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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Backend Engineer - **Company:** Ellipsis Health, Inc. - **Location:** San Francisco, CA, United States - **Experience:** Expert - **Salary:** $160,000.0 - $210,000.0 - **Contract:** Permanent contract - **Skills:** Application Programming Interfaces (APIs), Artificial Intelligence, Amazon Web Services, User Authentication, Microsoft Azure, Data Security, Database Design, DevOps, Distributed Systems, Amazon DynamoDB, IP Pbx, PostgreSQL, MongoDB, Node.Js, NoSQL, Reliability Engineering, Service Development Studio, SQL Databases, Systems Integration, TypeScript, Chatbots, Fast Healthcare Interoperability Resources, System Availability, Delivery Pipeline, Backend, Kubernetes, Health Level Seven International, Graphql, Restful APIs, Data Pipelines, Microservices - **Published:** September 4, 2026 - **Apply:** https://startup.jobs/senior-backend-engineer-forward-deployed-ellipsis-health-8344050 ## About the Role * 5+ years of experience in back-end development with a proven track record of building secure and scalable systems * Strong proficiency in TypeScript and Node.js for API and service development * Expertise in RESTful API and/or GraphQL development * Experience building orchestration layers / workflow engines for distributed systems * Deep understanding of microservices architecture and distributed systems * Hands-on experience with cloud platforms (e.g., AWS, GCP, or Azure) and container orchestration (e.g., Kubernetes) * Strong database design and management experience (SQL and NoSQL), including PostgreSQL, MongoDB, or DynamoDB * Solid understanding of security best practices, including authentication, authorization, encryption, and secure data handling * Experience building and managing CI/CD pipelines * Own services in production end-to-end, including deployment, monitoring, incident response, and continuous improvement of reliability and performance Preferred: * Experience integrating with Epic EHR, including SMART on FHIR, Epic APIs, or Epic App Orchard. * Familiarity with healthcare data standards such as FHIR and HL7. * Experience with conversational AI, voice systems, or NLP technologies. * Prior experience working in health tech or other regulated industries. * Experience building or operating large-scale distributed systems. * Exposure to DevOps practices, infrastructure-as-code, or site reliability engineering concepts. ## Description We are seeking a Senior Backend Engineer to help design, build, and scale the core systems powering our conversational AI platform. In this role, you will work across backend services, APIs, and orchestration layers, collaborating closely with AI/ML engineers, product managers, and other engineers to deliver secure, reliable, and scalable solutions for the healthcare industry., * Architect, develop, and maintain robust, scalable APIs and microservices using TypeScript (Node.js) to support conversational AI workflows * Design, build, and manage orchestration services that coordinate workflows across AI systems, APIs, and external integrations * Optimize back-end systems for high performance, reliability, and scalability * Ensure secure and compliant integration with healthcare systems (e.g., EHRs, scheduling systems) while adhering to standards like HIPAA and FHIR * Collaborate with the AI team to deploy and manage conversational AI and NLP workflows in production environments * Design and implement database schemas and data pipelines for structured and unstructured healthcare data * Build and maintain CI/CD pipelines to streamline deployments and ensure high availability * Troubleshoot and resolve complex back-end issues with a focus on reliability and uptime * Mentor junior developers and contribute to a high-quality engineering culture * Stay ahead of industry trends and introduce technologies that improve platform performance and scalability ## Related Videos - [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) - [From DevOps to Scaled DevOps: How We’re Rebuilding Continuous Delivery as a Platform](https://www.wearedevelopers.com/videos/100018-from-devops-to-scaled-devops-how-we-re-rebuilding-continuous-delivery-as-a-platform) - [Leveraging Real time data in FSIs](https://www.wearedevelopers.com/videos/806-leveraging-real-time-data-in-fsis) - [Build and Deploy a Fullstack App with Open Source Tooling](https://www.wearedevelopers.com/videos/775-build-and-deploy-a-fullstack-app-with-open-source-tooling) - [DevOps Maturity Check – a way to balance autonomy and alignment](https://www.wearedevelopers.com/videos/58-devops-maturity-check-a-way-to-balance-autonomy-and-alignment) - [NoSQL Data Modeling for Front-end Developers](https://www.wearedevelopers.com/videos/297-nosql-data-modeling-for-front-end-developers) ## Related Articles - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-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) - [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) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [Why Upskilling And Reskilling is Important For Developers](https://www.wearedevelopers.com/magazine/428-why-upskilling-and-reskilling-is-important-for-developers) - [Dev Digest 120 - Apple and peers](https://www.wearedevelopers.com/magazine/455-dev-digest-120-apple-and-peers)