Senior Full-Stack Engineer — Distributed / Event-Driven Platform Lead (Clinic
Remote (India)
Full-time3 openings₹15–25 LPA (DOE)
Stack : NodeJS
NestJSReactTypeScriptKeywords : distributed systems
event-drivenhigh-throughputreal-timemicroservicesconcurrencyidempotencyobservabilityreliabilityWhy Script Assist — and why now
We’re building the real-time operating system for next-gen private healthcare. Script Assist already powers a major share of the UK medical-cannabis market and is expanding fast into GLP-1s, TRT, ADHD, and other precision-care verticals.
Our infrastructure processes tens of thousands of concurrent clinical and pharmacy events every month, growing 10–20 % month-on-month.
Join a product-obsessed engineering team where you’ll own an entire domain end-to-end and still write a ton of code. Leadership without slides — real scope, real decisions, real users.
The domains
Clinic Lead – eligibility, onboarding, scheduling, consent, RBAC, audit trailsPharmacy Lead – prescribing, dispensing, inventory / batch / expiry logic, reconciliation, reportingCore / Cross-Cutting Lead – payments, idempotent order flows, distributed event processing, retries / queues, reconciliation pipelines, observability, developer toolingEach domain functions as a stateful, event-driven mesh — demanding precision, concurrency control, and reliability at scale.
What you’ll lead and build
Ownership (30–50 %)
Own architecture, delivery, and reliability for your domainLead 4–6 engineers — hiring, mentoring, raising qualityDrive RFCs, ADRs, PR standards, post-mortemsPartner with Product, Compliance, and SME teams to ship fast and safelyHands-on coding (50–70 %)
Build modular, testable NestJS services (DI, guards, interceptors, providers)Design idempotent REST APIs with JWT / OAuth2, RBAC, rate-limiting, retries, circuit breakersImplement state-safe workflows, distributed locks, saga / outbox patterns, and message queues (Kafka / RabbitMQ / Redis)Ship end-to-end React + TypeScript features with strong state management and performance tuningMaintain observability pipelines (metrics, logs, traces) and OWASP-grade securityOptimise throughput, consistency, and recovery semantics across distributed componentsMust-haves
NodeJSTypeScriptReactNestJS (providers, modules, guards, interceptors)Proven experience in high-throughput, event-driven, or distributed systems (payments, logistics, marketplace, healthcare, etc.)Clear English, decisive ownership, uncompromising technical standardsNoticeNice-to-haves
Deep understanding of distributed-systems primitives : idempotency, concurrency, consensus, partition tolerance, reconciliationExperience with CQRS / event sourcing and message brokers (Kafka, RabbitMQ, NATS, Redis Streams)Familiarity with domain-driven design (DDD) and microservice resilience patternsExperience in regulated or mission-critical domains (healthtech, fintech, logistics)