Senior Full-Stack Engineer

🏢 Duet · 📍 New York City · 💼 hybrid · ⏰ FullTime

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Position Summary & Responsibilities

Senior Full-Stack Engineer at Duet

About Duet

Duet is proving that nurse-practitioner-led care isn't just more accessible, it's better. We help NPs build and scale independent practices in communities too often overlooked by the health system: rural towns, immigrant populations, LGBTQ+ patients, and more. Backed by AI-driven tools that give independent NPs the backing of a much bigger system, our network of 100+ practices covering 400,000 annual visits has driven a 30% increase in preventative visits and a 35% drop in hospitalizations, the clearest sign yet that localized NP-led care means better outcomes.

We're a well-funded, early-stage company led by seasoned entrepreneurs and nurse practitioners, and backed by investors including Lerer Hippeau and Kairos.

Why Duet, Why Now

Independent primary care is disappearing, swallowed by hospital systems and private equity roll-ups, often pulling out of the communities that need it most. But 31 states now support autonomous NP practice, and the results back up what we've long believed. We built the first value-based care contracts for NPs with major payors, taking on real financial risk for outcomes. In our anchor market in New Hampshire, our network outperformed the state on total cost of care by 19%, proof that a solo NP in an underserved area can outperform a system ten times their size and get rewarded for it.

Overview

We’re a well-funded seed-stage company led by experienced entrepreneurs and Nurse Practitioners, backed by Kairos HQ, Lerer Hippeau, and others. Duet is building a vertically integrated enablement platform for NP-led practices: software that reduces administrative overhead, improves cash flow, and gives clinicians leverage to operate sustainable businesses without corporate consolidation.

We’ve already built the data foundation that connects to outpatient EHR and practice management systems and supports these workflows through services today. This role is about turning that foundation into scalable, self-serve products—automating work away and putting control directly in the hands of practices.

🎯 Candidate Preparation Guide For Duet Applicants

Key Role Competencies & Evaluation Highlights

Key Role Focus:

Assesses user-centric product intuition, marketplace or platform dynamics, and the ability to scale educational or consumer experiences seamlessly.

📋 Preparation Priorities (Key Areas to Clarify):

1. Building features without establishing a clear hypothesis or validating user demand first.
2. Treating customer feedback as an annoyance rather than the primary source of truth.
3. Lacking structure or framework in product case study responses.

✨ Recommended Role Alignment Hook:

I scale platform experiences by relentlessly aligning user empathy with rigorous activation and retention metrics.

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