Senior Backend Engineer on the Platform & Integrations team, owning external APIs, health data models, retrieval infrastructure, and enterprise integrations for an AI-native medical group. Requires 5+ years building production backend systems, external APIs, data modeling (esp. time-series), distributed systems, and RAG/search at scale.
185k – 225k
Hybrid5+ YOEBackend Engineering
About the role
What You'll Do
Design and evolve our external API and embedded product layer with long-term stability, disciplined versioning, and enterprise-grade craftsmanship
Evolve our agentic retrieval harness to support patient and clinical search across structured and unstructured data, with strict permission and audit guarantees
Build reusable platform primitives that let external partners embed and extend our AI capabilities, so every integration adds lasting platform leverage
Contribute to core data models that unify structured health records, unstructured inputs, and high-frequency time-series signals
Who You Are
Cares deeply about API craftsmanship and long-term system design
Has built complex systems that external customers rely on
Enjoys modeling messy real-world data, especially high-frequency signals, into clean, durable abstractions
Has built comprehensive search or RAG systems at production scale
Has helped scale early systems from 1 to 10 in a fast-paced environment
Thrives in small, high-leverage teams where ownership is real
Has a track record of maintaining and leveling up operational excellence across engineering organizations
What You Bring
5+ years building production backend systems, ideally in high-growth environments
Experience designing and maintaining external-facing APIs used by customers or partners
Strong data modeling instincts, particularly around time-series or high-frequency data
Experience working with distributed systems and multi-tenant architectures
Comfort contributing to greenfield architectural design while shipping pragmatically
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