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ClarionClarionNew York, NY

Senior Backend Engineer

Designs and owns core backend systems for AI agents handling healthcare workflows, including orchestration, EHR integrations, and HIPAA-compliant architecture. Requires 5+ years scaling high-reliability backend services.

150k – 225k/yr
On-site5+ YOEBackend Engineering

About the role

What You’ll Own

  • Core backend systems: Design, build, and own the services, data models, and business logic powering Clarion’s AI agents and healthcare workflows.
  • Workflow orchestration: Build infrastructure for multi-step, asynchronous workflows—including agentic AI workflows with conditional logic, retries, and graceful failure handling.
  • Healthcare integrations: Own high-stakes integrations with EHRs and legacy healthcare platforms via APIs and RPA.
  • Platform foundations: Create internal abstractions and tooling that allow the team to deploy and customize AI assistants for new customers quickly and reliably.
  • Security and compliance: Implement and maintain backend authentication, authorization, and HIPAA-compliant architecture required for enterprise healthcare.

What We’re Looking For

  • 5+ years of experience designing, building, and scaling backend systems in high-reliability production environments.
  • Strong backend expertise across APIs, relational databases, async workflows, and distributed systems.
  • High ownership and agency—you thrive in ambiguity and take responsibility for system outcomes.
  • Ability to communicate clearly, collaborate cross-functionally, and surface risks early.

Bonus: experience with security, auth, or regulated environments (HIPAA familiarity is a plus).

Skills

APIsRelational DatabasesAsync WorkflowsDistributed SystemsLLMsWorkflow OrchestrationEhr IntegrationsHipaa ComplianceAuthenticationRpa

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