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# Backend Engineer

- **Company:** David Joseph & Company
- **Location:** San Francisco, CA, United States
- **Salary:** $120,000.0 - $250,000.0
- **Contract:** Permanent contract
- **Skills:** Artificial Intelligence, Clinical Data Repository, Github, Python (Programming Language), AI Infrastructure, Prompt Engineering, Kaggle, Backend, Terraform
- **Published:** July 27, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=00caa9d4289b9b47

## About the Role

* Strong Python proficiency (hard requirement)
 * Hands-on infrastructure-as-code - Terraform or similar (hard requirement)
 * A working understanding of prompt engineering
 * An active GitHub contribution history
 * Currently employed in an engineering role at an established company
 * Available on-site in San Francisco five days a week

Nice to Haves

 * A competitive background in any domain (sports, esports, chess, competitive programming, Kaggle) that signals exceptional ability
 * Prior founding or early-startup experience, including founding-team membership
 * A track record of high agency and strong decision-making
 * Experience with browser automation
 * Active open-source contributions
 * IC strength with the potential to grow into people management

## Description

Own and scale the backend and AI infrastructure behind an agentic clinical-decision platform, supporting rapid customer onboarding and growth in a production healthcare environment., * Real traction, fast: past $1M+ revenue within four months of commercialization, 10x ARR over the last six months, targeting eight-figure ARR by year end - with engineering capacity as the primary growth constraint

 * High ownership on hard problems: architect AI-native systems end to end and ship agentic systems processing clinical data at scale
 * A path to leadership: build and manage your own engineering team as the company scales
 * Elite team and resources: work alongside ex-founders, operators, and clinicians from top labs and big tech; ample GPU, latest hardware, and AI coding assistants provided


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