Build scalable backend systems that ingest and process real-time hardware data and integrate with customer EHR platforms. The role requires 8+ years of backend or full-stack experience, deep AWS expertise, TypeScript and Node.js proficiency, and experience with relational and NoSQL databases.
200k – 225k/yr
Remote8+ YOEBackend Engineering
About the role
Responsibilities
Evolve core data models and APIs from point-to-point architecture toward a resilient, event-driven system.
Build reliable, scalable, cloud-native backend systems for ingesting and processing real-time data from hardware devices.
Define best practices for integrations and end-to-end testing.
Develop and maintain integrations with third-party systems, including Electronic Health Records (EHRs).
Build clean, well-documented APIs for reliable communication with external platforms.
Mentor engineers in distributed systems, AWS best practices, and secure development.
Collaborate with product, data science, and engineering teams to solve business challenges.
Requirements
8+ years of backend or full-stack development experience.
Strong background building scalable, cloud-native applications.
Deep AWS expertise, including Lambda, Fargate, SQS, SNS, Kinesis, DynamoDB, and RDS.
Proficiency in TypeScript and Node.js.
Experience with relational databases such as PostgreSQL and NoSQL databases such as DynamoDB.
Strong understanding of data modeling and scalable, performant APIs.
Active use of AI coding tools such as Cursor and Claude Code, including task automation, long-running processes, and complex integrations.
Ability to break down complex, ambiguous problems into actionable steps.
Strong collaboration, verbal communication, and written communication skills.
Comfort working in a fast-paced, dynamic environment.
Nice-to-Haves
React experience.
Start-up experience.
Compensation and Benefits
Base salary range of $200,000–$225,000, plus equity and benefits.
Competitive compensation and variable compensation where applicable.
Equity ownership.
Semiannual reviews.
Access to AI tools and company-wide training.
Medical, dental, and vision coverage.
Mental-health resources and employee-assistance programs.
401(k), HSA, and FSA options.
Company-paid life and disability insurance.
Flexible PTO, five paid sick days annually, company-observed holidays, and company-wide recharge periods.
Up to 12 weeks of paid parental leave, fertility and family-building benefits, and paid caregiver and bereavement leave.
Hybrid and remote arrangements based on role and location, with home-office, internet, or phone reimbursement where applicable.
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