Backend Engineer

Join a fast-growing, early-stage healthtech AI company as one of its first backend engineers. The company builds AI voice and browser agents that automate the most painful administrative workflows for independent specialty clinics - including referral processing, scheduling, and insurance prior authorizations - and is already running in live production environments across Northern California., * Design and build core backend services and APIs that orchestrate AI voice and browser agents

• Build integrations with EHRs, scheduling systems, and insurance/payer portals
• Own reliability, observability, and performance of agent workflows in production
• Partner with the founders on architecture, tradeoffs, and product direction
• Help shape engineering culture, hiring, and on-call practices as the team scales

Required:

• 3+ years building production backend systems in Python and/or TypeScript/Node.js
• Strong fundamentals in system design, databases (PostgreSQL), and distributed systems
• Comfort with queues and event-driven architectures
• Experience with cloud infrastructure (AWS or GCP) and modern observability tooling
• Strong product instinct and ownership mindset - able to scope, ship, and iterate independently
• Current work authorization to work remotely from a LATAM-based country or the United States (no visa sponsorship available)

Nice to Have:

• Experience with LLM agents or deployed AI models in production
• Background in voice technologies (telephony, ASR/TTS)
• Experience with browser automation
• Familiarity with healthcare/HIPAA-compliant environments, * Fully remote - open to candidates in LATAM (with overlap to US Pacific hours) or in the United States
• No visa sponsorship available; candidates must have current work authorization

• Salary: $70,000 - $100,000 USD/year (LATAM-based) or up to $150,000 USD/year (US-based), depending on experience
• Founding-team equity
• Direct access to founders and real customers from day one