Design Technologist

Thoughtful is pioneering a new approach to automation for all healthcare providers. Our AI-powered Revenue Cycle automation platform enables the healthcare industry to automate and improve its core business operations.

We're looking for an exceptional Design Technologist for our UX Platform Team within our Core Platform Engineering team.

Please note: This is an engineering role, not a design role. If you're a design technologist, full-stack engineer, or frontend engineer with exceptional design system skills and a strong design sensibility, we're looking for you!

As a Design Technologist, you'll bridge the gap between design and engineering, turning concepts into production-ready interfaces while building and evolving our design system. You'll develop reusable component libraries, and ensure our products are accessible, performant, and delightful to use. Your work will directly impact both internal teams and customer-facing products.

• Develop & Maintain Our Design System

  Build and evolve our component library using modern tools and frameworks. You'll create reusable, accessible components with comprehensive documentation that empowers both designers and developers.

• Champion Accessibility & Performance

  Ensure every interface meets WCAG standards and performs optimally. You'll be the advocate for inclusive design and technical excellence across our products.

• Connect Design and Engineering

  Partner with product, design, and engineering stakeholders to understand real-world needs and shape the right solutions. You'll operate autonomously but never in isolation, serving as the critical connector between design and development teams.

• Leverage Modern Tooling

  Use AI-assisted development tools and modern frameworks to ship faster without compromising quality. You'll help establish best practices for using these tools effectively across the team.

• Deep experience building complex, interactive UIs using React (required) and familiarity with modern CSS frameworks like Tailwind CSS
• Proven track record building and maintaining component libraries and working with design systems
• Comfortable translating specifications into implementations that encapsulates — and expands upon — design intent
• Strong understanding of accessibility standards (WCAG) and practical experience implementing accessible interfaces
• Proficiency in TypeScript and Node.js
• Experience with state management patterns and reactive paradigms (e.g., refs, signals, RxJS)
• Excellent technical writing skills

• Experience with other frontend frameworks (Vue, Svelte, Solid, Astro, Qwik)
• Familiarity with: shadcn/ui or similar modern component libraries; React Flow or similar workflow builder UI
• Experience collaborating with Figma
• Experience using AI-assisted development tools (Claude Code, GitHub Copilot, Cursor, v0, etc.)
• Background in visual design, formal design training or similar experience cultivating a strong visual design sense
• Experience working at early-stage startups or launching new systems from scratch
• Contributions to open-source design systems or component libraries

• You balance product intuition with a strong technical foundation
• You default to clarity and modularity, especially when designing for unknowns
• You value peer collaboration and open sharing of technical learnings
• You care just as much about why you're building something as how you build it
• You see design systems as living products that need iteration and care

Why Thoughtful?

• Competitive compensation
• Health benefits: Comprehensive medical, dental, and vision insurance.
• Time off: Generous leave policies and paid company holidays.

Required Technical Exercise - submissions without this component will not be considered:

• Please spend no more than 45 minutes completing a quick coding exercise by following the instructions here.