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Senior Full Stack Software Engineer Jobs in North Carolina

Senior Full Stack Engineer - HealthTech Location: U.S. Remote Compensation: $190K-$200K base ... What you bring * 7+ years building and operating production software, or equivalent Senior-level ...

We hire engineers, not language specialists: we care that you can reason about systems, pick the right tool for the problem, and ship reliable software across the stack. As a Senior Full Stack ...

About the role We are looking for a Senior Full Stack Software Engineer to join our Patching team, the team responsible for how NinjaOne discovers, packages, and deploys OS and third-party software ...

Software Development/ Engineering Main location: United States, North Carolina, Durham Position ID:J0726-0090 Employment Type: Full Time U.S.- CGI Partner story: Full stack your career By playing ...

Senior Full Stack Developer

Charlotte, NC · On-site

$130K - $150K/yr

Employee Recognition Program Perr&Knight is looking for a Senior Full-Stack Developer to fulfill ... Engaging in the full software development lifecycle: planning, requirements, design, development ...

Showing results 21-40

Senior Full Stack Software Engineer information

See North Carolina salary details

$40.4K

$122.5K

$173.1K

How much do senior full stack software engineer jobs pay per year?

As of Aug 25, 2026, the average yearly pay for senior full stack software engineer in North Carolina is $122,480.00, according to ZipRecruiter salary data. Most workers in this role earn between $100,900.00 and $143,600.00 per year, depending on experience, location, and employer.

What is a senior full stack software engineer?

A Senior Full Stack Software Engineer is an experienced developer responsible for designing, building, and maintaining both front-end and back-end systems in web or software applications. They work with a variety of technologies, frameworks, and databases to ensure seamless functionality across the entire software stack. In addition to coding, they often provide technical leadership, mentor junior developers, and contribute to architectural decisions. Their role requires strong problem-solving skills, an understanding of best practices, and the ability to collaborate with cross-functional teams to deliver high-quality software solutions.

What does a senior full stack software engineer do?

A typical day for a Senior Full Stack Software Engineer involves designing and implementing new features, reviewing and improving code, and collaborating with product managers, designers, and other developers to deliver project goals. You might split your time between writing code for both front-end and back-end systems, participating in daily stand-up meetings, and providing technical guidance to junior team members. The role often requires balancing hands-on development with architectural planning and problem-solving for complex technical challenges. You’ll also frequently interact with stakeholders to gather requirements and provide updates, ensuring alignment throughout the software development lifecycle.

What are the key skills and qualifications needed to thrive as a senior full stack software engineer?

To thrive as a Senior Full Stack Software Engineer, you need deep expertise in both front-end and back-end development, strong problem-solving abilities, and a solid foundation in computer science principles, typically demonstrated by a bachelor’s or master’s degree in a related field. Familiarity with frameworks and languages like React, Angular, Node.js, Python, and proficiency in using cloud platforms, version control systems like Git, and continuous integration tools is crucial, and relevant certifications are an advantage. Exceptional communication, leadership, and teamwork skills help you effectively coordinate with cross-functional teams and mentor junior engineers. These skills ensure you can deliver robust, scalable solutions while driving project success and fostering a collaborative development environment.

What are the most commonly searched types of Full Stack Software Engineer jobs in North Carolina?

The most popular types of Full Stack Software Engineer jobs in North Carolina are:

What cities in North Carolina are hiring for Senior Full Stack Software Engineer jobs?

Cities in North Carolina with the most Senior Full Stack Software Engineer job openings:

Infographic showing various Senior Full Stack Software Engineer job openings in North Carolina as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 6% Part Time, 7% Temporary, and 3% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $122,480 per year, or $58.9 per hour.

Senior Full Stack Engineer - HealthTech

Raleigh, NC • Remote

$190K - $200K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 17 days ago


Job description

Senior Full Stack Engineer - HealthTech

Location: U.S. Remote
Compensation: $190K-$200K base + bonus + equity
Schedule: Flexible hours with PST overlap
Travel: None

Build healthcare systems with real operational impact

Our client is a growth-stage healthcare technology company that has raised more than $100 million and is scaling quickly. We're hiring a Senior Full Stack Engineer to help build the core platform behind healthcare operations affecting hundreds of thousands of patient visits each year.

You'll join a lean, flat engineering team where senior engineers have broad ownership and direct access to product and company leadership. You won't be limited to a narrow layer of the stack or handed a queue of isolated tickets. You'll own meaningful systems end to end, influence architecture, and help shape the technical roadmap for their next stage of growth.

The direct users of these systems are often internal healthcare operations teams, but their impact reaches patients, clinicians, and health-plan partners. This is an opportunity to do hands-on work with real operational consequences-and participate in the upside through equity as the company continues to grow.

What you'll do
  • Build and operate production applications, APIs, integrations, data workflows, and internal user experiences.
  • Work across a polyglot stack that includes Ruby on Rails, Python, Node.js, SQL, and adjacent services.
  • Design reliable systems for sensitive healthcare data, with attention to data quality, auditability, performance, concurrency, and failure handling.
  • Own features from problem definition through launch, production support, and iteration.
  • Partner directly with product and leadership to define milestones, surface tradeoffs, and improve engineering standards.
  • Improve delivery, CI/CD, observability, and operational reliability alongside feature development.
  • Use AI coding tools such as Claude Code, Cursor, or Codex to accelerate delivery while maintaining strong testing and review practices.
What you bring
  • 7+ years building and operating production software, or equivalent Senior-level scope.
  • Strong hands-on experience in Ruby on Rails or Python, plus the ability to work confidently across multiple languages and systems.
  • Strong SQL and data-modeling skills, including PostgreSQL or similar relational databases.
  • Experience with JavaScript/TypeScript and modern web application development.
  • Strong engineering fundamentals: data structures, complexity, concurrency, API design, testing, and systems design.
  • Experience building reliable integrations, data pipelines, or high-volume operational systems.
  • Working knowledge of DevOps practices, including CI/CD, Docker, cloud infrastructure, monitoring, and incident response.
  • Clear examples of using AI coding agents responsibly, including how you validate their output.
  • A computer science degree or equivalent foundation in core software-engineering principles.
  • U.S. work authorization without sponsorship.
Nice to have
  • Healthcare, regulated-data, insurance, or operations-platform experience.
  • Experience with AWS, Kubernetes, event-driven systems, or distributed services.
  • Experience with C#, analytics systems, or data-warehouse tooling.
  • Experience improving and scaling systems already in production.
Benefits
  • Health, dental, and vision insurance
  • 401(k)
  • Generous PTO
  • Direct access to leadership and fast decision-making
  • Fully remote work with flexible hours
  • Modern, AI-assisted engineering workflows

At Urrly, fairness matters. We use AI to review every application against the same clear requirements for the role. Candidates are evaluated only on job-related factors such as skills, certifications, and experience, not personal attributes.

Employment Type: FULL_TIME