# Senior Backend Engineer

**Company:** [Clarion](https://hotfix.jobs/companies/clarion)
**Location:** New York, NY
**Role:** Backend Engineering
**Salary:** $150k – $225k/yr
**Experience:** 5+ years
**Skills:** APIs, Relational Databases, Async Workflows, Distributed Systems, LLMs, Workflow Orchestration, Ehr Integrations, Hipaa Compliance, Authentication, Rpa
**Posted:** 2026-02-16

> 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.

## Job Description

## 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).

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**Apply:** https://hotfix.jobs/jobs/9dd265a8-3cbd-4429-bdf5-9d5eb103cebc
**Canonical:** https://hotfix.jobs/jobs/9dd265a8-3cbd-4429-bdf5-9d5eb103cebc