Sr. Software Backend Engineer; San Diego

About Carlsmed

Our mission is to improve outcomes and decrease the cost of healthcare for spine surgery and beyond. The Carlsmed aprevo® personalized surgery platform is designed to improve the standard of care for spine surgery one patient at a time.

As Senior Software Engineer, you will work on projects related to proprietary implants, instrumentation, and design automation systems to enable personalized surgery. You'll be working on our full‑stack applications, focusing on building robust backend services and creating engaging user experiences. This role offers the opportunity to work with modern technologies and shape the technical direction of our products.

• Design and implement scalable backend services using Node.js, GraphQL, and Java/Kotlin (Spring Boot)
• Build and maintain responsive, performant frontend applications using React
• Optimize PostgreSQL databases for performance and reliability
• Lead technical design discussions, architecture reviews, and code reviews
• Mentor junior engineers and champion engineering best practices
• Partner with product managers to define requirements and delivery timelines
• Troubleshoot and debug complex issues across the full stack

• Education:
  
  Bachelor’s degree in Computer Science
• Experience:
  
  5 – 10 years of front end / back end and database experience required
• Experience with spine or orthopedics highly desired

• Proficiency in Node.js and server‑side Java Script
• Backend experience with Java and/or Kotlin, including Spring Boot
• Expert knowledge of GraphQL, including schema design and performance optimization
• Advanced React experience, including state management and performance tuning
• Deep understanding of PostgreSQL, including query optimization and schema design
• Strong grasp of software design patterns and engineering principles
• Strong communication, problem‑solving, and debugging skills

• Prisma ORM, JPA, and database migrations - preferred
• Dev Ops and cloud platforms (AWS/GCP/Azure) - preferred
• CI/CD pipelines and testing frameworks - preferred

Carlsmed is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Carlsmed is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know.

We are pleased to provide a competitive salary and benefits. Our benefits reflect our investment in the overall health and well‑being of our employees and their families, including paying 100% of monthly healthcare, dental & vision insurance premiums, a 401(k) plan with employer matching and unlimited PTO. The expected salary range is $125,000 to $145,000 annually. Compensation may vary based on related skills, experience, and relevant key attributes.