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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Senior Backend Engineer job in Dallas - **Company:** Steer Health - **Location:** Dallas, TX, United States - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Application Programming Interfaces (APIs), Artificial Intelligence, Amazon Web Services, Cloud Computing, Software Quality, Code Review, Software Design Documents, Load Testing, MongoDB, Node.Js, Operational Data Store, Performance Tuning, Software Product Management, Query Optimization, Redis, TypeScript, Fast Healthcare Interoperability Resources, Large Language Models, Caching, Indexer, Backend, Event Driven Architecture, Kubernetes, Health Level Seven International, Apache Kafka, Virtual Agents, Api Design, Stream Processing, Data Pipelines, Docker, Web Api - **Published:** August 15, 2026 - **Apply:** https://jobs.diversity.com/career/2454382/senior-backend-engineer-texas-tx-dallas ## About the Role * 5+ years of backend engineering experience with clear senior-level ownership of production systems * Expert-level Node.js and TypeScript in production environments * Hands-on experience designing and operating Kafka-based eventing architectures * Deep MongoDB experience at scale, including schema design, indexing strategy, and performance tuning * A track record of building and scaling systems at a high-growth or high-traffic company * Strong API design fundamentals and disciplined habits around testing, code quality, and documentation Strongly Preferred * Healthcare or health tech background, including EHR integrations, FHIR or HL7, HIPAA, and PHI handling * Experience at a high-scaling technology company where reliability and throughput were mission critical Nice to Have * Cloud infrastructure experience (AWS preferred), Docker, and Kubernetes * Redis or other caching and search layers * Exposure to LLM or AI product pipelines * Early-stage startup experience and comfort with ambiguity Our Stack Node.js, TypeScript, Kafka, and MongoDB, with Next.js on the front end and a purpose-built eventing engine at the core of the platform. ## Description We are hiring a Senior Backend Engineer to design, build, and scale the core services behind our platform. You will work on event-driven pipelines that move clinical and operational data in real time, integrations with EHRs and third-party systems, and the backend infrastructure that powers our AI agents. This is a high-ownership role: you will take problems from architecture through production and operate what you ship. What You Will Do * Design, build, and operate backend services and APIs in Node.js and TypeScript * Architect and extend our event-driven systems on Kafka, including topic design, producers and consumers, stream processing, delivery guarantees, and back-pressure at scale * Own MongoDB data modeling and performance, including schema design, indexing, aggregation pipelines, replication, and query optimization * Build reliable, secure integrations with EHRs, healthcare data standards (FHIR, HL7), and third-party APIs * Support AI agent workflows with fast, resilient backend services and real-time data pipelines * Drive reliability and observability: monitoring, alerting, load testing, incident response, and postmortems * Handle PHI responsibly and uphold HIPAA-grade security practices across every service you touch * Raise the engineering bar through design docs, code reviews, and mentoring ## Related Videos - [Inside Bitpanda's Tech Stack: Scaling a European Fintech Leader - Markus Dorner](https://www.wearedevelopers.com/videos/1979-inside-bitpanda-s-tech-stack-scaling-a-european-fintech-leader-markus-dorner) - [Reducing LLM Calls with Vector Search Patterns - Raphael De Lio (Redis)](https://www.wearedevelopers.com/videos/1714-reducing-llm-calls-with-vector-search-patterns-raphael-de-lio-redis) - [Docker Compose: Rediscovered](https://www.wearedevelopers.com/videos/1978-docker-compose-rediscovered) - [Web APIs you might not know about](https://www.wearedevelopers.com/videos/281-web-apis-you-might-not-know-about) - [Meet Your New BFF: Backend to Frontend without the Duct Tape](https://www.wearedevelopers.com/videos/682-meet-your-new-bff-backend-to-frontend-without-the-duct-tape) - [Accelerating Authentication Architecture: Taking Passwordless to the Next Level](https://www.wearedevelopers.com/videos/733-accelerating-authentication-architecture-taking-passwordless-to-the-next-level) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [The 7 Most Popular Backend Frameworks for Developers](https://www.wearedevelopers.com/magazine/403-the-7-most-popular-backend-frameworks-for-developers) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [Find a Developer Job: 12 Best Job Sites For Developers](https://www.wearedevelopers.com/magazine/165-find-a-developer-job-12-best-job-sites-for-developers) - [What’s the Difference Between Frontend and Backend Development?](https://www.wearedevelopers.com/magazine/240-what-s-the-difference-between-frontend-and-backend-development) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs)