Senior AI Backend Engineer
Core
Build scalable backend infrastructure and APIs to orchestrate AI agents and hybrid LLM stacks for virtual care workflows.
Role type
Senior IC backend engineer (AI systems)
Builds
Production-ready backend services, agent orchestration systems, and integrations with clinical data standards.
Domain
Healthcare technology / AI infrastructure
Deliverable
production ML models | product features | infrastructure
Required skills
Python, Java, Go, Rust, or Kotlin; AI systems architecture; relational and NoSQL databases; message brokers and distributed systems; GraphQL and REST API design; observability tooling.
Preferred skills
Python and/or Node.js/NestJS; clinical systems (FHIR, EMR/EHR); AI agent frameworks (LangChain, LangGraph, LiteLLM); hybrid model stack orchestration; observability tools (Langfuse, OpenTelemetry).
Technologies
LangChain, LangGraph, LiteLLM, Langfuse, OpenTelemetry, Datadog, FHIR, EMR, GraphQL, REST, PostgreSQL, MySQL, MongoDB, Redis, RabbitMQ, OpenAI, Google Gemini, Gemma, Llama.
Responsibilities
Build and maintain reliable, scalable backend services for AI agent execution; Develop AI agent systems for complex operational workflows; Orchestrate hybrid model stacks combining commercial APIs and self-hosted LLMs; Build and maintain integrations with clinical systems; Drive observability and reliability; Design APIs, background workers, and event-driven systems; Participate in code reviews, knowledge sharing, and mentoring.
Seniority
Senior, hands-on IC