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Staff Backend Engineer

Staff Software Engineer (Backend / Platform)

Location:

San Francisco (in the city) or Los Angeles, CA (3 days onsite)

We're working with a growth-stage healthcare AI company building a real-time platform that helps detect patient deterioration early - already supporting 40,000+ patients daily.

This is a high-impact, platform-level role focused on scaling backend systems, infrastructure, and integrations that power real-world clinical workflows.

What You'll Do

• Architect and scale core backend systems for real-time data ingestion, processing, and application services
• Build and harden integrations with external systems (APIs, third-party platforms, enterprise tools)
• Design high-throughput, low-latency distributed systems with strong reliability guarantees
• Own cloud infrastructure and backend services across AWS (or GCP)
• Improve observability (metrics, logging, tracing) and drive reliability across production systems
• Define backend architecture patterns, engineering standards, and best practices
• Improve deployment velocity through CI/CD and infrastructure improvements
• Work within a regulated environment with a focus on security and data protection
• Mentor engineers and contribute to technical direction across teams

What You'll Need

• 8+ years of backend or platform engineering experience
• Strong experience building distributed systems at scale
• Proficiency in Python or Node/Type Script
• Experience designing APIs and event-driven systems
• Experience with AWS (or similar cloud environments)
• Experience with Docker and Kubernetes
• Strong understanding of system reliability and observability
• Experience working in high-growth production environments

Nice to Have

• Experience with healthcare or other regulated systems
• Experience with streaming or real-time data systems
• Experience supporting data or ML platforms

Why This Role

• Own critical backend systems at the core of the platform
• Work on real-time, high-scale infrastructure problems
• Join a small, high-bar team with strong ownership
• Help build out a growing engineering presence in San Francisco

Benefits

• 100% company-paid medical, dental, and vision
• 401(k) with company match
• Bonus and equity
• Generous PTO
• Professional development budget
• Company-paid annual retreat

For this position you must be currently authorized to work in the United States. We do not sponsor for this position.