Technical Lead Full Stack Developer

Lead Full-Stack Software Engineer (Node.js & React)Location: Whitefield, Bengaluru, India (On-premise / In-office)Experience: 10+ YearsEmployment Type: Full-time, PermanentAbout Us:InnovXcare aims to play in an exciting space where advanced technologies and innovationsmeet the need to provide improved access to quality care in India and beyond. We are anearly-stage startup aiming to tackle the challenges in the Imaging diagnostic reportingindustry through novel applications of Artificial Intelligence and Deep Learning. As a part ofthis company, you will get a chance to work in a fast-paced environment with a team ofpassionate and high-performing individuals who are looking to make an impact in thehealthcare space in India. We will look to you to own significant portions of our solutiondevelopment and be a part of solving some of the most challenging problems in healthcaretoday.The Role & ImpactAs the Lead Full-Stack Software Engineer, you will be the core technical anchor of the company. You will bridge the gap between our state-of-the-art data science models and enterprise-grade production software. You will directly lead, mentor, and scale a high-performing 8-person software team team consisting of 7 software developers (in-house and full-time contractors), 6 AI/data scientists, 1 product designer, and 5 QA specialists.This is a hands-on architecture and leadership role. You will own the system design, enforce engineering excellence, and build low-latency, highly available pipelines that handle real-time clinical workflows.Core ResponsibilitiesSystem Architecture & Scaling: Design and scale robust, event-driven microservices using Node.js and high-performance user interfaces using React.js to support multi-modal AI clinical tools.AI & Software Integration: Architect the data pipelines and APIs that wrap, serve, and orchestrate heavy AI models (voice-to-text transcription, NLP, and radiology reporting tools).Real-Time Data Streaming: Implement secure, low-latency, full-duplex communication protocols (WebSockets, WebRTC) to stream live audio and heavy medical data feeds seamlessly between the client and backend.Engineering Leadership: Manage, mentor, and inspire a hybrid team of 7 software developers and 5 QA engineers. Drive agile sprint planning, set high standards for clean code, and establish robust CI/CD pipelines.Production Stability: Ensure high availability, data security (HIPAA/healthcare compliance standards), and performance monitoring for a product already live and actively used in market.Cross-Functional Collaboration: Partner closely with the 6-member AI research team, design resources, and business stakeholders to translate complex clinical product requirements into technical roadmaps.Required Technical Skills & Experience10+ years of professional software engineering experience, with at least 3+ years in a Tech Lead or Engineering Manager capacity within a fast-paced startup or high-growth tech environment.Deep production-level mastery of Node.js (Express, NestJS, or similar) and React.js (including advanced state management like Redux, Context API, or Zustand).Proven experience building event-driven architectures and handling asynchronous workloads using message brokers like RabbitMQ, Kafka, or AWS SQS/SNS.Strong proficiency with real-time streaming tools, data processing, and protocol management (WebSockets, Socket.io).Heavy experience with cloud infrastructure (AWS, GCP, or Azure), containerization (Docker, Kubernetes), and automated testing frameworks.Solid understanding of database design, optimization, and scaling (SQL and NoSQL). General AttributesExceptional communication and decision making skills.Demonstrated ability to mentor teams and influence architecture direction.High ownership mindset and ability to deliver against clear plans.Strong adaptability and comfort operating in fast moving environments.Preferred (Bonus) QualificationsPrior experience in the Health-Tech / Med-Tech domain, specifically dealing with medical imaging systems, electronic health records (EHR), or healthcare compliance.Familiarity with medical imaging/data standards or frontend medical web viewers (e.g., Cornerstone.js, OHIF Viewer, DICOM web protocols) is a massive plus.What We OfferCompetitive Compensation: Highly attractive base salary aligned with top-tier Bengaluru tech standards.High Autonomy: Direct influence over technical stack decisions, product architecture, and engineering culture.Mission-Driven Work: The opportunity to build software that directly saves lives and transforms global healthcare via artificial intelligence.