Full Stack Developer - In Office, Backend Focus

About the role

LeadGeek is a medical office seeking an experienced Full Stack Developer to work on‑site developing and maintaining custom software that supports clinical and administrative workflows. The position emphasizes reliable backend systems, database management, AI integrations, and workflow automation, with functional internal interfaces as a secondary focus.

Key responsibilities

• Design, develop, and maintain backend services and databases that power internal medical‑office applications.
• Integrate AI/LLM models and third‑party/EHR data into existing systems.
• Build APIs, automation scripts, and data‑driven tools to streamline staff operations.
• Troubleshoot, optimize, and continuously improve system performance and reliability.

Required profile

• Strong backend development experience with a focus on reliability and efficiency.
• Advanced knowledge of Microsoft SQL Server, including query writing, database design, and optimization.
• Hands‑on experience with AI/LLM development, open‑source language models, and deployment on NVIDIA hardware (e.g., DGX Spark).

Required skills

• Microsoft SQL Server
• SQL query writing and database design
• Database optimization and integration
• API development
• AI/LLM integration
• Open‑source language models
• NVIDIA DGX Spark hardware
• Full stack development (backend and functional frontend)