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# Software Engineer Backend

- **Company:** Flagler Hospital, Inc.
- **Location:** New York, NY, United States
- **Experience:** Expert
- **Contract:** Permanent contract
- **Skills:** Amazon Web Services, Microsoft Azure, Batch Processing, Software as a Service, Continuous Integration, DevOps, Distributed Data Store, Distributed Systems, Fault Tolerance, Python (Programming Language), Node.Js, Service Development Studio, Systems Integration, Twilio, TypeScript, Web Applications, Fast Healthcare Interoperability Resources, Apache Spark, Backend, Git, Containerization, Infrastructure Automation Frameworks, Deployment Automation, Health Level Seven International, Front End Software Development, Software Version Control, Databricks
- **Published:** September 4, 2026
- **Apply:** https://startup.jobs/senior-software-engineer-backend-nyc-flagler-health-8126126

## About the Role

* Proven experience building highly available backend applications in a regulated environment (e.g., healthcare, finance, compliance-driven SaaS)
 * Proficiency in TypeScript and/or Python for backend service development
 * Experience interacting with backend APIs built using Node.js, Express, Mongoose, Twilio or similar frameworks
 * Experience with Temporal or similar distributed workflow orchestration systems (e.g., Cadence, AWS Step Functions, Conductor)
 * Solid understanding of distributed systems fundamentals, including retries, idempotency, and failure handling, * Experience in healthcare technology or SaaS platforms at a medium-sized startup
 * Familiarity with HL7, FHIR, or EHR integrations
 * Experience with cloud platforms such as AWS, Azure, or GCP
 * Hands-on experience with CI/CD pipelines, infrastructure automation, and version control systems (e.g., Git)
 * Experience working in a monorepo setup (e.g., Turborepo, Nx)
 * Nice to have: Experience with distributed data or batch processing frameworks (e.g., Apache Spark, Databricks, or similar)
 * Nice to have: Exposure to DevOps practices, including containerization, observability, and deployment automation

## Description

* Design, build, and maintain backend services and web applications
 * Work on real-time web applications for audio and SMS communications with users (patients)
 * Implement and operate fault-tolerant, long-running workflows for asynchronous and background processing
 * Collaborate with frontend, product, and infrastructure teams to deliver reliable, compliant systems, * The team is distributed remotely, with regional hybrid offices in NYC and Vancouver, Canada.
 * Hybrid. Regular and consistent on-site presence is required for this position.
 * We have video on for our weekly team syncs and pair-coding/tech discussions. Camera is required to be on during meetings.


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