Senior Backend Engineer
WHY THIS ROLE EXISTS
Our client is building AI technology to make healthcare accessible and free for everyone. They are seeking backend engineers to develop scalable infrastructure that supports billions of AI driven consultations while ensuring medical safety and HIPAA compliance.
This role is central to delivering reliable and secure systems at massive scale.
WHAT YOU WILL BUILD
Healthcare API Infrastructure
Design and maintain high performance APIs using Python and cloud services to handle millions of requests each month
Develop RESTful APIs that support AI healthcare tools and internal platform workflows
Process sensitive patient data in real time while maintaining strict HIPAA compliance
Coordinate internal APIs to support web platforms and AI decision making
Integration and Data Systems
Implement secure health record exchange with EHR systems, national health networks, and QHINs
Integrate with telehealth providers, analytics platforms, and third-party healthcare APIs
Process large volumes of sensitive data with encryption and compliance safeguards
Build partner API integrations across multiple diverse healthcare systems
Scale and Reliability
Optimize databases for high-volume, complex healthcare queries
Implement secure caching and session management using Redis
Develop error handling, failover, and disaster recovery systems for mission critical services
Enhance performance and reliability to support rapid user growth
AI System Integration
Coordinate backend workflows for AI tools and clinical decision making
Develop Python-based deterministic systems alongside AI agents to ensure clinical accuracy
Build APIs supporting model inference, data preprocessing, and result handling
Implement validation layers and human escalation protocols for AI safety
This role also includes work on healthcare compliance automation, advanced system monitoring, multi-region deployment, and foundational backend infrastructure for future AI healthcare capabilities.
HOW THE CLIENT OPERATES
Engineering led environment with minimal process overhead
Flat structure with direct collaboration with company leadership
End to end ownership from concept to production
AI assisted development tools encouraged
Fast moving team with strong judgment and accountability
WHAT THE CLIENT IS LOOKING FOR
Background
Computer science degree or equivalent hands on experience
Engineering, math, or related technical degrees welcomed
Track record of operating at a high engineering standard
Founder level ownership mindset or early stage startup experience preferred
Ability to work independently while collaborating across teams
Technical Experience
Six or more years of backend engineering experience
Strong experience with Python and frameworks such as FastAPI or Flask
Cloud services experience and high volume API handling
Proficiency with relational databases and performance optimization
Experience with Redis, caching strategies, and distributed systems design
System Design and Integration
Third-party API integration and webhook management
Microservices architecture and distributed system patterns
Security best practices for sensitive data and API design
CI/CD pipelines, containerization, and deployment automation
Monitoring, logging, and observability tools
NICE TO HAVE
Experience in healthcare, fintech, or other regulated industries
Knowledge of healthcare data standards such as HL7, FHIR, and HIPAA compliance
Experience with high-scale real time data processing
Familiarity with AI and ML system integration and model serving
Event-driven architectures, message queues, and async processing
Exposure to healthcare workflows, EHR systems, or telehealth platforms
Seed or Series A startup experience
Advanced degree in CS, engineering, or related field
WHAT THE CLIENT OFFERS
Competitive compensation and meaningful equity
Opportunity to build infrastructure impacting millions of patients globally
Direct collaboration with company leadership and healthcare experts
Access to modern backend and AI technologies
Benefits reimbursement