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Trevor Peace - Senior Fullstack Software Engineer in San Francisco, CA

Trevor Peace

Senior Full-Stack Engineer specializing in Healthcare IT

CareHiveCarleton CollegeSan Francisco, CA27 Years ExperienceDirector LevelWorks Remote

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About

Founding/sole engineer who has built multiple healthcare products from scratch, spanning medical billing, cardiology triage, and cardiac device monitoring. Particularly compelling for healthtech and AI roles: they combine full-stack TypeScript/AWS execution with strong product judgment in regulated settings, including shipping voice-enabled RAG workflows and rejecting unsafe AI automation when simpler human-in-the-loop UX was the right answer.

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Key Strengths

  • Built full-stack MVP end-to-end as founding/sole engineer
  • Strong healthcare product experience across billing, cardiology, and device monitoring
  • Delivered measurable business impact: doubled collection rate for one client
  • Improved collections by ~20% and cut payment time in half for other clients
  • Designed TypeScript-based full-stack systems with React, Node, GraphQL, and AWS
  • Applied safety-focused LLM design with strict grounding and constrained outputs
  • Identified and corrected dangerous hallucination behavior in a medical AI workflow
  • Good judgment on AI vs non-AI solutions in regulated environments
  • Hands-on experience with LangChain/LangSmith evals and multi-agent systems
  • Able to operate in ambiguous early-stage environments and ship MVPs quickly
  • Built MVPs end-to-end as founding/solo engineer
  • Full-stack product ownership from concept to launch
  • Serverless cost optimization on AWS
  • PCI-compliant payments and billing implementation
  • Strong user-centered product simplification
  • Healthcare and medical billing domain experience
  • Creative problem-solving under infrastructure constraints
  • Scraping and ETL pipeline implementation at scale
  • Rapid prototyping with phased delivery
  • Delivered measurable user impact, including doubled collections and doubled report-processing speed
  • Built an MVP for a B2C startup
  • Prior Techstars accelerator experience
  • Founder and former founding engineer experience
  • Led and developed engineering teams of 9–12 people
  • Mentored junior engineers toward senior-level growth
  • Head of engineering experience in cardiac device monitoring
  • Strong focus on market traction, product-market fit, and competitive moat
  • Ethics-driven entrepreneurial mindset
  • Led a 12-person engineering team across full-stack, QA, and DevOps
  • Reduced release cycle from 6 weeks to 1 week
  • Improved CI/CD and Git practices to reduce merge conflicts
  • Hands-on engineering leadership through direct PR/code reviews
  • Strong scope-tradeoff judgment to launch on schedule
  • AI/LLM product leadership in high-stakes healthcare use cases
  • Built safety-conscious chatbot workflow for cardiac care triage
  • Applied RAG to reduce hallucination risk in medical AI
  • Used clinician review and keyword-based validation to monitor AI quality
  • Simplified complex healthcare UX using progressive disclosure and visualizations
  • Validated product improvements through observed user testing and funnel conversion
  • Pragmatic decision-maker who replaced unnecessary AI with cheaper, simpler workflow automation

Reference Highlights

Strongly Recommended
  • adaptable
  • quick learner
  • strong hands-on contributor
  • ownership of critical integrations
  • high-quality technical evaluation
  • good judgment in recommending solutions
  • effective implementation skills
  • able to train teammates
  • problem-solving ability
  • foresight
  • handles changing requirements well
  • collaborative with stakeholders and data teams
  • retains user value without over-promising
  • strong communicator
  • listens well
  • willing to push back constructively
  • proactive
  • builder mentality
  • security-minded
  • broad industry experience
  • excellent ownership
  • strong technical skills
  • effective stakeholder communication
  • executes complex projects well
  • trusted implicitly
  • excels at understanding business needs
  • creative in meeting business needs
  • listens carefully
  • asks important questions
  • gets up to speed quickly
  • delivers on time
  • minimal bugs
  • foresight around migration risks
  • proactive problem identification
  • strong solution design
  • ability to train teammates
  • adapts quickly to changing data realities
  • partners effectively with business leadership
  • balances business and end-user needs
  • pragmatic product thinking
  • trustworthy
  • thoughtful technical design
  • well-designed implementations
  • effective hands-on technical leadership
  • strong architecture judgment
  • clear explainer
  • good teacher and mentor
  • builds maintainable solutions
  • effective in production delivery
  • excels with AI-related work
  • strong prompt formulation
  • understands product context well
  • thorough in evaluating options
  • communicates tradeoffs clearly
  • collaborative with stakeholders and designers
  • asks cogent questions
  • gently pushes back on impractical requirements
  • user-focused
  • empathetic in complex domains
  • effective in distributed teams
  • personable
  • well-spoken
  • easy to get along with
  • adapts well to both remote and in-person environments

Trevor's references speak for themselves. Let us connect you.

Experience

Senior Fullstack Software EngineerCareHive · Oct 2024 – Jan 2026
Head of EngineeringRhythm Science · Oct 2022 – Sep 2025
Head of Engineering / Founding EngineerMC Squared Health · Aug 2020 – Oct 2022
Senior B2B Backend Engineer / Tech LeadHeadspace · Jan 2019 – Aug 2020
Senior Full-Stack DeveloperZipongo · Jul 2015 – Jan 2019
Senior Full-Stack DeveloperCybernet Entertainment · Jul 2010 – Jun 2015
ActionScript DeveloperSolutionSet · Sep 2009 – Jul 2010
Rich Internet Application DeveloperAdmios · Mar 2006 – Aug 2009
self-employedFreelance · Oct 2001 – Mar 2006freelance
Microsoft Certified Solutions DeveloperControl Data · Jun 1998 – Oct 2001
Freelance Web ConsultantFreelance · Oct 2001 – Mar 2006freelance

Education

Carleton Collegebachelor, Computer Science; Religious Studies

Languages

English

Certifications

Microsoft Certified Solutions Developer

Publications

1 publication

Web serversComputer networksEmerging technologies

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Typically responds within 24 hours

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Trevor PeaceSenior Full-Stack Engineer specializing in Healthcare IT