Backend Engineer
GSD Search
Backend Software Engineer (Hybrid - Nashville, TN) We are seeking an experienced Backend Software Engineer to help architect and build a next-generation healthcare platform. This is a rare opportunity to join an early engineering team and play a defining role in the technical foundation and culture of a fast-growing technology company. If you thrive in high-ownership environments, enjoy building from the ground up, and care deeply about quality and performance, this role offers a true 0→1 impact opportunity . What You'll Do
- Design and build core backend systems including APIs, database architecture, infrastructure, and data pipelines.
- Own features end-to-end-from requirement gathering and technical spec creation through deployment and iteration.
- Collaborate closely with product and engineering leadership to shape technical decisions and long-term platform direction.
- Work in a fast-moving environment that values experimentation, rapid release cycles, and constant learning.
- Contribute to a platform designed to improve clinical workflows and enhance the healthcare experience for providers and patients.
- 5+ years of experience building and shipping backend production systems.
- Strong background with modern backend technologies, such as:
- Cloud platforms: AWS or GCP
- Databases: Postgres, MySQL, DynamoDB, Spanner, etc.
- APIs: REST/gRPC/GraphQL
- Data pipelines: Airflow, Dagster, or similar
- Languages: Python, Golang, Java/Kotlin, or similar
- Experience building something meaningful from scratch-whether at a startup, as a technical lead, or through side projects.
- Ability to thrive in ambiguity, move quickly, and make thoughtful technical trade-offs.
- Strong communication skills and the ability to articulate technical decisions clearly.
- Experience with BaaS platforms like Supabase, Firebase, Railway, or Hasura.
- Familiarity with AI-native coding tools (e.g., Cursor, Claude Code).
- Exposure to healthcare systems (HIPAA, EPCS, PDMP, EHR/EMR workflows).
- Basic front-end skills with React, TypeScript, or Next.js.
- Hybrid role based in Nashville, TN
- High-impact engineering organization building mission-critical technology
- Opportunity to shape architecture, engineering processes, and team culture from the earliest stages
Vacancy posted 4 days ago
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