Backend Engineer

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We are seeking an experienced Backend Software Engineer to help architect and build a next-generation healthcare platform. This is a rare opportunity to join an early engineering team and play a defining role in the technical foundation and culture of a fast-growing technology company.

If you thrive in high-ownership environments, enjoy building from the ground up, and care deeply about quality and performance, this role offers a true 0→1 impact opportunity
.

• Design and build core backend systems including APIs, database architecture, infrastructure, and data pipelines.
• Own features end-to-end—from requirement gathering and technical spec creation through deployment and iteration.
• Collaborate closely with product and engineering leadership to shape technical decisions and long-term platform direction.
• Work in a fast-moving environment that values experimentation, rapid release cycles, and constant learning.
• Contribute to a platform designed to improve clinical workflows and enhance the healthcare experience for providers and patients.

• 5+ years of experience building and shipping backend production systems.
• Strong background with modern backend technologies, such as:
  • Cloud platforms: AWS or GCP
  • Databases:
    Postgres, MySQL, Dynamo
    
    DB, Spanner, etc.
  • APIs: REST/gRPC/GraphQL
  • Data pipelines:
    Airflow, Dagster, or similar
  • Languages:
    
    Python, Golang, Java/Kotlin, or similar
• Experience building something meaningful from scratch—whether at a startup, as a technical lead, or through side projects.
• Ability to thrive in ambiguity, move quickly, and make thoughtful technical trade-offs.
• Strong communication skills and the ability to articulate technical decisions clearly.

• Experience with BaaS platforms like Supabase, Firebase, Railway, or Hasura.
• Familiarity with AI-native coding tools (e.g., Cursor, Claude Code).
• Exposure to healthcare systems (HIPAA, EPCS, PDMP, EHR/EMR workflows).
• Basic front-end skills with React, Type Script, or Next.js.

Compensation is competitive and based on experience and location. Total rewards may include base salary, performance incentives, benefits, and equity participation.

• Hybrid role based in Nashville, TN
• High-impact engineering organization building mission-critical technology
• Opportunity to shape architecture, engineering processes, and team culture from the earliest stages