Sword is hiring a

Senior Fullstack Engineer

Porto, Portugal
Full-Time
Sword Health is on a mission to free two billion people from pain as the world’s first and only end-to-end platform to predict, prevent and treat pain. 

Delivering a 62% reduction in pain and a 60% reduction in surgery intent, at Sword, we are using technology to save millions for our 2,500+ enterprise clients across three continents. Today, we hold the majority of industry patents, win 70% of competitive evaluations, and have raised more than $300 million from top venture firms like Founders Fund, Sapphire Ventures, General Catalyst, and Khosla Ventures.

Recognized as a Forbes Best Startup Employer in 2023, this award highlights our focus on being a destination for the best and brightest  talent. Not only have we experienced unprecedented growth since our market debut in 2020,  but we’ve also created a remarkable mission and value-driven environment that is loved by our growing team. With a recent valuation of $2 billion, we are in a phase of hyper growth and expansion, and we’re looking for individuals with passion, commitment, and energy to help us scale our impact. 

Joining Sword Health means committing to a set of core values, chief amongst them to “do it for the patients” every day, and to always “deliver more than expected” on behalf of our members and clients.

This is an opportunity for you to make a significant difference on a massive scale as you work alongside 800+ (and growing!) talented colleagues, spanning two continents. Your charge? To help us build a pain-free world, powered by technology, enhanced by people — accessible to all.

We are seeking a highly skilled and experienced Senior Fullstack Engineer with expertise in both Python and Node.JS to join our engineering team. In this role, you will be responsible for designing, developing, and maintaining scalable and high-performance web applications. You will work closely with cross-functional teams to deliver top-quality software solutions that meet the needs of our users.

What you'll be doing:

  • Design, develop, and maintain robust, scalable, and high-performance web applications using Python and Node.JS.
  • Collaborate with product managers, designers, and other engineers to define, design, and implement new features.
  • Write clean, maintainable, and efficient code following best practices and coding standards.
  • Optimize applications for maximum speed and scalability.
  • Implement and maintain APIs for seamless integration with various services and third-party applications.
  • Conduct code reviews, provide constructive feedback, and mentor junior engineers.
  • Troubleshoot, debug, and resolve software defects and issues.
  • Stay updated with the latest industry trends and technologies, and advocate for their adoption within the team.
  • Contribute to the continuous improvement of the development process and team efficiency.

  • Bachelor’s degree in Computer Science, Engineering, or a related field, or equivalent practical experience.
  • Minimum of 5 years of professional experience as a Fullstack Engineer.
  • Strong proficiency in Python and Node.JS, with a deep understanding of their ecosystems.
  • Experience with front-end frameworks such as React, Angular, or Vue.JS
  • Solid understanding of RESTful API design and implementation.
  • Experience with relational databases (e.g., PostgreSQL, MySQL) and NoSQL databases (e.g., MongoDB, Redis).
  • Familiarity with containerization and orchestration tools (e.g., Docker, Kubernetes).
  • Proficient with version control systems, preferably Git.
  • Experience with cloud platforms such as AWS, Azure, or Google Cloud.
  • Strong problem-solving skills and attention to detail.
  • Excellent communication and teamwork skills.
  • Ability to work independently and manage multiple tasks effectively.

What we would love to see:

  • Experience with microservices architecture and distributed systems.
  • Familiarity with CI/CD pipelines and DevOps practices.
  • Knowledge of testing frameworks and methodologies (e.g., Jest, Mocha, PyTest).
  • Experience with Agile/Scrum development processes.
  • Contributions to open-source projects or personal GitHub repository showcasing your work.

To ensure you feel good solving a big Human problem, we offer:

  • A stimulating, fast-paced environment with lots of room for creativity.
  • A bright future at a promising high-tech startup company.
  • Career development and growth, with a competitive salary.
  • The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare.
  • A flexible environment where you can control your hours (remotely) with unlimited vacation.
  • Access to our health and well-being program (digital therapist sessions).
  • Remote or Hybrid work policy.

*Please note that this position does not offer relocation assistance. Candidates must possess a valid EU visa and be based in Portugal.



US - Sword Benefits & Perks:

• Comprehensive health, dental and vision insurance*
• Equity shares*
• Discretionary PTO plan*
• Parental leave*
• 401(k)
• Flexible working hours
• Remote-first company
• Paid company holidays
• Free digital therapist for you and your family
*Eligibility: Full-time employees regularly working 25+ hours per week


Portugal - Sword Benefits & Perks:

• Health, dental and vision insurance
• Meal allowance
• Equity shares
• Remote work allowance
• Flexible working hours
• Work from home
• Unlimited vacation
• Snacks and beverages
• English class
• Unlimited access to Coursera Learning Platform


*US Applicants Only: Applicants must have a legal right to work in the United States, and immigration or work visa sponsorship will not be provided.*



SWORD Health, which includes SWORD Health, Inc. and Sword Health Professionals (consisting of Sword Health Care Providers, P.A., SWORD Health Care Providers of NJ, P.C., SWORD Health Care Physical Therapy Providers of CA, P.C.*) complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.
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