Lead Full Stack Software Engineer

Company: Commence
Location: Leesburg
Posted on: February 18, 2026

Job Description:

Job Description Job Description Description: At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care. Requirements: As a Lead Full-Stack Engineer at Commence, you will play a key role in designing, developing, and maintaining both front-end and back-end components of our applications. You will work closely with cross-functional teams to deliver high-quality software solutions that are scalable, secure, and efficient. This role is ideal for someone who thrives on complex technical challenges; the harder the problem, the more energized you become. Design, develop, and maintain robust and scalable web applications across the full technology stack Collaborate with product managers, designers, and other engineers to translate business requirements into technical specifications Build and integrate APIs to ensure seamless communication between front-end and back-end systems Design, configure, and deploy serverless applications and cloud-based solutions using AWS services Work with mission-critical applications at scale, ensuring high availability and performance Provide technical guidance and mentorship to other engineers Contribute to architectural decisions and long term technical strategy within your team or domain Process and optimize applications working with large data sets Optimize application performance for maximum speed and scalability Ensure the security and compliance of applications, particularly in regard to data handling and storage Participate in code reviews, testing, and debugging to maintain high code quality standards Continuously improve and maintain existing systems by identifying areas of enhancement Stay updated with the latest industry trends and best practices in full-stack development Qualifications 10 years of experience in full-stack development Exceptional problem-solving abilities—demonstrated track record of tackling complex technical challenges with enthusiasm and creativity Experience with multiple programming languages and frameworks, which may include: JavaScript, Python, PHP, React, .NET, Node.js, C#, and others Hands-on experience deploying and managing serverless applications in AWS Experience configuring and deploying various AWS services such as: Amplify, EC2, S3, Lambda, SNS, RDS, and others Experience building and maintaining mission-critical applications at scale Experience working with large data sets and optimizing for performance Software application development skills, including web services, web-based deployment, and database integration Best practices with code development including unit testing and improving through static code analysis and security findings Experience with CI/CD pipelines Experience with database technologies (relational and/or NoSQL) Experience with version control systems (Git-based) Strong attention to detail and commitment to code quality Ability to work independently and as part of a collaborative team Excellent communication skills Additional Requirements Experience with document management systems Experience with OCR (Optical Character Recognition) technologies Experience in healthcare technology or regulated industries AWS Certifications Familiarity with other cloud platforms (Azure, Google Cloud) AI/ML skills Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.

Keywords: Commence, Centreville , Lead Full Stack Software Engineer, IT / Software / Systems , Leesburg, Virginia