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.
About the job
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
TypeScript, Python, Node.js, Express, Mongoose, Twilio, Temporal, AWS, MongoDB, CI/CD, Git, Hl7, FHIR, Kubernetes, Turborepo
Similar jobs
Backend Engineering jobs
Coinbase
United States
Build and operate high-throughput blockchain infrastructure, APIs, and platform primitives integrating protocols such as Ethereum and Bitcoin with internal services. Requires 5+ years of software engineering experience, distributed-systems expertise, and hands-on crypto infrastructure experience.
Cloudflare
Atlanta, GADesign, build, and operate Cloudflare’s globally distributed cache and reverse-proxy data plane, improving performance, correctness, and resilience across the edge. Requires at least 4 years of production systems experience and proficiency in a systems or backend language.
Hinge Health
San Francisco, CA
Senior backend engineer designing and operating reliable billing and financial systems, APIs, data models, and distributed workflows. The role requires 5+ years of professional software development experience, strong backend expertise, and collaboration across Product, Finance, Operations, and Data.
CommandLink
United StatesSenior individual contributor responsible for designing, building, operating, and improving large-scale backend services, APIs, and telemetry pipelines in Go and Python. The role requires production systems ownership, distributed-systems expertise, incident leadership, mentoring, and technical design leadership.
Fetch
United States
Build and operate backend services, data pipelines, storage, and retrieval systems that provide trusted context to agentic platforms and product applications. The role requires 8+ years of software engineering experience, distributed-systems expertise, cloud infrastructure knowledge, and strong data modeling skills.