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# Backend Engineer

- **Company:** CLERA, LLC
- **Location:** San Francisco, CA, United States (Remote available)
- **Experience:** Experienced
- **Salary:** $70,000.0 - $150,000.0
- **Contract:** Permanent contract
- **Skills:** Application Programming Interfaces (APIs), Artificial Intelligence, Amazon Web Services, VoIP, Cloud Computing, Databases, Distributed Systems, Python (Programming Language), PostgreSQL, Node.Js, TypeScript, Large Language Models, Backend, Event Driven Architecture, Build Management
- **Published:** August 4, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=494f8e3d3499e04c

## About the Role

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

## Description

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


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