Backend Engineer

Core Responsibilities

• Design and implement scalable backend services that ingest, transform, and persist diverse health data (wearable sensor streams, EHRs, user inputs).Build APIs and data pipelines for real-time and batch processing, ensuring data integrity, security, and compliance
• Integrate with external systems and protocols including FHIR APIs, BLE-based devices, Apple HealthKit, and Google Fit.
• Ensure backend services are designed for high availability, reliability, and low latency, especially for real-time clinical decision support
• Collaborate with security and compliance teams to ensure HIPAA-compliant handling of PHI/PII data.
• Work cross-functionally with product, clinical, and AI teams to align backend capabilities with user-facing experiences and clinical workflows
• Contribute to CI/CD pipelines, observability tooling, and data quality monitoring
• Support and mentor teammates across engineering functions, especially around secure coding and data access best practices

Requirements

• Bachelor’s or Master’s degree in Computer Science or related
• 5+ years of experience delivering products end-to-end, from ideation through planning and scoping to implementation
• Full-stack experience, including building dashboards, admin tools, or data visualizations with React/Next.js, Tailwind, etc
• Proven software architecture experience, patterns of large, high-scale applications
• Experience integrating 3rd-party health platforms and APIs, including EHRs, remote monitoring tools, or insurance data exchanges
• Background in working with data warehousing, analytics platforms, or data lakes for longitudinal health data
• Exposure to clinical workflows, remote patient monitoring, or population health management systems
• Familiarity with data governance, data provenance, and auditing frameworks for regulated environments
• Passion for writing clean, maintainable, and testable code
• Excellent programming and computer science fundamentals, and a deep love for technology
• Ability to adapt and learn new skills coupled with a resourceful, can-do attitudeOutstanding attention to detailProficient experience with Git, Github, Jira or similar project enablement tools

Technical Requirements

• Strong Python backend engineer (FastAPI, Flask, Django) with understanding of distributed systems, microservices, and asynchronous workflows (Celery)
• Solid database experience with PostgreSQL or MySQL; comfortable with Kafka or similar event-streaming systems and enforcing data contracts and idempotency
• Competent in test architecture using PyTest (fixtures, contract tests), Hypothesis (property-based testing), and Locust (performance/load testing)
• Skilled in observability and reliability engineering - instrumenting metrics, traces, and logs to measure and improve real-world system behavior
• Hands-on with Kubernetes, containerized CI/CD pipelines, and cloud environments (Azure, AWS, GCP)Familiar with OAuth2, TLS certificate management, and secure service communication
• Understands security and compliance principles (HITRUST, HIPAA, FDA 510(k)), encryption, and evidence generation for audits
• Experience with HL7 or FHIR interfaces - message parsing, composition, and secure data exchange in healthcare environments
• Systems-oriented mindset: treats testing, automation, and monitoring as first-class engineering concerns; pragmatic, collaborative, and effective across the full stackExperience with Java or other JVM-based languages preferred
• Experience with Rust

What We're Looking For

• Builder mindset with a passion for delivering robust, scalable, and secure systems in healthcare
• Comfortable working in a fast-paced, mission-driven environment where data accuracy and integrity are paramount
• Willingness to get hands dirty across the stack when needed and collaborate across disciplines
• Curious, thoughtful, and focused on long-term maintainability and resilience
• Deeply motivated by improving health outcomes through technology