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Lead Engineer (Backend)

In office • San Francisco🌐 Remote💼 Full-time🗓 2026-06-24

Required skills

5+ years experience building software applications, Prior experience leading engineering teams as a tech lead or engineering manager, Strong product sense and system design skills with a track record of defining clear requirements, test scenarios, and acceptance criteria for complex systems, Customer obsessed and motivated to make an impact in the healthcare space, A hands-on technical leader who can architect robust and extensible systems, establish best practices with AI coding tools, and ship high quality production code

Preferred skills

Worked with machine learning and large language models for end-user applications, Hands-on experience navigating healthcare data formats such as EDI X12, HL7, FHIR, and custom payer flat files

Technologies

Infrastructure/Systems: AWS (ECS, Bedrock, Glue, etc.), Docker, Github Actions, Terraform, Languages/Frameworks: Backend: Python, Django, Celery / Celery Beat, django-ninja, django-tenants, Frontend: NextJS, Typescript, Tanstack Query, Shadcn UI, Zod, Nuqs, Database/Storage: PostgreSQL (AWS RDS), S3, Clickhouse, Development Tools: Github, Jira, Claude Code, CoderabbitAI, Tusk

Responsibilities

Architect workflows that utilize AI/ML to process claims, medical records and other data types to evaluate the optimal care path for health plan members, Lead the integration and rollout of the Onos platform for new enterprise customers to provide actionable insights and recommendations to health plan administrators, Own end-to-end development of new features and functionality for the Onos platform, including requirements gathering, scoping, architecting, implementation and testing to deliver timely and high quality outcomes, Establish engineering best practices and technical foundations for future team growth, Shape our technical roadmap, make key architectural decisions, and influence the company's product and technical strategy

Seniority

Lead Engineer (Backend)

Domain

Healthcare

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