Senior Backend Engineer

At Doctronic, we’re merging deep medical knowledge with cutting-edge AI to build the most advanced diagnostic system on Earth. It’s not science fiction — it’s already saving lives. Want in?

Doctronic | New York City ONSITE (Hybrid) | Reports to CEO

Let's make healthcare free and accessible to everyone through AI. We need backend infrastructure that can scale our AI doctor platform to billions of consultations while maintaining medical safety and HIPAA compliance.

Scalable APIs using Python, FastAPI, AWS handling millions of monthly requests

Real-time data processing for sensitive patient information (HIPAA-compliant)

Internal API architecture for web platform and AI coordination

Integration & Data Systems

Secure health record exchange with EHR systems, QHINs, healthcare networks

Third-party integrations: telehealth providers, analytics platforms, healthcare APIs

Large-scale sensitive data processing with encryption and compliance safeguards

Partner API integrations across dozens of diverse healthcare systems

Database optimization for high-volume healthcare data with complex queries

Redis for secure caching and session management in healthcare environments

Error handling, failover systems, disaster recovery for mission-critical services

Performance optimization for rapid user growth

AI System Integration

Backend coordination for AI tools and decision-making workflows

Python-based deterministic systems working alongside AI agents for clinical accuracy

APIs supporting model inference, data preprocessing, result processing

Infrastructure for AI safety: validation layers and human escalation protocols

You’ll also work on healthcare compliance automation, advanced monitoring, multi-region deployment, and backend foundation for next-generation AI healthcare features.

Engineering-first org: no project managers, just senior engineers

Flat structure with direct CEO reporting and high autonomy

Own features end-to-end from minimal specs to production

AI coding tools encouraged

Ship fast with good judgment; daily standups for alignment, not micromanagement

Education & Background

Engineering, Math, or related technical degrees welcomed with strong programming foundation

Preference for graduates from top programs at top universities

Preference for founders, founding engineers, or extensive startup experience

Independent problem solver who collaborates well cross-functionally

Technical Expertise

6+ years backend engineering with Python and API development

FastAPI, Flask, or similar Python web frameworks

RESTful APIs, high-volume traffic handling

Relational databases (Postgre

SQL, MySQL) and optimization

System Design & Integration

Third-party API integrations and webhook management

Microservices architecture and distributed system patterns

Security best practices for sensitive data and API design

Monitoring, logging, observability tools

Systems for healthcare, fintech, or regulated industries

Healthcare data standards (HL7, FHIR) and HIPAA compliance

High-scale data processing and real-time systems

AI/ML systems and model serving infrastructure

Healthcare workflows, EHR systems, telehealth platforms

Seed/Series A experience in healthcare or technology

Advanced degree in CS, Engineering, or related field

Build infrastructure transforming healthcare accessibility for millions

Direct CEO reporting with significant autonomy

Access to leading technologies and healthcare experts

Union Square Ventures led our seed (Feb 2025)

Lightspeed Venture Partners preempted our Series A six months later (Aug 2025)

Significant equity stake in fast-moving, well-backed company

doctronic.ai provides free, anonymous, HIPAA-compliant AI consultations. Optional human physician video visits with our doctors cost just $39 and are available 24/7 across all 50 states. We are processing millions of monthly consults with 99%+ treatment plan accuracy validated by board-certified clinicians.

We’re a fully remote team, giving you the freedom to work where you thrive—at home, in a co-working space, or anywhere in the world.

Your work should be valued—today and in the future. We offer competitive salaries along with equity opportunities, so you’re not just contributing to our growth—you’re sharing in it.

We offer comprehensive health, dental, and vision coverage—plus mental health support and flexible time off—because caring for others starts with caring for ourselves.

Join Doctronic and work with cutting-edge AI that’s transforming healthcare and helping people make faster, smarter decisions.