# Senior Software Engineer Backend (NYC)

**Company:** [Flaglerhealth](https://hotfix.jobs/companies/flaglerhealth)
**Location:** New York, NY
**Role:** Backend Engineering
**Skills:** TypeScript, Python, Node.js, Express, Mongoose, Twilio, Temporal, AWS, MongoDB, CI/CD, Git, Hl7, FHIR, Kubernetes, Turborepo
**Posted:** 2025-12-18

> 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.

## Job Description

## 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

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**Apply:** https://hotfix.jobs/jobs/7431b52a-4f87-4327-b7a9-8db76e651085
**Canonical:** https://hotfix.jobs/jobs/7431b52a-4f87-4327-b7a9-8db76e651085