Senior Software Engineer Backend (NYC)

Builds and maintains highly available backend services and real-time web applications for patient communications and fault-tolerant workflows in a healthcare SaaS environment. Requires expertise in TypeScript/Python, Node.js APIs, distributed systems, and workflow orchestration like Temporal.

Salary not listed

On-siteBackend Engineering

About the role

Key Responsibilities

Design, build, and maintain backend services and web applications
Work on real-time web applications for audio and SMS communications with users (patients)
Implement and operate fault-tolerant, long-running workflows for asynchronous and background processing
Collaborate with frontend, product, and infrastructure teams to deliver reliable, compliant systems

Required Qualifications

Proven experience building highly available backend applications in a regulated environment (e.g., healthcare, finance, compliance-driven SaaS)
Proficiency in TypeScript and/or Python for backend service development
Experience interacting with backend APIs built using Node.js, Express, Mongoose, Twilio or similar frameworks
Experience with Temporal or similar distributed workflow orchestration systems (e.g., Cadence, AWS Step Functions, Conductor)
Solid understanding of distributed systems fundamentals, including retries, idempotency, and failure handling

Preferred Qualifications

Experience in healthcare technology or SaaS platforms at a medium-sized startup
Familiarity with HL7, FHIR, or EHR integrations
Experience with cloud platforms such as AWS, Azure, or GCP
Hands-on experience with CI/CD pipelines, infrastructure automation, and version control systems (e.g., Git)
Experience working in a monorepo setup (e.g., Turborepo, Nx)

Nice to Have

Experience with distributed data or batch processing frameworks (e.g., Apache Spark, Databricks, or similar)
Exposure to DevOps practices, including containerization, observability, and deployment automation

Skills

TypeScriptPythonNode.jsExpressMongooseTwilioTemporalAWSMongoDBCI/CDGitHl7FHIRKubernetesTurborepo

Similar roles

Senior Software Engineer, Backend

PayabliMiami, FLJul 14

Senior backend engineer building scalable C#/.NET services for payment routing, connector management, and high-volume transaction processing in a fintech payments infrastructure platform. Requires 5+ years production backend experience, strong payments/fintech background, and technical leadership skills.

Salary not listed

Remote5+ YOEBackend Engineering

Senior Backend Engineer

AurelianSeattle, WAJul 14

Senior Backend Engineer building core voice AI and automation platform for 911 centers. Architect scalable systems, optimize realtime AI pipelines and audio latency, build analytics and integrations. Requires 4+ years software engineering experience with strong fundamentals.

160k – 220k/yr

On-site4+ YOEBackend Engineering

Senior Software Engineer, Backend

Vector LegalUnited StatesJul 14

Senior Backend Engineer building scalable distributed systems for freight and field service automation platform. Requires significant enterprise software development experience and distributed systems expertise; Java ecosystem preferred.

180k – 200k/yr

Remote5+ YOEBackend Engineering

Software Engineer, Backend

MercorSan Francisco, CAJul 14

Own and define the shared backend architecture, core services, data models, and APIs that power Mercor's rapidly scaling talent network and AI training products. Requires 8+ years backend engineering experience with a track record of organization-wide architectural ownership and complex migrations.

200k – 500k/yr

On-site8+ YOEBackend Engineering

Senior Engineer I

SimplePracticeSanta Monica, CAJul 14

Senior backend-focused engineer building the next generation practice management platform at SimplePractice. Requires 6+ years Ruby on Rails full lifecycle experience (or 4+ with Master's), JavaScript frameworks, AI/ML features, scalable web apps, and compliance knowledge (PCI/HIPAA).

215k – 215k/yr

Hybrid6+ YOEBackend Engineering