Senior Backend Software Engineer

Senior Backend Software Engineer As a Senior Backend Software Engineer on our Diagnostics team, you'll build the part of Regard that reads a patient's medical chart — labs, medications, vitals, procedures, prior notes, history — and determines which conditions are present, along with the evidence supporting each one. You'll design and develop critical backend services and drive them end-to-end through the full product lifecycle: ideation, planning, design, execution, deployment, and iteration. Our senior engineers are true technical leaders by driving architectural decisions, mentoring teammates, and leading major projects that help set the bar for engineering excellence. You'll collaborate closely with product, design, clinicians, and fellow engineers to ship high-quality solutions that empower physicians and improve patient care. Regard's mission is to bring world-class healthcare to everyone. Our technology reasons through a patient's entire medical record to recommend diagnoses that would otherwise be missed, in real time at the point of care, during chart review, and in population-wide screening to identify patients who qualify for lifesaving treatment. We work alongside some of the top health systems in the country to lead the change this industry needs. We're excited by challenges, mission-oriented work, and meaningful relationships. We want you to join us. Our Tech Stack: Backend: Python, Go, PostgreSQL, Redis, Celery Frontend: TypeScript, React Infrastructure & DevOps: AWS, Docker, Kubernetes, GitLab CI/CD, Datadog AI: OpenAI, Anthropic Clinical standards: FHIR, ICD-10, SNOMED, LOINC, RxNorm Responsibilities: Collaborate with product, design, and clinicians to design medium-to-large projects, often starting from an ambiguous problem statement and balancing speed to market, user experience, business goals, and technical architecture quality Own backend services and drive improvements across system design, observability, testing, performance, and support Model clinical data and design the schemas and service contracts that new product surfaces are built on Work directly with clinicians to understand what a diagnosis requires, and turn that intent into logic and tooling they can extend themselves Mentor and review code from other developers across backend services Maintain and improve the quality of the codebase and tooling in your area of responsibility through proactive fixes and by proposing projects that improve the overall backend codebase Participate in operational activities including on-call, monitoring, and production support Minimum Qualifications: BS in Computer Science or equivalent experience 6+ years of professional experience with software development Proficient in Python or Go with demonstrated ability to write and maintain production-quality code Proven experience building data-intensive applications, backed by strong data fluency in designing and evolving schemas consumed across cross-functional teams Able to participate in on-call operational support for your areas of responsibility Able to travel up to 4 weeks a year for company co-working and/or retreat weeks Practical experience leveraging AI coding tools in day-to-day software development (e.g., Cursor, Claude Code, Codex) Preferred Qualifications: Exposure to clinical or healthcare data (e.g., FHIR, EMR integrations, clinical terminologies, or revenue cycle) Comfortable with systems that produce ranked, scored, or probabilistic output and evaluating that output against imperfect ground truth Experience in a startup and/or high-growth environments Experience building tools for non-engineer domain experts Experience managing cloud infrastructure and LLM integrations Experience working on a mature enterprise SaaS product Hybrid Work | Location | Work Authorization: For this role, Regard is currently only considering candidates who are authorized to work in the US without visa sponsorship, and are within the New York City metro area, San Francisco Bay Area, or Los Angeles Our expectation for this role is to be in the office 2 days per week. We also require more frequent in-office work during the onboarding period and team onsite weeks up to once per month. We will provide relocation assistance to anyone who does not already reside in the NYC metro area For those who enjoy working from the office on a more regular basis, we offer catered lunches and other fun perks Additionally, hybrid employees have the flexibility to work from locations outside of their home office from up to 6 weeks per year Perks & Benefits: 99% employer paid health benefits (Medical, Dental, and Vision) + One Medical subscription 18 PTO days/yr + 1 week holiday break Monthly health & wellness budget Company-sponsored team retreat + social events A sabbatical program Our goal at Regard is to provide and maintain a work environment that fosters mutual respect, professionalism and cooperation. Regard is proud to be an equal opportunity employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, national origin, ancestry, alienage or citizenship status, age, disability or handicap, sex, gender identity, marital status, familial status, veteran status, sexual orientation or any other characteristic protected by applicable federal, state or local laws. We celebrate diversity and are proud of our supportive, inclusive workplace. All candidates must successfully complete a background check as part of the hiring process. REGARD