PARAM Healthcare

Careers at Param Healthcare

Open roles: Software Development Intern and Full Stack Developer (Node.js + React.js). Both use the same timed take-home build exercise after you apply.

Full-time roles

Same timed take-home as all engineering applicants. Apply below to receive your Test ID and task link.

Full Stack Developer (Node.js + React.js)

2–5 years experience • Full-time • Bagalkot, Karnataka (1st preference) — remote also works

About the Role

We're looking for a backend-leaning full stack developer who is strong in Node.js and comfortable working across the stack with React.js. This role is not for someone who just wires APIs — you'll be working on real systems involving queues, real-time updates, optimization services, and production-grade infrastructure.

Tech Stack (What You’ll Work With)

Backend

  • Node.js + Express (TypeScript)
  • Microsoft SQL Server (raw SQL, migrations, seed scripts)
  • Socket.IO (real-time systems)
  • BullMQ + Redis (background jobs & queues)

Frontend

  • React.js (modern hooks-based architecture)

Microservices / Advanced

  • Python (FastAPI, Uvicorn)
  • OR-Tools (optimization logic)
  • pandas (data processing)

Infrastructure & DevOps

  • Docker, docker-compose
  • Traefik (routing)

Storage & Media

  • AWS S3
  • multer, sharp, ffmpeg

Auth & Security

  • JWT, bcrypt
  • RBAC using Casbin
  • zod validation
  • helmet, cors

Observability

  • Sentry
  • winston, morgan

Testing & Tooling

  • Jest, Supertest
  • ESLint, Prettier
  • pytest (Python side)

Key Responsibilities

  • Build and maintain scalable backend APIs using Node.js and TypeScript
  • Design and write efficient SQL queries (no heavy ORM reliance)
  • Develop real-time features using Socket.IO
  • Implement and manage background jobs and queues using BullMQ
  • Integrate with Python-based services for optimization and processing
  • Work on React.js frontend for dashboards and internal tools
  • Handle file uploads, media processing, and S3 integrations
  • Ensure security, performance, and reliability of applications
  • Write clean, testable code with proper logging and monitoring

Required Skills

  • Strong experience with Node.js + Express + TypeScript
  • Solid understanding of SQL (Microsoft SQL Server preferred)
  • Experience with REST APIs and system design
  • Hands-on with React.js (hooks, state management)
  • Familiarity with Redis / queues (BullMQ or similar)
  • Experience with Docker-based development
  • Understanding of authentication, RBAC, and API security
  • Good debugging and problem-solving skills

AI Tooling Requirement (Important)

You must have hands-on experience using AI coding tools in daily development workflows, such as tools like Cursor, Claude Code, OpenAI Codex, Antigravity, GitHub Copilot, etc.

Using AI for:

  • Code generation & refactoring
  • Debugging and root-cause analysis
  • Writing tests
  • Understanding large codebases
  • Automating repetitive engineering tasks

Different tools serve different purposes: Cursor, Claude Code / Codex, Antigravity. We expect candidates to know how to leverage these tools effectively, not just "have tried them once."

Good to Have (Bonus Skills)

  • Experience with Socket.IO / real-time systems
  • Exposure to Python (FastAPI, data processing, optimization tools)
  • Experience with Traefik or reverse proxies
  • Knowledge of media processing (ffmpeg, sharp)
  • Experience with Sentry or production monitoring tools

What We’re Looking For

  • Someone who is backend strong first, frontend capable second
  • Comfortable working in a fast-moving, ownership-driven environment
  • Can think in systems, not just features
  • Writes clean, maintainable, and scalable code

Same landing-page exercise, Test ID, and submission flow as the intern track. Your application is tagged with this role for our hiring pipeline.

Intern program (test-based hiring)

We assign a timed front-end exercise after you apply — the same build task as the full stack role. Rules and timeline below apply once you have a Test ID.

Software Development Intern

Internship • India

Join our team and work on cutting-edge healthcare technology solutions. This role offers hands-on experience with modern web development practices and AI-assisted development workflows.

Why test-based hiring?

We use this workflow to evaluate real-world AI-assisted front-end delivery skills, especially:

  • ✓Prompting skills — How well you use AI to replicate UI/UX
  • ✓Fast delivery — Ability to deliver under time constraints (24h)
  • ✓Responsiveness approach — Mobile-first thinking
  • ✓Multilingual strategy — Internationalization approach
  • ✓State management decisions — Architecture choices
  • ✓Dynamic fonts handling — Typography strategy
  • ✓Code structure and cleanliness — Maintainability
  • ✓Commit discipline — How many commits, clarity of history

The task rules

  1. 1.Submit within 24 hours — You'll receive a deadline when you apply
  2. 2.Build only landing page — No interior pages needed
  3. 3.All dropdowns must work — UI behavior is important
  4. 4.Must be multilingual — Support multiple languages
  5. 5.Must handle responsiveness — Mobile-first approach
  6. 6.No API integration needed — Focus on UI/UX
  7. 7.Push to public GitHub repo — We'll review your code
  8. 8.Deploy to Vercel — Share your live deployment
  9. 9.Explain your approach — State management, fonts, structure, commits

How this test works

1

Apply

Fill out the application form

2

Receive Test ID

Get your unique Test ID + task via email

3

Build

Rebuild the assigned landing page

4

Submit

Submit your repo + deployed link

Application

Intern or full stack — same take-home task after you apply. Use Apply — intern or Apply — full stack above to open the form with the right role, or expand it below.

Submit your take-home

After you build the assigned landing page, use Submit task above to jump here with the form open, or expand it below.