---
title: 'Senior Full Stack Engineer at Bellese'
canonical: 'https://feeny.ai/job/senior-full-stack-engineer-bellese-united-states-3r7p41hvs2yx'
type: 'job'
last_seen: '2026-09-07'
---

# Senior Full Stack Engineer at Bellese

- **Company:** Bellese
- **Location:** United States
- **Compensation:** $129k–$153k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-08-25
- **Last confirmed live:** 2026-09-07
- **Apply:** https://jobs.lever.co/bellese/33bbb726-7ac8-480d-80a8-fd80cef41fa3

## Job description

Bellese is a mission-driven Digital Services Company committed to pioneering innovative technology solutions in civic healthcare. Our dedication lies in making a meaningful impact on public health outcomes.

Driven by service design, we strive to know the “Why” to understand the healthcare journey for patients, caregivers, providers, payers, and policymakers. Our goal is to design and build solutions that reduce confusion, provide clarity, support decision making, and streamline the process so that we and our partners can focus on providing better health outcomes by improving patient care and reducing costs and burden.

As a Senior Engineer: You contribute meaningfully to the success of one or more projects or products, helping drive positive outcomes. You demonstrate proficiency and specialized skill in one or more key technologies relevant to the team’s goals. You accurately scope, estimate, design, and deliver medium-to-large features while actively reducing technical debt across projects or products. You proactively support and collaborate with team members, fostering a positive and productive team environment. You adhere to established team processes, ensuring a steady and reliable delivery of features to production. These are the types of things you’ll be working on Cross-functional Collaboration: Work closely with teammates, external teams, and client stakeholders to ensure quality considerations are integrated at every stage of the SDLC. Test Planning and Design: Develop comprehensive test plans, test cases, and relevant documentation that align with software specifications and user requirements to ensure thorough testing of features and functionalities. Bug Tracking and Resolution: Utilize bug-tracking tools to document, prioritize, and track defects. Facilitate communication across teams to ensure timely and effective issue resolution. Quality Metrics and Standards: Establish and enforce standards and best practices. Track metrics to assess the quality of the software throughout the SDLC. Automate Testing Processes: Focus on increasing test coverage, speed, and accuracy to support continuous integration and deployment pipelines. Continuous Improvement: Continuously evaluate and recommend new QA tools, frameworks, and techniques, driving innovation and staying up-to-date with industry trends and best practices Compliance and Regulatory Adherence: Ensure testing procedures comply with industry standards and regulatory requirements, preparing documentation for audit purposes. Performance and Security Testing: Implement and conduct performance and security testing following best practices and business requirements.

## What you'll own

React and TypeScript interfaces that meet Section 508 and WCAG 2.2 Level AA, mobile-first and responsive across the range of devices real users bring. Go services running in containers on AWS, sitting behind a Kong API gateway and Akamai CDN/WAF at the edge. PostgreSQL/Aurora as the system of record, with Redis for caching. Your own test suite - unit through end-to-end, plus automated accessibility checks (Axe, Pa11y, Lighthouse) that gate the pipeline. Failing accessibility checks block merges the same way failing unit tests do. Delivery pipelines on CloudBees Jenkins, with trunk-based development, blue/green deploys, and feature-flagged releases via LaunchDarkly. Production health. The team carries a 24/7 on-call rotation for a live public system. Observability is instrumented through OpenTelemetry and surfaced in New Relic and Splunk; security findings come in continuously from SonarQube, Snyk, and JFrog Xray, and get resolved rather than deferred. Note on on-call: this is a genuine rotation on a public-facing production system. It is shared across the team and supported by real runbooks and instrumentation, but you will occasionally be woken up. We would rather say that plainly now.

Must have Go - Primary backend language across the application. Production experience required. React / TypeScript - The entire user-facing application. Equal weight to the backend work, not a secondary skill. Equivalent languages accepted, primarily focused on frontend skillset and full stack blend. Accessible interface development - Section 508 and WCAG 2.2 AA are contract requirements enforced in the build pipeline. Semantic HTML, keyboard navigation, focus management. Automed Testing . This project is run without a QA team, developers will be responsible for adding automated testing throughout the application code. PostgreSQL - schema design, indexing, and migrations against a live system. AWS - Or equivalent cloud experience

## Nice to have

Terraform - Infrastructure as code utilized throughout the application CI/CD pipeline experience — Jenkins, GitHub Actions, GitLab, CircleCI. Redis or comparable caching layers. OpenTelemetry instrumentation, or equivalent experience making a system observable by design. Progressive delivery practices: blue/green or canary deploys, feature flags, trunk-based release strategies. Experience responding to automated security findings - SAST, SCA, container scanning and remediating rather than suppressing them. Experience delivering in a FedRAMP or ATO-governed environment. API gateway or CDN/WAF exposure (Kong, Akamai, or equivalents). Screen reader testing experience (JAWS, NVDA, VoiceOver).

Security Clearance Requirements

- US Citizenship or Green Card only - we do not offer Sponsorship
- US Residency for at least the past 3 years
- Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation
- Disclaimer: Medical or recreational marijuana use is considered illegal at the federal level, regardless of state laws allowing such, and may affect your ability to obtain Public Trust. See [article](https://news.clearancejobs.com/2024/03/14/marijuana-use-and-involvement-in-the-new-security-clearance-questionnaire/)

Work that matters, with perks that deliver. Discover how Bellese Technologies invests in you through a benefits suite that makes every day better

- Remote First, Remote Only Culture
- Four weeks paid time off yearly (prorated based on start date for the first year)
- 10 paid floating company holidays
- Flexible schedule
- Work from home setup including a Macbook
- Collaborative, learning environment
- Medical, dental, and company-paid vision insurance
- Optional HSA account with some medical plans and a company contribution
- Company paid basic life and AD&D insurance coverages
- Company paid short and long term life insurance
- Optional critical illness and accident insurance
- 401K plan with 3% safe harbor contribution
- Wellness resources and virtual care
- Perks Plus employee discounts

You will like it here if

- You foster a collaborative ethos, driven by the mission to deliver exceptional customer service to clients. You are passionate about Healthcare and changing the healthcare landscape. You’re an out of the box thinker, always striving to know the “why” when it comes to building solutions. You excel in a team-oriented, remote-first environment characterized by mutual respect and open communication. Your adaptability and ability to navigate challenges ensure your success in any situation.

## About Bellese

## Company Overview
- **One-liner**: Bellese is a fully remote healthcare technology consulting firm that partners with U.S. public health agencies—primarily the Centers for Medicare & Medicaid Services (CMS)—to modernize Medicare systems and build human-centered digital tools that improve patient outcomes.
- **Entity Type**: Private (Privately Held)
- **Headquarters**: Owings Mills, Maryland, United States
- **Founded**: 2009
- **Founders**: Not publicly disclosed

## Core Business
- **Primary industries**: Healthcare IT / Healthcare Technology; Civic Tech / GovTech
- **Target customers**: B2G (Business-to-Government) – federal agencies such as the Centers for Medicare & Medicaid Services (CMS) responsible for large public healthcare programs.
- **Mission / purpose**: “Building innovative, human-centered solutions that help public organizations deliver better outcomes for the people they serve” — with a long‑standing belief that U.S. healthcare should move from provider‑centric to patient‑centric.

## Products & Services
- **QMARS**: A federal case management system supporting the Medicare Quality Improvement Organization (QIO) program; used by healthcare reviewers to process patient complaints and appeals, and by CMS to monitor and improve Medicare care quality.
- **Web‑Based Payment Calculators**: Replaced legacy downloadable pricing software with modern web applications that make payment calculation faster and more reliable for providers and payers.
- **Procedure Price Lookup (PPL)**: The first product to make estimated procedure costs publicly available to Medicare beneficiaries before they seek care (available on Medicare.gov).
- **Hospital Quality Data Platform**: Expanded from dialysis facility data to a nationwide system that brings hospital quality metrics to every facility in the country, accessible via Medicare.gov.

## Market Standing
- **Valuation / Market Cap**: Not disclosed
- **Key Metric**: 78 employees (as of latest data; -15.3% YoY) [[linkedin.com/company/bellesetech]](https://linkedin.com/company/bellesetech); revenue not publicly available
- **Notable Investors / Partners**: Long‑term partnership with the Centers for Medicare & Medicaid Services (CMS) spanning over 15 years
- **Growth Signals**: Consistently recognized by the Baltimore Sun as one of the best places to work in the region since 2020; fully remote since 2020; continued expansion of product portfolio (e.g., hospital quality data system); active hiring for senior and staff‑level engineering roles.

## Competitive Advantages
- **Deep domain expertise** in U.S. public healthcare systems (Medicare, QIO, CMS) accumulated over 15+ years.
- **Long‑term continuity** on large federal programs, reducing institutional knowledge loss.
- **Human‑centered design** integrated as an equal partner alongside engineering and product management, enabling solutions that balance technical rigor, policy awareness, and user insight.
- **Remote‑first, fully distributed** model with no office mandates—designed for autonomy and impact.
- **Transparent culture** with direct communication, leadership accessibility, and clear decision‑making processes.

## Strategic Focus
- Continuing to modernize legacy Medicare systems (e.g., FHIR API development, cloud infrastructure) to support value‑based care and patient‑centric models.
- Expanding product offerings that promote price transparency and quality data access for beneficiaries and providers.
- Strengthening engineering and product management capabilities to take on new federal healthcare challenges.
- Maintaining a lean, agile operating model that enables rapid iteration in complex client environments.

## Why Work Here
- **Remote‑first**: Fully distributed team across 30+ U.S. states since 2020; no hybrid mandates or required in‑office days [[bellese.io/careers]](https://www.bellese.io/careers).
- **Compensation**: Competitive, location‑consistent salary structure; 3% safe harbor 401(k) contribution; comprehensive health/dental/vision with HSA contributions ($500 individual, $1,000 family); company‑paid short‑ and long‑term disability and life insurance [[bellese.io/careers]](https://www.bellese.io/careers).
- **Time off**: Starting at four weeks PTO accrual (up to six weeks over time) plus 10 paid floating holidays.
- **Professional development**: $3,000 annual continuing education budget for certifications, courses, and conferences; defined career pathways with clear opportunities to deepen expertise or move into leadership.
- **Culture**: Engineering, product, and human‑centered design work as integrated partners; leadership is accessible; decisions are transparent; work is iterative and outcome‑focused. Emphasis on mutual respect and mission‑driven impact [[bellese.io/careers]](https://www.bellese.io/careers).
- **Candidate experience**: In‑house recruiting team stays with you from first conversation through onboarding; behavioral interviews and practical skills challenges are used to assess fit.

## Sources
1. [bellese.io/careers](https://www.bellese.io/careers) — Benefits, remote policy, culture, interview process
2. [bellese.io/our-story](https://www.bellese.io/our-story) — Founding story, mission, product descriptions, CMS partnership
3. [linkedin.com/company/bellesetech](https://linkedin.com/company/bellesetech) — Company details: headcount, industry, headquarters, open positions
4. [jobs.lever.co/bellese](https://jobs.lever.co/bellese) — Current job openings (Engineering Manager, FHIR Engineer, Data Engineer, etc.)
5. [bellese.io/team](https://www.bellese.io/team) — Leadership team (Curtis Mejeur, CEO; Mark Krempley, etc.)

## Other roles at Bellese

- [Engineering Manager](https://feeny.ai/job/engineering-manager-bellese-united-states-bczvfdfppvgv) — United States
- [Staff Engineer, DevOps](https://feeny.ai/job/staff-engineer-devops-bellese-united-states-nmjwr6k5g393) — United States
- [Staff Product Manager, Delivery](https://feeny.ai/job/staff-product-manager-delivery-bellese-united-states-hdzhvr0y3cz6) — United States
- [Product Manager II](https://feeny.ai/job/product-manager-ii-bellese-united-states-3ghgvp4pxt8d) — United States
- [Staff Product Manager, Strategy](https://feeny.ai/job/staff-product-manager-strategy-bellese-united-states-8khv49d2m4m6) — United States
- [UX Designer II](https://feeny.ai/job/ux-designer-ii-bellese-united-states-b3ps5bdfsa80) — United States
- [UX Researcher II](https://feeny.ai/job/ux-researcher-ii-bellese-united-states-nrqbswyx3tba) — United States
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- [Program Manager](https://feeny.ai/job/program-manager-bellese-owings-mills-6ftnh1ve750d) — Owings Mills, MD