Staff Software Engineer

We are on a mission to prevent avoidable hospitalizations and transform senior-care operations. Today, our technology touches 40,000+ post-acute patients daily across skilled-nursing, home-health, and home-care networks. We are backed by leading healthcare and AI investors and headquartered in El Segundo, CA. We are scaling from to $100M+, and our backend systems must scale faster than revenue. Our predictive models, agentic workflows, device telemetry, and enterprise integrations all depend on resilient infrastructure. As deployments multiply across SNFs nationally, performance, reliability, data integrity, and security become existential. We need a Senior Staff Engineer who architects and hardens the backbone of our platform owning backend systems, integration frameworks, and infrastructure reliability at scale. This is a platform-defining role. What you'll do:-Architect Core Backend Systems Design and evolve high-performance services that ingest device telemetry, process predictive signals, orchestrate AI agents, and serve enterprise dashboards. -Own Integrations at Scale. Build and harden integrations with EHRs, billing systems, and enterprise tools via HL7, FHIR, REST, SFTP, and webhook pipelines.-Design for Reliability & Throughput Ensure systems scale across hundreds of thousands of patients with high availability and low latency.-Lead Infrastructure Strategy Own cloud architecture (AWS/GCP), containerization, CI/CD, monitoring, observability, and incident response standards. -Build Data Pipelines Develop secure, compliant data flows for time-series telemetry, clinical data ingestion, and AI model outputs.-Establish Engineering Standards Define backend architecture patterns, testing frameworks, deployment workflows, and code quality standards. -Improve Deployment Velocity Create tooling and infra improvements that reduce environment setup time, increase release confidence, and support rapid enterprise onboarding. -Ensure Security & Compliance Partner with Security and Compliance to maintain HIPAA, SOC 2, and healthcare-grade data protections. What you need:-8+ yrs of backend software engineering experience -Deep expertise in distributed systems and AWS cloud -Strong proficiency in Python or Node/TypeScript Experience designing RESTful APIs and event-driven systems -Experience with containerization (Docker) and orchestration (Kubernetes) -Familiarity with databases (Postgres, Redis, time-series DBs) -Strong understanding of observability (metrics, logging, tracing) Experience scaling systems in high-growth production environments -BSCS or related degree-Willing to work in Los Angeles (initially embedded with team) Benefits100% company-paid medical, dental, and vision401(k) with matchGenerous PTOProfessional development budgetCompany-paid annual retreat