Back End Developer

Shields Group Search is partnered with a fast-growing, VC-backed healthcare AI company hiring a Senior Backend Engineer to help build the infrastructure powering access to life‑saving medications.

Join the team making life‑saving drugs accessible

This company is building technology that automates patient access workflows for pharmaceutical companies. Their platform removes barriers by automating authorizations, streamlining benefits verification, and unlocking financial assistance.

The goal is simple but massive: ensure access to medicine is determined by clinical need, not bureaucracy or financial constraint.

When this company succeeds, patients get treatment without bankrupting their families, while the team builds an AI automation platform serving the largest healthcare enterprises.

This is not a lifestyle startup. The founding team is building toward a $200B+ outcome on the scale of Palantir or Service Now, focused on healthcare’s largest enterprises.

Exited founders, YC and MIT alumni, and former engineers from Tesla and Google.

From idea to 7‑figure customer contracts in under 4 months in an industry with 12–18 month sales cycles. The company is profitable and execution‑driven.

Backed by top‑tier Silicon Valley VCs and strategic healthcare investors with deep industry reach.

Join early, own meaningful equity, and grow rapidly as the company scales toward category leadership in healthcare automation.

• Proficiency with Node, Type Script, and Python
• Strong system design fundamentals, including distributed systems and performance tradeoffs
• API design, implementation, and documentation experience
• Experience using AI coding tools (Cursor, Git Hub Copilot, Claude, etc.)
• CI/CD experience and solid Dev Ops skills are a plus
• Excellent documentation and testing habits
• Proficiency with Git

• 10x mindset as an early engineering hire
• Strong time management and planning
• Self‑directed and execution‑focused
• Collaborative, fun, and human
• 4–7 years of software engineering experience (or equivalent)
• Leveled at Pave P4

• Lead project teams and define milestones
• Communicate clearly with stakeholders
• Set priorities and propose strong technical solutions
• Execute quickly with high quality
• Pattern‑match from past problems and learn fast
• Operate independently without needing oversight
• Experience touching many parts of a large codebase
• Distributed systems experience is a plus but not required

You’ve owned projects end‑to‑end and navigated ambiguity.

You are dangerous across many areas of engineering. You do not need to be a deep specialist, but you have breadth. Examples include self‑deployed Kubernetes clusters, microservices, or platform work.

You’ve led projects start to finish, whether in production roles or large open‑source contributions.

You want to win. This team is sprinting to capture a massive market.

You care deeply about your work and want meaningful equity because you expect to materially increase its value.

This company is building the automation platform for healthcare enterprises.

• Backed by top‑tier investors
• Growing rapidly with 7+ figure customer contracts

Apply now to join a rocket ship bringing state‑of‑the‑art AI systems to pharma and life‑saving medications to the patients who need them most.

Please note: Applicants must be authorized to work in the United States on a full‑time basis. Visa sponsorship is not available.