Senior Backend Engineer
$40 per hourDoctronic
Senior Backend EngineerDoctronic | New York City ONSITE (Hybrid) | Reports to CEOThe MissionLet's make healthcare free and accessible to everyone through AI. We need backend infrastructure that can scale our AI doctor platform to billions of consultations while maintaining medical safety and HIPAA compliance.What You'll BuildHealthcare API InfrastructureScalable APIs using Python, FastAPI, AWS handling millions of monthly requestsRESTful API development supporting our AI healthcare toolsReal-time data processing for sensitive patient information (HIPAA-compliant)Internal API architecture for web platform and AI coordinationIntegration & Data SystemsSecure health record exchange with EHR systems, QHINs, healthcare networksThird-party integrations: telehealth providers, analytics platforms, healthcare APIsLarge-scale sensitive data processing with encryption and compliance safeguardsPartner API integrations across dozens of diverse healthcare systemsScale & ReliabilityDatabase optimization for high-volume healthcare data with complex queriesRedis for secure caching and session management in healthcare environmentsError handling, failover systems, disaster recovery for mission-critical servicesPerformance optimization for rapid user growthAI System IntegrationBackend coordination for AI tools and decision-making workflowsPython-based deterministic systems working alongside AI agents for clinical accuracyAPIs supporting model inference, data preprocessing, result processingInfrastructure for AI safety: validation layers and human escalation protocolsYou'll also work on healthcare compliance automation, advanced monitoring, multi-region deployment, and backend foundation for next-generation AI healthcare features.How We WorkEngineering-first org: no project managers, just senior engineersFlat structure with direct CEO reporting and high autonomyOwn features end-to-end from minimal specs to productionAI coding tools encouragedShip fast with good judgment; daily standups for alignment, not micromanagementRequired QualificationsEducation & BackgroundCS degree OR equivalent demonstrated expertiseEngineering, Math, or related technical degrees welcomed with strong programming foundationPreference for graduates from top programs at top universitiesPreference for founders, founding engineers, or extensive startup experienceIndependent problem solver who collaborates well cross-functionallyTechnical Expertise6+ years backend engineering with Python and API developmentFastAPI, Flask, or similar Python web frameworksCloud services experienceRESTful APIs, high-volume traffic handlingRelational databases (PostgreSQL, MySQL) and optimizationRedis, caching strategies, distributed systems designSystem Design & IntegrationThird-party API integrations and webhook managementMicroservices architecture and distributed system patternsSecurity best practices for sensitive data and API designCI/CD pipelines, containerization (Docker), deployment automationMonitoring, logging, observability toolsPreferred QualificationsSystems for healthcare, fintech, or regulated industriesHealthcare data standards (HL7, FHIR) and HIPAA complianceHigh-scale data processing and real-time systemsAI/ML systems and model serving infrastructureMessage queues, event-driven architectures, async processingHealthcare workflows, EHR systems, telehealth platformsSeed/Series A experience in healthcare or technologyAdvanced degree in CS, Engineering, or related fieldWhat We OfferCompetitive salary plus significant equityBuild infrastructure transforming healthcare accessibility for millionsDirect CEO reporting with significant autonomyAccess to leading technologies and healthcare expertsBenefits reimbursementFunding & MomentumUnion Square Ventures led our seed (Feb 2025)Lightspeed Venture Partners preempted our Series A six months later (Aug 2025)Abstract preempted our Series B five months later (Jan 2026)Significant equity stake in fast-moving, well-backed companyAbout DoctronicDoctronic is the #1 AI Doctor, revolutionizing direct-to-patient healthcare through our proprietary AI system. Doctronic is the first AI legally authorized to practice medicine. We're processing millions of consultations monthly with 99%+ treatment plan accuracy validated by board-certified clinicians. Our platform (doctronic.ai) provides free, anonymous, HIPAA-compliant AI consultations alongside affordable human physician visits ($40) available 24/7 across all 50 states via instant video, scheduled video, or async text.
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Fin
New York, NY23 hours ago - ...media, powered by fast, reliable, and deeply technical market infrastructure.About the rolePolymarket is looking for a senior/staff backend engineer to own the systems that connect our exchange to the outside world — market data distribution, order routing, and the high...Senior
- ...days in-office culture. Both founders are technical. Every engineer on the team has experience at early-stage startups. Several... ...to customers, make technical decisions, and ship. Role: Senior Backend Software Engineer We're a tiny engineering team building something...SeniorFull timeWork at office
Alpaca Health
New York, NY23 hours ago $165 per hour
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$182.75k - $278.5k
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New York, NY23 hours ago- ...global media, powered by fast, reliable, and deeply technical market infrastructure.About the rolePolymarket is looking for a senior backend engineer to build and scale the payments infrastructure that powers deposits, withdrawals, and money movement across the platform....Senior
$150k - $300k
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Signal Fire Inc
New York, NY23 hours ago $165k - $225k
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Lightning Services Inc
New York, NY1 day ago - ...Kinvr is seeking a Senior/Staff Backend Engineer in New York City. Join a fast-growing travel tech company and contribute to complex booking systems, content and supplier integrations, and internal infrastructure. You will own epics end to end, collaborate with product...Senior
Kinvr
New York, NY6 hours ago - ...ubiquitous beacon of truth in global media and we need your help adding fuel to the fire.About the RolePolymarket is looking for a Senior Backend Engineer to join our DeFi Trading team and own core improvements to our exchange systems. You'll work across low-latency APIs, high-...SeniorImmediate start
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RePurpose Global
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Heron Data
New York, NY1 day ago - ...OuterSignal, a startup building the customer intelligence layer for commerce, is seeking a senior backend engineer to own core systems and data pipelines. You’ll design scalable infra to process millions of orders, implement vector DB/RAG workflows, and ship end-to-end...Senior
Outersignal
New York, NY1 day ago - ...Tecla is seeking a Senior Backend Engineer to design, build, and maintain scalable backend services using NestJS and Node.js. You will model data across MongoDB and PostgreSQL and apply domain-driven design to create robust architectures. A key focus is designing, building...Senior
TECLA
New York, NY1 day ago - ...Axon is seeking a backend-focused software engineer to join the Prepared team in New York City. This hybrid position involves tackling challenges in audio/video processing and AI, ensuring the stability and speed of mission-critical systems. Applicants should have at least...SeniorFlexible hours
Accreditation Council For Graduate Medical Education
New York, NY1 day ago $195.5k - $264.5k
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VRChat Inc
New York, NY1 day ago - ...Stripe, etc. is highly desirable, but not required. Deep payments experience is mandatory. About the Role We are seeking a senior backend engineer to support a payment modernization initiative. You will work directly under the CTO to build and integrate payment orchestration...SeniorFull timeContract workRemote workFlexible hours
GrabJobs
New York, NY1 day ago - ...Senior Backend EngineerBevel is an AI Health Companion that helps people make smarter decisions about their health every day. Our app brings... ...from our users. We're looking for incredible Senior Backend Engineers to help us build an ambitious roadmap. You'll get an...SeniorWork at office
Bevel
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1872 Consulting
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Tennr
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Anaphero: Automating patient-facing tasks. Happier clinician...
New York, NY2 days ago $200k - $275k
...Senior Backend EngineerTitle of Role: Senior Backend EngineerLocation: New York, onsiteCompany Stage of Funding: Venture-Backed — ConsumerOffice... ...Ideal Candidate Background6+ years of experience in backend engineering, with a strong focus on Python and FastAPI.Proficient in...SeniorRecruiting from Scratch
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Ellipsis Labs
New York, NY2 days ago
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