Skip to content

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 – 225kNew York, NYBackend EngineeringOnsite5+ YOE

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

Senior Backend Engineer

Senior Backend Engineer to architect and scale voice AI systems for 911 centers, optimizing realtime pipelines and integrating with customer systems. Requires 4+ years of software engineering experience.

150k – 200kSeattle, WABackend EngineeringOn-site4+ YOEGoSQL

Senior Software Engineer

Senior Staff Software Engineer building scalable backend systems and data processing components for a cybersecurity Open XDR platform, collaborating with ML researchers and product teams.

150k – 200kUnited StatesBackend EngineeringRemote3+ YOEGoJava

Senior Software Engineer, Recognition Intelligence Applications

As a Senior Software Engineer, you will design, implement, and maintain backend services for the Metropolis recognition platform, focusing on large-scale distributed systems and AI-driven intelligence models. You will lead a team, drive technical discussions, and ensure high availability and scalability.

150k – 200kLos Angeles, CABackend EngineeringOn-site6+ YOEAWSGit

Senior Software Engineer, Product Foundations

As a Senior Software Engineer, Product Foundations, you will design and build core services for Metropolis Web Services, focusing on distributed systems, platform infrastructure, and developer tooling. You will make critical technical decisions and ensure high system reliability.

150k – 200kLos Angeles, CABackend EngineeringOn-site8+ YOEAWSSQL

Senior Software Engineer, Product Foundations

As a Senior Software Engineer, Product Foundations, you will design and build core services and infrastructure for Metropolis Web Services, focusing on distributed systems, microservices, and developer tooling to ensure high availability and scalability.

150k – 200kSeattle, WABackend EngineeringOn-site8+ YOEAWSSQS