Senior Backend Engineer
$150 - $190 per hourAI Talent Now
We are looking for a Senior Backend Engineer with 5+ years of experience to join our team and build production Agentic systems at scale. You will be a strong individual contributor with a co-founder mindset, helping us push the frontier of what's possible with Agentic workflows in Healthcare. We need someone who can take powerful platform capabilities, design multi-step workflows, and ship them to production to directly impact patient outcomes on our AI-powered care orchestration platform. Roughly 60-70% of your time is deployment-focused; the remainder is platform contribution: building reusable workflow primitives, improving shared infrastructure based on patterns you see across customers, and shaping how we architect agentic systems at scale.
Ideally 5+ years of experience backend engineering focused on building and operating production AI systems.
Work experience
Experience & Tenure: 5+ years of hands-on experience building and operating production backend systems, preferred with some recent experience in AI-powered services and automation workflows in high-availability environments.
Core Backend Expertise: Proven experience designing and operating complex backend systems, including a deep understanding of concurrency, scalability, reliability, and distributed systems patterns.
Technical Stack: Strong experience building and maintaining large-scale Python codebases and hands-on experience with async or event-driven architectures.
Production AI Focus: Experience building and shipping AI-powered systems beyond prototypes or internal demos.
Seen good engineering at scale (big company, well-funded startup) and optionally worn multiple hats in a fast-paced startup environment
Education
Computer Science degree from a top-tier or Top 30 university.
Hard skills
Expert-level proficiency in Python at scale
Infrastructure ownership: builds, deploys, monitors, and iterates on end-to-end systems (on call rotation is part of the role)
Agentic development fluency - orchestrating sub-agents, when to use off-the-shelf vs. frontier models
Soft skills
Co-founder mindset - ships fast, understands trade-offs, drives business outcomes
Requirements
- Looking for candidates with both big tech and startup experience, emphasizing adaptability and technical excellence.
- Co-founder mindset is essential; candidates should be able to handle varied tasks and drive business outcomes.
- Strong proficiency in Python and experience with high-scale systems is mandatory.
- Preferred background includes successful startup experience or impactful roles in major tech companies.
Benefits
Equity:
Competitive equity
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