Full Stack Engineer

About Tiny Health

Tiny 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 Opportunity

We 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

Required

• Strong 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.

Preferred

• Frontend 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 work

• Remote-First Company: our working hours follow a 2 hour window from 9 am - 6 pm CST

• Driven by an ambitious mission: we're reinventing how we should think about wellness from the first 1,000 days to the last

• Shape what we build, not just how we build it: we prioritize experimentation with taking ownership, and moving fast

• No hidden agendas: we operate with full transparency because when everyone's working from the same honest picture, you spend less time on politics and more time on impact

• High standards, human culture: we hold ourselves to a high bar and do it alongside a team who can laugh at themselves and make the hard days genuinely enjoyable

Our Values

1. Learn fast, be better (root cause analysis)

   What that looks like: When a stakeholder gives constructive criticism to a test result, instead of just apologizing and moving on, you dig into why it happened and update the process so the feedback is not received again.

2. Be relentlessly resourceful (be scrappy)

   What that looks like: When a customer asks a question about our science, you you spend time digging through our docs and filtering through Slack for previous replies before pinging the team. You also know not to burn a whole day stuck, so you ask for help with a clear summary of what you've already tried.

3. Think like an owner (ownership)

   What that looks like: When you notice customer engagement is dropping, you don't shrug it off as another team's problem - you flag it, dig into the numbers, and bring a fix, because you're hungry to see the whole company win, not just your own tasks hit their targets.

4. Act with honesty and empathy (radical candor)

   What that looks like: When a colleague shares an idea that carries real risk, challenge in the moment and do it with kindness - don’t vent about it afterward in a side conversation.

5. Delight people by anticipating their needs (create raving experiences)

   What that looks like: You put yourselves in the shoes of the customer or collaborator before presenting an idea, process, or proposal. Think ahead about what their pain and gain points are, and curate your communication to address their needs.