Sr. Product Engineer

Costa Rica (Remote) Remote April 21, 2026 Full Time

About Willow

Willow is a telehealth company focused on personalized, responsible GLP-1-based weight loss care. We combine medical expertise with a supportive, patient-centered approach to help people feel more confident and comfortable in their bodies. Our goal is to make high-quality care accessible, thoughtful, and designed to fit real lives.

About the role

We're hiring a Senior Product Engineer to own meaningful pieces of the product end-to-end. You will work across our patient, provider, and admin applications, our core API, and the underlying AWS infrastructure.

We are looking for an engineer who views code as a tool to solve user problems and thrives in a high-ownership environment. You should be comfortable picking up a problem that spans frontend, backend, and vendor integrations, defining the right technical shape, shipping it, and iterating based on real-world usage.

What you’ll Do

  • Build and optimize complex, state-machine-driven intake flows using React and Next.js to manage clinical eligibility and patient state.

  • Manage the scaling of our NestJS "majestic monolith" and help determine when and how to extract focused services as our domain models grow.

  • Ship strictly-typed TypeScript features across a Turborepo monorepo, ensuring high performance for our patient, doctor, and admin interfaces.

  • Design and maintain Postgres schemas and handle asynchronous job queuing (retries, idempotency) via pg-boss.

  • Connect and scale third-party integrations, including Stripe, Authorize.Net, Vouched, and Customer.io, to power clinical and business workflows.

  • Own deployments and infrastructure health within AWS, utilizing Datadog for observability and incident response.

  • Participate in (and lead) thoughtful code reviews to maintain high standards for readability, maintainability, and test coverage across the team.

  • Document architectural decisions and API contracts to ensure the team can scale and new members can onboard quickly.

  • Proactively identify bottlenecks in the patient onboarding funnel or backend services and implement optimizations to maintain a "snappy" user experience.

  • Ensure that all features are built with security best practices in mind, particularly regarding the handling of sensitive patient data.

What we're looking for

  • 8+ years shipping full-stack TypeScript, with real ownership of features in production.

  • Strong on React / Next.js on the frontend and a modern Node backend (NestJS, Express, or similar).

  • Comfortable in Postgres, schema design, modern ORMs, and a sense for the cost of a bad query.

  • Experience with event-driven systems: queues, retries, idempotency, distributed gotchas.

  • Real AWS fluency, you can read a container deployment spec and trace an incident without hand-holding.

  • Solid instinct for product: you care whether a feature actually works for users, not only whether it ships.

Nice to have

  • State-machine-first codebases.

  • Healthcare, HIPAA, or regulated-domain experience.

  • Integrating payments such as Stripe.

  • Shipping LLM-powered features in production.

  • Background in high-conversion onboarding / funnel work.

  • Minesweeper skills

What's in it for you?

As a full-time member of our team, you’ll enjoy:

  • Flexible working hours

  • Work wherever you choose.

  • Fun and casual work environment.

  • We are a diverse, global team!

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