Software Engineer - Backend​/Infra NYC or SF

ABOUT AMIGO

At Amigo, we're building the clinical AI infrastructure that health systems, life sciences companies, payors, and government agencies run their patient-facing care on. Our agents work across the whole patient journey: pre-visit intake, care navigation, post-visit care plans, and ongoing monitoring. Our mission is to make excellent care accessible to every patient, not rationed by the limits of clinician time.

This hasn’t been solved because the underlying record was never built for it. EHRs were designed for billing, not for systems that learn. So instead of layering another point solution on top, we’re rebuilding the medical record as a timeline of clinical events and running agents on top of it that improve with every patient interaction. Unlike single-purpose chatbots or scribes, Amigo is the platform our customers use to build their own agents.

That means our work has to hold up across specialties, workflows, and regulatory environments and not just one narrow use case.

Our agents have supported more than 4 million patient encounters and are on track to grow tenfold this year. Our work is validated through partnerships with leading academic medical institutions. We’re fresh off our Series A, backed by Tier 1 VCs such as Madrona, General Catalyst, and Optum Ventures.

We’re a small team of around 35 people, working in person in New York City and San Francisco. We care deeply about craft, clinical rigor, and the speed at which good ideas reach patients. If you want your work to be measured in outcomes rather than releases, we’d like to hear from you.

As a Staff Backend/Infra Engineer at Amigo, you'll build the core services behind our agent platform. The systems you own handle millions of conversations a month, so concurrency, reliability, and clean design are the job itself, not an afterthought. You'll own services end to end, from design through production.

• Designing high-throughput services that handle concurrent conversations at scale
• Owning a core platform service from design to production
• Building systems that stay available and degrade gracefully when things fail
• Handling sensitive healthcare data with the care it requires
• Improving performance, observability, and operational health across services
• Shaping architectural decisions as the platform grows
• Think carefully and holistically about system design under time pressure.

• You've built and operated production backend systems at scale and owned the outcome
• You're strong with concurrency, distributed systems, and service design
• You prefer simple, maintainable solutions to hard problems
• You debug well across services, queues, and databases
• You're low ego, direct, and hold yourself to a high bar
• You can work on site in New York City or San Francisco

• Experience in a regulated or high-reliability domain (healthcare, finance, legal)
• High-throughput or low-latency system design
• Experience with production AI or ML systems

• Comprehensive health, dental, and vision insurance
• Daily catered lunch and dinner
• Mental health support and wellness coaching
• Flexible wellness stipend for fitness, therapy, or personal growth

• Annual learning budget for courses, books, or conferences
• Conference attendance budget for professional development
• Annual team offsite
• Academic collaboration opportunities
• Unlimited PTO

• 1. Patients Win, We Win

  If patients aren't getting better care, we haven't earned the right to scale. Every internal decision gets pressure-tested: does this make patients' lives better? If we can't draw the line, we question why we're doing it.

• 2. High Standards, High Care

  We hold a high bar for the team…