Software Developer - Full Stack Developer (Entrepreneurial + Earned Equity Opportunity)

Salary: $90,000Why this role existsAcrew Dental builds software that helps dental practices organize, engage, and succeedstreamlining scheduling, patient communications, intake, billing, and portal experiences so teams can spend less time on admin work and more time delivering exceptional care. (acrewdental.com)Were building like ownersbecause we are owners. This role is designed for a builder who wants more than a paycheck: youll have the opportunity to earn equity in the business through impact, execution, and sustained contribution. That means youll help shape the product, the roadmap, and the companyand youll share in the upside you create.The Opportunity: Build, Lead, Earn EquityThis is not a ticket-taker engineering role. Its an entrepreneurial seat for someone who wants to:Own outcomes, not just codeBuild core capabilities that drive growth and retention for practicesHelp define what we build next (and why)Be accountable for quality, speed, and business impactEarn equity as your impact compoundsWhat youll doYoull build and ship features end-to-endfrom data model to UIcreating secure, reliable workflows that improve the patient experience and reduce friction for busy practices.Product & engineering responsibilitiesBuild full-stack features across patient-facing and practice-facing experiences (online scheduling, patient portal, intake forms, billing/payments, automated reminders, 2-way texting). (acrewdental.com)Design and maintain robust APIs/services that support workflow automation, scheduling logic, payments, communications, and account management.Deliver clean, intuitive interfaces that are easy for front-desk teams and patients to use.Integrate and maintain external systems/APIs that are core to the platforms value (see Tech Stack & Integrations below).Collaborate closely with product, support, and dental operations to understand real clinic workflows and translate them into dependable software.Raise the bar on quality: testing, monitoring/observability, performance, and reliability.Participate in architecture decisions with a bias toward maintainability, clarity, and shipping.Security, privacy, and trustBuild with security and privacy as defaults: protect patient data, follow least-privilege access patterns, and treat compliance as a product feature. (acrewdental.com)Implement safeguards appropriate for patient-facing workflows (secure auth, role-based access, auditing/logging, incident readiness).Tech Stack & Integrations (What youll work with)Youll work in (and help evolve) a production stack built on:Core stackNode.js (14.17.0 )ExpressVue 2MySQLSequelize (ORM)Key integrationsOpen Dental (core source of patient data)Authorize.Net (credit card payments)Twilio (text messaging)Mailgun (email delivery)Unlayer (email template editor)The app integrates with multiple API providers, so comfort with third-party APIs and webhooks is important.How we work (what we value)Our culture and clinical philosophy shape how we build:Patient Obsession: If it doesnt improve the patient experience, we challenge it.Relationship Driven: We use technology to strengthen the human connection between practices and their communities.Golden Rule Care: We treat patients, customers, and teammates the way wed want to be treatedespecially under pressure.Ownership Mindset: We act like owners because were building something we believe inand equity should reward real contribution.Clinical Excellence & Autonomy: Our software supports great care without dictating care decisions.What success looks like (first 612 months)You ship meaningful improvements to scheduling/communications/portal workflows that reduce friction for practices and patients. (acrewdental.com)You take ownership of a key product area (e.g., Open Dental data workflows, messaging, payments, portal UX) and move it forward with minimal oversight.You improve reliability and observability so issues are found early and resolved quickly.You propose and execute roadmap ideas tied to growth and retentionnot just feature output.Your contribution positions you to earn increasing equity as your impact grows.Required qualifications3 years building and shipping production web applications as a full stack engineer.Experience building in JavaScript backends and modern web UIs; comfortable working across front end back end.Experience with relational databases and ORMs (MySQL Sequelize or similar).Experience integrating third-party APIs (payments, messaging, email) and handling edge cases reliably.Familiarity with secure development practices for systems handling sensitive customer/patient data.Proven ability to own features end-to-end and collaborate cross-functionally.Nice-to-haveExperience working with practice management systems (especially Open Dental) or healthcare-adjacent systems.Experience with payments flows (especially Authorize.Net), messaging deliverability (Twilio, Mailgun), and email templating tools (Unlayer).Comfort modernizing and evolving a mature codebase (Vue2 future improvements, Node upgrades, performance refactors).Compensation & Equity (Earned Ownership)Compensation includes competitive pay plus a meaningful earned-equity path tied to contribution and business outcomes. Were looking for someone who wants to build with an owners mindsetand be rewarded like an owner.Equal opportunityAscendent Health Partners is an equal opportunity employer. Were committed to creating a workplace where people are treated with respect, dignity, and fairness.

Salary : $90,000