Senior Software Engineer, Backend

This is a backend-heavy role for an engineer who enjoys solving real production problems: scalability, reliability, data integrity, and building practical AI-enabled workflows that directly support patient care., * Ship complex backend services using FastAPI with MongoDB and/or Postgres

• Build APIs and infrastructure that interface with LLMs and Generative AI models
• Leverage AI-assisted development tools (e.g., ChatGPT/Copilot-style tooling) to increase engineering velocity without sacrificing quality
• Prototype MVPs quickly, then harden them into secure, scalable, reliable production systems
• Improve backend architecture, observability, and code quality standards
• Deploy and operate services using Docker and AWS
• Collaborate with senior engineers and mentor junior developers as the team scales

• 7+ years of professional software engineering experience with deep backend expertise
• Startup experience shipping real features in high-growth environments
• Experience designing distributed systems and/or data-heavy backend architectures
• Experience working with Generative AI / LLM-powered systems in production or a strong desire to learn and build in this space
• Strong product mindset and comfort partnering with cross-functional teams
• Ability to operate in ambiguity and move quickly without sacrificing quality
• High standards for reliability, clarity, and maintainability when real users depend on your code

Why Join

• Platinum health, dental, and vision insurance
• Flexible PTO
• Opportunity to be at the forefront of LLM innovation in healthcare
• Founded by AI researchers (Cornell and Amazon Alexa backgrounds)
• Direct impact on clinicians and patients-software that meaningfully improves care delivery
• Mission-driven team backed by strong AI talent and reputable investors

Our client has built a leading AI-powered clinical documentation platform for home health, used daily by thousands of clinicians and reducing documentation time by 80%+. By giving clinicians their time back, the platform helps home health organizations deliver better care to older adults who want to remain at home.