Senior Backend Engineer
Core
Architect and own core backend systems for a high-scale healthcare platform, including subscription billing, clinical workflows, and AI-assisted agent operations.
Role type
Senior Backend Engineer (Healthcare)
Builds
Subscription/billing infrastructure, clinical state machines, and AI-integrated backend services
Domain
Healthcare technology, metabolic care, and preventative medicine
Required skills
Backend engineering, data modeling, distributed systems, Kubernetes, AWS, CI/CD, TypeScript, Node.js, PostgreSQL, Redis, Terraform, AI tooling (agentic models)
Preferred skills
Experience with healthcare commerce, compounding pharmacy integrations, controlled substance compliance
Responsibilities
Design schema and business logic for billing and fulfillment pipelines; build reliable pipelines for medication ordering and partner integrations; own AWS/Kubernetes infrastructure and observability; collaborate with clinical and product teams to shape workflows; design backend architecture for AI-assisted agents; mentor engineers and upgrade legacy systems
Seniority
Senior, hands-on IC