either.

We care about rigor, honesty, and high standards

The team is small, driven, and aligned around a shared goal: build something that meaningfully improves long-term health. We challenge ideas respectfully, expect clear reasoning, and operate with a bias toward action. Precision matters. So does integrity.

Join our candidate pool to be considered for future openings on our team!
Note: We are not actively hiring for this role at this time. We are collecting candidate interest for future openings once we move forward with this position.

Role Overview

Outlive is building a mobile-first digital health platform focused on long-term risk reduction, personalized health intelligence, and sustainable behavior change. As a Senior Full Stack Engineer, you’ll play a critical role in shaping and delivering product experiences across mobile, web, and backend services.

This role is ideal for a senior engineer who is strongest in one area (frontend or backend) but highly capable and opinionated across the stack. You’ll own features end-to-end—from user experience and data modeling to API design and deployment—while helping establish high engineering standards in a HIPAA-aware environment.

Responsibilities

Product & Feature Development

Own end-to-end implementation of product features spanning mobile (React Native / Expo), web (Next.js App Router), and backend services (NestJS / Node.js)
Collaborate closely with product and design to translate complex health concepts into clear, usable experiences
Drive technical decisions that balance speed, quality, and long-term maintainability

Frontend (Mobile & Web)

Build and maintain shared UI and interaction patterns using Tamagui across mobile and web
Implement mobile experiences using React Native (Expo), expo-router, TanStack Query, and offline/background sync patterns
Build web experiences using Next.js (App Router) and React
Integrate payments using Stripe.js and react-stripe-js
Integrate frontend applications with custom authentication hooks backed by Firebase and backend identity services
Consume and evolve REST APIs
Implement analytics (PostHog), error tracking (Sentry), and accessibility best practices
Write and maintain frontend tests using Jest, Vitest, React Testing Library, Playwright, and Detox as appropriate

Backend & APIs

Design and implement backend services using NestJS (v11) and TypeScript
Build secure, well-validated REST APIs using zod, class-validator, and OpenAPI
Implement authentication and authorization using Google Identity JWT validation and role-based access control
Model relational data using Prisma and Postgres (Cloud SQL)
Implement async and background workflows using Google Cloud Tasks
Integrate with external services such as OCR, scheduling APIs, and third-party data sources
Ensure observability through structured logging, metrics, and Sentry
Write unit and integration tests using Jest

Collaboration & Technical Leadership

Act as a senior individual contributor, setting quality bars through code, reviews, and architectural decisions
Partner closely with infrastructure and DevOps engineers to ensure reliable deployments
Identify opportunities to simplify systems and reduce operational overhead
Contribute to evolving engineering standards, patterns, and best practices
Mentor mid-level engineers as the team grows

Required Qualifications

6+ years of professional software engineering experience
Strong experience across frontend and backend development
Production experience with React (web and/or React Native)
Strong experience with Node.js and TypeScript
Experience designing and consuming REST APIs
Solid understanding of relational data modeling and ORMs
Strong grasp of authentication, authorization, and security fundamentals
Comfort working in small teams with high ownership and autonomy
Ability to lead or follow as the moment calls for
Familiarity with design patterns of distributed systems

Preferred / Nice-to-Have

Hands-on experience with React Native (Expo)
Production experience with NestJS
Familiarity with Google Cloud Platform
Experience in healthcare, wellness, or other regulated domains
Experience implementing offline-first or background processing features
Strong accessibility and UX quality sensibilities

What Success Looks Like (First 6–12 Months)

Ships meaningful product features end-to-end across mobile, web, and backend
Improves consistency and quality across shared frontend patterns
Strengthens API design, validation, and error handling
Reduces friction between frontend and backend integration
Raise the overall engineering bar through thoughtful execution and mentorship
Measure and utilize product metrics to drive real customer value

Expected Pay Range

$125,000 - $200,000USD

What We Offer

100% employer-paid medical, vision, and dental insurance (multiple plans available).
100% employer-paid life insurance, short-term, and long-term disability insurance.
Employer-sponsored HSA contributions for HDHP medical plans
Additional HSA and FSA spending account plans for employees
401(k) with a 5% company match.
Generous PTO and holiday schedule.
Company-issued technology and work-from-home stipend.
A chance to shape a product, and a company, from the ground up.
The opportunity to work at the forefront of health and longevity science with a team of world-class professionals dedicated to precision, mastery, and excellence.