Sr. Software Engineer (San Diego)
Confidential
Posted: April 3, 2026
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Quick Summary
We are seeking a Senior Software Engineer to design robust backend services and create engaging user experiences for our personalized surgery platform.
Required Skills
Job Description
About Carlsmed
Our mission is to improve outcomes and decrease the cost of healthcare for spine surgery and beyond. The Carlsmed aprevo® personalized surgery platform is designed to improve the standard of care for spine surgery one patient at a time.
Position Description
As Senior Software Engineer, you will work on projects related to proprietary implants, instrumentation, and design automation systems to enable personalized surgery. You'll be working on our full-stack applications, focusing on building robust backend services and creating engaging user experiences. This role offers the opportunity to work with modern technologies and shape the technical direction of our products.
Responsibilities
Design and implement scalable backend services using Node.js, GraphQL, and Java/Kotlin (Spring Boot)
Build and maintain responsive, performant frontend applications using React
Optimize PostgreSQL databases for performance and reliability
Lead technical design discussions, architecture reviews, and code reviews
Mentor junior engineers and champion engineering best practices
Partner with product managers to define requirements and delivery timelines
Troubleshoot and debug complex issues across the full stack
Qualifications
Education: Bachelor’s degree in Computer Science
Experience: 5 – 10 years of front end / back end and database experience required
Experience with spine or orthopedics highly desired
Skills
Proficiency in Node.js and server-side JavaScript
Backend experience with Java and/or Kotlin, including Spring Boot
Expert knowledge of GraphQL, including schema design and performance optimization
Advanced React experience, including state management and performance tuning
Deep understanding of PostgreSQL, including query optimization and schema design
Strong grasp of software design patterns and engineering principles
Strong communication, problem-solving, and debugging skills
Prisma ORM, JPA, and database migrations - preferred
DevOps and cloud platforms (AWS/GCP/Azure) - preferred
CI/CD pipelines and testing frameworks - preferred
Equal Opportunity Employer
Carlsmed is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Carlsmed is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know.
Compensation
We are pleased to provide a competitive salary and benefits. Our benefits reflect our investment in the overall health and well-being of our employees and their families, including paying 100% of monthly healthcare, dental & vision insurance premiums, a 401(k) plan with employer matching and unlimited PTO. The expected salary range is $125,000 to $145,000 annually. Compensation may vary based on related skills, experience, and relevant key attributes.